Sarason was frustrated by the lack of social action in his research career, and he seized the opportunity to start a new clinic at Yale University so that he could be more involved in making positive social change. In the late 1950s Sarason was the supervisor of two clinical psychology interns who worked at the Yale Child Study Center, a child psychiatry organization. Because there was a lack of clients available for his supervisees at the Yale Child Study Center, Sarason decided to start a psychology clinic within the Yale Department of Psychology after gaining approval from the chair of the department, Claude Buxton. In the early 1960s Sarason founded the Yale Psycho-Educational Clinic. Although some clients did visit the clinic for psychotherapy and clinical assessments, the clinic was unique in that most of the clinic staff spent the majority of their time in community settings working directly with community organizations. The clinic aimed to expand the role of clinical psychologists to include working in community settings and helping to solve community-based problems. Through his work in the clinic, Sarason also sought to better understand the creation and sustainability of settings. He defined settings as “any instance in which two or more people come together in new relationships over a sustained period of time in order to achieve certain goals.”