Individuals with serious mental illness are known to have a shorter lifespan for many reasons, including the side effects of psychiatric medications, that put them at high risk for metabolic diseases. As well, individuals in this population tend to have a history of smoking and substance use, and sedentary lifestyles. For most individuals, admission to the Psychosis Intervention and Early Recovery (PIER) Program is their first experience being alerted to the seriousness of their mental health problem. The PIER program provides an excellent opportunity for primary prevention with young people to develop the knowledge and skills to establish positive lifestyle habits and to avoid the negative trajectory leading to metabolic disease. The goal of this project is to initiate interactive discussions between key stakeholders and researchers about relevant research questions and methods of data collection and engagement of patient partners to plan future research.