Concerns about the ability to understand and communicate about spiritual material have become a source of controversy regarding spiritually integrated care for individuals managing serious mental illnesses (Hathaway, 2011). In this study, 91 people receiving outpatient services for serious mental illnesses provided information on their symptoms, level of recovery, spiritual functioning, and preferences about spiritually integrated care, as well as their responses to an infrequency/inconsistency scale. Results indicated that (a) most participants were interested in spirituality and wanted to discuss this with mental health care providers, (b) as a group, most participants were able to provide reliable and valid responses to questions about spirituality.