Consistent evidence demonstrates that care transition programs can significantly improve mental health out-comes, treatment engagement, satisfaction, and overall quality of life. However, the extent and fidelity of imple-entation across behavioral health systems remain underexamined. This article applies the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate the Pathway Home model, a community-based care transition program in New York that supports individuals returning to the community after psychiatric hospitalization or other institutional settings.