A systematic review of the effectiveness of the clubhouse model.

Battin, Clémence; Bouvet, Cyrille; Hatala, Claire

doi:10.1037/prj0000227

Cited by 36 publications

(24 citation statements)

References 15 publications

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“…In conclusion, clubhouses are a promising model for promoting recovery, albeit research producing robust outcomes is still needed (Battin, Bouvet, & Hatala, ; McKay, Nugent, Johnsen, Eaton, & Lidz, ). Our findings not only inform practical efforts to shift traditional psychiatric services towards recovery‐oriented care, but also shed light on which mechanisms might be important to examine in future research to better understand how and why clubhouses are effective.…”

Section: Discussionmentioning

confidence: 99%

Staff views on member participation in a mental health clubhouse

Chen

2018

Health Soc Care Community

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The clubhouse model is a community psychiatric rehabilitation program aiming to provide a restorative environment for people with severe mental health problems. These clubhouses provide their members with opportunities for friendship, employment, and education, which help them on their paths towards mental health recovery. Towards that end, the model features clubhouse members and staff working side by side to execute clubhouse activities. That is, unlike most of the community mental health programs where staff provide services to their clients, clubhouse staff are required to partner with members in their work. The aim of this qualitative study was to understand how the clubhouse staff elicited member participation and facilitate recovery. The research was conducted between Year 2013 and Year 2014 at the world's first clubhouse: Fountain House in New York City. The first author conducted 262 hr of active participant observation in 41 visits to Fountain House, and in‐depth interviews with 38 staff members who had worked at Fountain House for at least 1 month during the study period. The dimensional analysis procedure was used to analyse the observation notes and interview transcripts. Results showed that participation was a key to rebuilding members’ self‐confidence, which further encouraged members to seek more opportunities for self‐enhancement and personal growth. Specific organisational policies, programming, practical considerations, and other strategies shaped a positive environment for members to exercise autonomy, experience self‐efficacy, and model behaviours after others who have succeeded. Findings of this research support the egalitarian staff–member relationships and the maintenance of an open and transparent atmosphere of the clubhouse, as observational learning enables members to move forward with their journeys to recovery. Findings also may inform efforts to shift traditional psychiatric services towards recovery‐oriented care.

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Section: Discussionmentioning

confidence: 99%

Staff views on member participation in a mental health clubhouse

Chen

2018

Health Soc Care Community

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“…Despite the longevity of the clubhouse model, as well as its presence across a plethora of countries, there is unfortunately a lack of quality research, particularly qualitative research, investigating the model and its impact. Where quality studies have been published, they tend to be limited by their non-randomised approaches, an absence of comparison groups, and a lack of longitudinal designs (7). While these are valid criticisms, they can only be accurately levelled at quantitative research, which should ideally lead to statistically significant, generalizable data.…”

Section: Introduction [A]mentioning

confidence: 99%

“…They also describe themselves as complementary to other approaches and not necessarily as alternatives to them, therefore it is difficult to untangle which interventions may be providing the most positive or lasting results (7). Qualitative research can contribute to this task.…”

Section: Introduction [A]mentioning

confidence: 99%

How Young Adults in London Experience the Clubhouse Model of Mental Health Recovery: A Thematic Analysis

Pardi

Willis

2018

J. Psychosoc. Rehabil. Ment. Health

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Clubhouses are recovery orientated, participatory communities in which people with mental health diagnoses can take part in the running of the clubhouse. The objective of this research was to produce the first qualitative study of its kind, examining how the clubhouse model of mental health recovery is perceived and experienced by young adults aged 16-25. Five participants provided lengthy and detailed semi-structured interviews regarding their experiences as members of a clubhouse in London. Analysis produced themes including mixed age services as a distinct benefit, the benefits of getting involved in the work of the clubhouse, the mostly positive perception of the clubhouse compared with other mental health services, and the sense of personal change and social improvement experienced on becoming members of the clubhouse. While further research is needed, it was concluded that the clubhouse model was beneficial to all its young members, for reasons including its entirely collaborative and consultative process between staff and members, its humanitarian approach, its lack of rigid or inflexible time limits, and its reciprocal relationships, where members are expected to both provide and receive support.

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“…The origins of the model can be traced back to the late 1940s, when a self-help group of former mental patients established the first Clubhouse, Fountain House New York (Anderson, 1998). True to its roots in the user movement, the model was built on the principles of empowerment, self-determination, equality, and democracy (Battin, Bouvet, & Hatala, 2016;McKay et al, 2016;Raeburn et al, 2013). Today, the International Standards for Clubhouse Programmes regulate the model and describe minimum services to be offered by Clubhouses.…”

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confidence: 99%

“…Later studies have examined outcomes, such as the impact of Clubhouse membership on quality of life (Boyd & Bentley, 2006;Jung & Kim, 2012), education (Unger, Pardee, Anthony, & Rutman, 2002), and employment outcomes (Dorio, Guitar, Solheim, Dvorkin, & Marine, 2002;Schonebaum & Boyd, 2012;Schonebaum, Boyd, & Dudek, 2006). However, according to two recent systematic reviews (Battin et al, 2016;McKay et al, 2016), evidence regarding the effectiveness of the Clubhouse model is limited.…”

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confidence: 99%