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To date, minimal research has addressed the actual services provided to maintain the mental health of leadership in the church. Three major Protestant denominations were consulted within this study, including a total of 434 pastors across the United States. Among these three denominations, a range of services are now being offered to support clergy, with services such as time off, prayer support groups, and clergy retreats among the most valued, adequately provided, and utilized. Still, clergy do not see the provision of services as fully adequate, and report a number of obstacles to utilizing services. Generally, the most highly rated obstacle was financial limitations, followed by difficulty getting time off and concerns about confidentiality. Recommendations offered by clergy respondents are provided.