I agree that hospitalization should not be the only factor, or even weighted the highest. One thing I like about the ACT model is the level of clinical decision making that is left up to the team leader and the psychiatrist/prescriber. However, as a state agency authority, costs must be factored into any adoption of EBPs. It would be lovely to really get a current snapshot of the cost savings of ACT in today's current context. Latimer's look in 1999 is getting harder and harder to justify the generalization. Thanks for the great questions!