Objectives:To evaluate and descriptive in nature, the current issue of mental health services in Saudi Arabia, this study examined the influence of areas; awareness, roles, aims, effectiveness, referrals, and needs, among patients in Saudi Arabia.

Methods : The questionnaire for this study was used from February 2023 to July 2023. In addition, the sample were (n=208) Patients. Demographic data, gender, age, nationality qualification were compared between four Mental Health hospitals in Saudi Arabia. In this study researchers built a Questionnaire (self-administered), has been cove the main research questions (quality; knowledge; treatment effectiveness; referral system and Patients Needs in Mental Health services in Saudi Arabia), researchers find questionnaire with alphas ranged from .6745 to .9751.

 Result:From total of 208 Patients, 89% have a general agreement that the quality of mental health provision are less than it should be, and 98% of patients were had less knowledge of specific information about their hospitalisation and about the various aspects of treatments, moreover, (93%) of patients in this study did not know about their referral system and the range of referral procedures. finally, One-way ANOVA (p=0.756); (p=0.494)showed no any significant different between patients view of the quality; knowledge; treatment effectiveness; referral system and Patients Needs in Mental Health services in Saudi Arabia of services in mental health hospitals around Saudi Arabia

 Conclusion :This study demonstrates the significant different among Patients, in four mental health hospitals in Saudi Arabia controlled by ministry of Health and Medical Cities Program-MOI.

  Patients saw the roles and responsibility, referral system and effectiveness in mental health system in Saudi Arabia as not being clear, and the quality of services as unsatisfactory, moreover, all patients felt that the treatment they received from psychiatrists and counsellors was effective, and reported the need for more sessions with their practitioners, and they fail to understand their needs.

 Keywords: Mental Health Hospitals, Patients, Mental Health Services, Saudi Arabia.