This article describes the struggles and difficulties of providing rehabilitation services in the transitional corrections environment. Larned Mental Health Correctional Facility, located in southwest central Kansas, is used as an example for outlining the difficulties faced by mental institutions devoted to offender treatment and processing while under correctional care. After 5 years in existence, the unit has discovered that symptoms and functional disabilities that make up long-term mental disorders pose a significant challenge to treatment and rehabilitation. Rehabilitation and treatment modalities can help reduce or compensate for social and occupational disabilities, but permanent improvements and successful transitions back to regular correctional institutions are frequently unpredictable.