Psychiatric pharmacists make a constant effort to improve patient's psychiatric outcomes while minimizing the untoward side effects that can occur as a result of taking psychiatric medications. Once patients show an adequate response, and ultimately remission, of psychiatric symptoms, many may conclude that patients will continue improvement for the foreseeable future. Those who have experience with psychiatric pharmacotherapy know otherwise. Medication adherence is the ultimate long term goal in both the medical and psychiatric populations in order to maintain sustained illness remission; however, it is known that adherence rates are far below what is optimal.1 It has been estimated that approximately 50% of patients become non-adherent with medications within a short period of time.2 The reasons for this vary. Some of the reasons are economic, lack of insight into illness, misunderstanding of care goals, or even stigma of mental illness.345 Each of these can facilitate medication non-adherence, leading patients to discontinue medications, remain ill, or seek readmission to the acute hospital unit.Pharmacists have provided patients with pharmaceutical care for years. Helping patients understand their medications' role in their recovery from illness, while simultaneously educating them on possible side effects and the management of these effects, are some of the services that pharmacists frequently participate in.6 In recent years, the concept of medication therapy management has been introduced, expanding the traditional pharmacist roles with the addition of patient follow-up and ongoing care management.7 While medication provision and counseling encompass the primary care roles of the pharmacist, there are many facets of care that a psychiatric pharmacist must incorporate into patient interactions in order to afford the best opportunity for long-term treatment success and positive outcomes.When counseling patients prior to discharge, medication adherence is paramount to positive outcomes. Yet there are both medication as well as non-medication related issues that should be articulated and emphasized with patients to improve overall patient care outcomes in the psychiatric populations. Performing these tasks at or prior to discharge can aid in transitioning the patient from a controlled hospital environment to success in the outpatient setting.Findings suggest that the addition of these key points to medication discharge counseling, coupled with providing the patient with filled prescriptions for their psychiatric medications immediately at discharge can decrease 30 day rapid readmission between 35 and 50%.11Employing these tips can help to prevent rapid readmission to the hospital, encourage medication adherence in the initial acute phase of treatment following hospitalization, and give patients the opportunity to be treated in a less intrusive outpatient setting. Not only can these improve patient quality of life, but they can increase hospital bed availability, leading to better stewardship of precious acute care resources.