Inclusion Criteria:  Serious Mental Illness Diagnosis Prescribed psychiatric medications 18 to 80 years old Receives services by a participating community mental health agency at time of enrollment Be unable to consent to the study as assessed by the consent questionnaire. Sample 1: Current Users of Medherent or Sample 2: Willing or able to authorize to have the Medherent device in your residence  Exclusion Criteria:  • Unable to have the Medherent device in residence