Finally, the 1956 article notes that "vocational rehabilitation may come into existence in many hospitals for almost the first time." Fountain House, the original clubhouse, had been in existence for eight years when the 1956 article was written. Yet today there are still less than 200 clubhouses throughout the country, despite their proven efficacy as a means of rehabilitation and social integration. We have multiple examples of small vocational programs that work, such as Fairweather Lodges, yet neither NIMH nor CMHS has paid much attention to them. Similarly, we should have been supporting research on the quality of life and community outcomes for the hundreds of thousands of patients who were deinstitutionalized after the drug revolution, but NIMH and CMHS have supported remarkably little such research.