The Clubhouse model offers a significantly lower reimbursement rate than current PSR services. Furthermore, it requires significant investment from the CSB - staff have to be trained (and trained again when staff leave and new ones are hires), program must be accredited, a medical director has to be identified as part of the model at a time where psychiatric availability is already extremely limited. In addition to all that, there is no easy way to participate in this long-term training while the same staff still have to tend to current clients. It would be great to know about some viable alternatives to this model - what else was considered and why was it not chosen? If not Clubhouse or PSR, are there other services that can be considered as an alternative?