I urge DMAS to consider a couple of things.  Please consider allowing more than one option for accreditation beyond Clubhouse International. Current Clubhouse/PSR services are such a vital part of community-based recovery, and they deserve to have a selection of options to choose from that best fits their population and demographics. Clubhouse International may work well for some agencies in more urban and well-funded areas, but CI’s are likely to struggle in rural areas due to the inherent design of the program. Having only one accreditation option for a long-term program is such a disservice and does not align with social work values of service, social justice and dignity and worth of the person.  Please explore other options for PSR programs to serve members long term beyond Clubhouse International as it will not benefit all of our current members as it stands.  Options should be explored that can combine the best aspects of several different services to manufacture a program that delivers psychiatric rehab through a service of excellence and flexible options.  Many current Clubhouses already excel at providing a work ordered day and psychoeducational opportunities that allow members to work on their recovery in a fully holistic manner. These programs additionally offer socialization efforts to combat limited natural supports and isolation, along with community integration opportunities that allow members to live and thrive as an active member of their community, and they do this all without the restraints of CI accreditation. There are other options.  There must be flexibility allowance to these programs so they can grow with and change as needed to serve their members. Many CSB’s already have services in place to combat housing and employment needs. Adding a service that duplicates these aspects while reducing the importance of discussing mental health symptoms/behaviors seems to be a disservice to our members and creates competition for already scare community resources. Members benefit from the insight building they receive from PSR Services to help them understand their mental illness/symptoms/stressors and generally lack services and supports that assists with this.