Individuals living with serious mental illness face a complex transition when discharging from a psychiatric hospitalization back into the community. While focus is often put on their discharge date and having an appointment scheduled with an outside mental health provider, not as much attention may be given to barriers that inhibit follow through with aftercare services. As providers, it is our duty to be diligent in ensuring that the individual is part of discharge planning and identifying potential barriers to participating in services. Interventions tailored to rapport building, shared decision making and acknowledging challenges individuals living with serious mental illness may face is critical in decreasing the likelihood of re-hospitalization.