Over the last decade, life expectancy of the mentally ill has declined. Researchers estimate that people with severe mental illness, such as schizophrenia and bipolar disorder, live 25 years less than the national average. The specific clinical inquiry questions are: #1 How does the prevalence of metabolic syndrome, in a mentally ill population in a community mental health clinic, compare to national statistics on metabolic syndrome in the SMI? #2 Does an RN screening program for metabolic syndrome increase the detection of metabolic syndrome in a mentally ill population in a community mental health clinic? #3 Does a screening and referral program for metabolic syndrome result in an improvement in measures of metabolic syndrome?