A major barrier to clinicians referring service users with psychosis for psychological therapies is the belief that they will not engage. We investigated therapy receipt after discharge, in a sample of service users who had already demonstrated willingness to engage in psychological therapy during an inpatient admission. We found only one-third of service users (33%; 16/48) had received at least 1 session of evidence-based therapy at 6-month follow-up after discharge. We found that therapy receipt was more common for service users with i) lower delusional distress at discharge, ii) Black or minority ethnic (BME) background, and iii) discharged to an Early Intervention (EI) service.