Objective To analyze the management and treatment situation for patients with severe mental disorders in Shaanxi Province in 2015， in order to provide references for government to formulate mental health policies and provide services for mental health professional institutions. Methods Descriptive method was used to analyze demographic characteristics， register， management and treatment situation of the patients with severe mental disorders admitted into the national information system of Shaanxi Province from August 1st， 2011 to December 31st， 2015. Results By the end of 2015， there were 126 120 patients registered， with the registered rate of 3.35‰. 115 993 patients were provided with follow-up services by primary health care staff， with the management rate of 91.97%. 70 378 patients were follow-up regularly， and the regular management rate was 55.8%. 61 270 patients were treated by taking antipsychotics， and the rate was 52.82%. 30 781 patients took medication regularly， and rate of regular taking medication was 26.54%. Conclusions The management and treatment of severe mental disorders in Shaanxi Province has been carried out and achieved some results， but the reported prevalence rate， standardized management rate and regular medication rate need to be further improved.