Objective To analyze the current situation of mental health visits and the influencing factors for people over 60 in Hebei Province， so as to provide reference for improving the utilization level of mental health services for the elderly. Methods Multistage stratified cluster sampling was carried out throughout the province. Chi-square test was used to analyze the basic demographic data， health condition and mental health service utilization of the elderly patients over 60， and Binary logistic regression was used to analyze the influencing factors. Results Among the 946 elderly patients with the age 60 and above， the number of visits was only 83， the rate of visit was 8.77%. The rate of female visits（ 10.29%） was higher than that of men （6.96%）. Female， participating in Rural Subsistence Security System， participating in NCMS， care demand， having health records were the protective factors of visits. Conclusions The rate of mental health visits for the elderly in Hebei is relatively low. It is necessary to improve the mental health service system for the elderly.