Verkkoto better understand prison health and mental health care, this study explored the experiences of formerly incarcerated adults with serious mental. We found that distrust in the system, challenges with the referral routines, worries about negative consequences, and perceived limited. Verkkothis study examines the perspectives of nine individuals who experienced mental healthcare within the carceral state, whether in prison or on. Verkkodiscussions highlighted that efforts to improve public health and reduce health inequalities should be inclusive of prisons.