I am very concerned about the new regulations for clubhouse services that have recently been released.   For years, members have attended clubhouse in a safe, secure, non-judgemental environment where they have learned skills to help them in whatever their definition of recovery is.  For many, simply getting out of bed and walking through the door is what they can accomplish that day.  Many take years to show progress, and for some this progress may be minor, but to them it is huge.  Education about mental health symptoms, coping skills, and stressors are an essential piece in the overall recovery process.  The Clubhouse International model does not place focus on this, which is an essential piece in helping members learn and grow.  Financially, the cost of Clubhouse International is unrealistic for many programs, already struggling with low reimbursement rates and increasing expenses.  Over the years, many programs have already closed due to this.  The expense of the training, along with annual fees, is more than some programs can manage.  Employment opportunities are already limited in rural areas and transportation issues are a major barrier for individuals being able to get to and from work.   Having several different accreditation options would be helpful in programs deciding on if services were feasible and help with maintaining members in the community.  Clubhouse services are a lifeline to an already vulnerable population and losing these services would be a detriment to many.  For many individuals, clubhouse is their major support and peers are their supports and for many the most stable relationships they have.