Clubhouses (fountain house model) have been pivotal in offering social and clinical support to folks with psychotic disorders who struggle with isolation: skill building through helping to run the building (unit work), community outings offering opportunities to connect safely in the community, and recovery groups where they are able to learn about their diagnoses and implement coping skills. Leading up to Covid, it became harder to provide PSR services as reimbursement rates dropped and more requirements were put on staff (i.e. daily notes, etc). This seemed to result in decreasing numbers as staff were not able to be as attentive to consumers. Several PSR programs closed down after Covid as a result. 

Continuing to support programs like this are important in preventing hospitalizations, violence, and police involvement. Increasing reimbursement rates and placing reasonable and realistic documentation requirements on staff would be the way to keep this service strong. They create a sense of community and connection where there otherwise wouldn't be. Psychotic populations often get pushed to the side and forgotten about especially current day with crisis services increasing.