From the WICHE Center for Rural Mental Health Research, this policy brief summarizes nationally representative data on community-level risk factors associated with schizophrenia hospitalizations. It examines how socio-economic factors and the makeup of local health care systems affect the rate of schizophrenia hospitalizations. It identifies geographic areas with elevated rates. It also presents a discussion about the findings. It should be of interest to government and private health plan administrators, as well as those responsible for designing mental health delivery systems – anyone interested in creating outpatient treatment programs that may prevent costly hospitalizations.