When the office hours call ended on November 5^th, it was the first time there was a slight sense of relief about the BH Redesign.  During that call it was announced clubhouse draft policy would be forthcoming but prior to, visits would be made to clubhouse programs around the Commonwealth.  This was seen as an attempt to right a wrong, which was putting the cart before the horse.  However, when the draft policy was posted a week later,  knowing that few, if any, clubhouse visits could have occurred, the initial sense of relief that was felt was lost.   Clubhouse visits should have happened long before now, prior to the initiation of the BH redesign, and certainly before writing policy to redesign and gut the program.   Clubhouse serves members with severe, chronic, and debilitating mental illness.  The mere task of getting out of bed in the morning and going to the clubhouse program is all some can do.  It has taken years for some to regain skills they once had but lost due to service disruption during Covid.   Ending psychosocial rehab on 6.30.2026 would be a tragedy.  Clubhouse offers a very slow chip away at chronic, and in most cases, lifelong psychiatric illness.  Members have a sense of belonging and community because of clubhouse.   After Covid, many members had to relearn skills they once had mastered, due to lack of ongoing education, consistent repetition, and implementation and practice of skills.  Therapy is a wonderful service, but without an environment, such as clubhouse, to try out skills taught in therapy, the intervention falls short.    Members sometimes need years to buy into clubhouse and transition into acceptance of their illness.  Members need a chance to be educated about their illness, symptoms, early warning signs, and this takes time.  Progress is slow BUT it is evident.  Many of our clubhouse members have been able to, with wrap around supportive services, avoid rehospitalization for DECADES.  If this draft policy is implemented there will be many clubhouse programs throughout the Commonwealth that end, and members will be left with no additional wrap around services outside of case management and crisis services.  Case management and crisis services are wonderful services, but members have demonstrated for years they need more intensive services and intervention than what case management and crisis services offer!    Many current clubhouse programs as they are, cannot afford CI training.   In addition to the upfront costs for CI training, and annual CI fees, reimbursement rates for CI are less than current clubhouse reimbursement rates, leaving CI as an unfeasible option.   For current members, whose clubhouses are slated to end 6.30.2025, what options will they be left with?  This feels like we are cutting members loose without appropriate resources to meet their needs, and this is very unsettling.   We do not want to see history repeat itself.   Psych hospitalization rates will certainly be on the rise if clubhouses close.  Psychiatric hospitalizations costs more per day than psychosocial rehab.   I sincerely request another option for clubhouse be considered other than CI.