Threshold is modeled on the Clubhouse Rehabilitation Model established by Fountain House more than 40 years ago.  Since opening our doors in 1985 our clubhouse has served over 450 Durham County adults with severe and persistent mental illness.

In the Spring of 2011, SAMHSA (Substance Abuse Mental Health Service Administration) vetted the model used by Threshold as best practice and evidenced based.

Central to the clubhouse model is membership.  Clubhouses serve members, not patients or clients.

Members enjoy 4 basic rights:

• The right to a place to come
• The right to meaningful work
• The right to meaningful relationships
• The right to a place to return

Read the standards that shaped the international movement.

"I am well aware that mental health reform, as well as Medicaid cuts, have caused a profound effect on your program.  But through your commitment of helping others and providing innovative programs, you've accepted these difficult challenges, and remained loyal to your members.  Your dedication to the population is to be applauded."             

Ellen Holliman, Durham Center Area Director

Threshold Vision: Threshold affirms the dignity and worth of all members by fostering an environment of acceptance, supportive relationships and access to resources.  It provides the foundation from which new experiences and attainment of one's full potential can occur.  Threshold strives to be an exemplary model for the community while promoting awareness of and appreciation for those among us living with mental illness in Durham County.