One approach to community-based programming for men and women (members) who
have experienced serious and persistent mental illness has been the focus
of a clubhouse and hospital-based outpatient team. This rehabilitation alli
ance consists of a member; psychiatrist, and at least one other-either anot
her clubhouse staff person or a member. In this alliance each individual is
equal in status with the others. The goal of the alliance is the provision
of vocational, social, educational, and residential opportunities along wi
th time and support needed to fulfill these opportunities as well as the pu
rsuit of mental health goals. The authors (psychiatrist, member, and Founta
in House staff person) describe this alliance and the benefits resulting fo
r each participant.