Objective To understand the situation of medical visit in patients with mental illness in Hebei Province. Methods This study was part of the epidemiological investigation of mental disorders in Hebei Province. The "Structured Clinical Interview for DSM- Ⅳ "（ SCID- Ⅰ /P） was used as a diagnostic tool with the diagnostic criteria of "diagnostic and statistical manual of mental disorders in the United States"（ DSM- Ⅳ）. The self-made questionnaire on mental health services utilization was carried out in patients with mental disorders. Results Among the 1 826 cases of effective questionnaire， there were 233 patients had been with mental health service， with a visiting rate of 12.76%. In general information， rural/urban household registration， age， marital status and employment situation had an impact on the visiting rate（ P＜ 0.01）. The visiting rates of patients with mood disorders， psychiatric schizophrenia and other psychiatric disorders， substance use disorders， anxiety disorders， somatoform disorder and eating disorders were respectively 15.32%（95/620）， 66.18%（90/136），1.75%（7/400），5.72%（37/647）and 17.39%（4/23）. The difference of visiting rate among different diseases was statistically significant（ χ2=425.068，P＜ 0.01）. The top three of the patients who came to the clinic were anxious and depress， insomniac and delusional. For the first visit， only 5.6% of patients came to the mental health facility. Conclusions Most people with mental health service demand failed to get the corresponding mental health services. The current mental health services can only be used by a small group of people， which indicates that the utilization level of mental health services in Hebei is relatively low， and the current situation of mental health services is not optimistic.