I question the adoption of the Clubhouse model for all PSR programs.  As stated in “A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation”  Administration and Policy in  Mental Health and Mental Health Research,  2016 Aug 31;45(1):28–47.

 “Clubhouses are a promising practice and the research supporting Clubhouses is growing, but additional studies are necessary to provide a clearer and more contemporary basis for evaluating the Clubhouse Model.”

Further; “Many of the existing services or programs have yet to be thoroughly investigated making it impossible to know which have the best outcomes. Unless these programs are included in research, stakeholders have no scientific way of knowing how these programs compare to existing EBPs. These models may risk elimination because of a lack of empirical research as opposed to a lack of effectiveness.”

Simply because a few studies have been published does not make Clubhouse evidence the premier evidence based program;  especially since other PSR models in the state have not been assessed for overall effectiveness.  It may very well be that existing PSR programs are as good as or better than Clubhouse.