I have been with the ACT team for 7 years and have seen the importance and progress of some of our folks who do not like to interact with us, let alone others in the community.  ACT and Clubhouse staff coordinate and I have personally seen HUGE growth in reducing psychiatric symptoms.   I have also observed individuals who isolate, be able to slowly open up to other members and staff at the Clubhouse.   I read that observing individuals without actually providing an intervention is not billable and I understand that to give money for something that does not seem anything is happening seems wasteful.   I am not about wasting funding, however I will say that often times, an individual with a SMI often has difficulty with interacting with others.   Sometimes just them coming to the clubhouse is a win.  It is an intervention to leave someone alone and just observe them in this social environment, especially if you are aware of their difficulty in interacting with others.  I think that not allowing ACT individuals to participate in Clubhouse would be counterproductive, causing an increase in psychiatric symptoms for many of our individuals, costing even more for possible hospitalizations.