Recovery-oriented care for patients with schizophrenia involves consideration of cultural issues, such as religion and spirituality. This study examined acceptance of a spiritual assessment by patients and clinicians, suggestions for treatment that arose from the assessment, and patient outcomes—in terms of treatment complianceand satisfaction with care (as measured by treatment alliance).Outpatients with psychosis were randomly assigned to two groups: an intervention group that received traditional treatment and a religious and spiritual assessment (N=40) and a control group that received only traditional treatment (N=38). Eight psychiatrists were trained to administer the assessment to their established and stablepatients. After each administration, the psychiatrist attended a supervision session with a psychiatrist and a psychologist of religion. Baseline andthree-month data were collectedThis study is the first to examine an individual spiritual intervention for patients with psychosis. Most studies of the interface between psychosis and religion address waysto disentangle religious delusions from healthy spirituality and religiousness or examine group treatments involving spiritualityThe spiritual assessment was well accepted by patients. During supervision, psychiatrists reported potential clinical uses for theassessment information for 67% of patients. No between-group differences in medication adherence and satisfaction with care were found at three months, although patients inthe intervention group had significantly better appointment attendance during the follow-up period. Their interest in discussing religion and spirituality with their psychiatrists remained high. Theprocess was not as well accepted by psychiatrists.Weaknesses:Cultural context that cannot be replicated elsewhere.Additional and supervision time given to patients in the intervention group.Patient’s perception of unfair selection.High refusal rate which maybe incompatibility with caregiver.Strength:Person-centered approachEmphasis on assessing illness and factors.Assessment points easy to use in other clinical settings.