If the Clubhouse International model is intended to be a long-term maintenance service and set to be in line with a lifetime member why then is there focus on  ‘expectations of improvement’ to move towards discharge?  Often, what appears outwardly to be stagnation or ‘lack of progress’ is actually just a normal manifestation of their recovery and maintenance. Sometimes the recovery is linear and steady, and other times the recovery has setbacks etc. As we saw with Covid, without those ongoing daily and long term supports for our members, they experienced serious setbacks and were unable to maintain previously held gains.  With serious mental illness we know that progress is made in the long term, supported by daily interventions and repetition of skills, knowledge or practice that take years to achieve.  As has been shared previously, sometimes just the member’s act of showing up to the program is a marker of progress. Other times a significant marker of progress is that they have not had an inpatient psychiatric hospitalization in years.  We need this service to acknowledge the long term, persistent, functional deficits that our members face and to provide a service that dedicates itself to the slow and steady battle of recovery and maintenance.