An Evaluation of the Impact of Clubhouse Membership On Quality of Life and Treatment Utilization

Warner, Richard; Huxley, Peter; Berg, Terry

doi:10.1177/002076409904500410

Cited by 72 publications

(26 citation statements)

References 12 publications

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“…This is consistent with the research on clubhouses; in fact, in some studies, the majority of clubhouse members had schizophrenia and/or other psychotic disorder diagnoses. 7,[10][11][12][13]21 The final hypothesis, that consumers in CRDIs have less interaction with traditional mental health and support services, was also confirmed. Congruent with the above, members of CRDI centers were found to have fewer lifetime hospitalizations.…”

Section: Discussionmentioning

confidence: 88%

Characteristics of Users of Consumer-Run Drop-In Centers Versus Clubhouses

Mowbray

Woodward

Holter

et al. 2008

J Behav Health Serv Res

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Clubhouses and consumer-run drop-in centers (CRDIs) are two of the most widely implemented models of consumer-centered services for persons with serious mental illness. Differences in structure and goals suggest that they may be useful to different types of consumers. Information on what types of consumers use which programs would be useful in service planning. This study analyzes data from the authors' NIMH-funded research on 31 geographically matched pairs of clubhouses and CRDIs involving more than 1,800 consumers to address the following question: are there significant differences in the characteristics and outcomes of members of clubhouses versus CRDIs? Results from multilevel analyses indicated that clubhouse members were more likely to be female, to receive SSI/SSDI, to report having a diagnosis of schizophrenia, and to live in dependent care; and they reported both a greater number of lifetime hospitalizations and current receipt of higher intensity traditional MH services. Controlling for differences in demographic characteristics, psychiatric history, and mental health service receipt, clubhouse members also reported higher quality of life and were more likely to report being in recovery. CRDI consumers were more likely to have substance abuse histories. Possible reasons for the differences are discussed. The results suggest that CRDIs are a viable alternative to more traditional mental health services for individuals who might not otherwise receive mental health services.

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Section: Discussionmentioning

confidence: 88%

Characteristics of Users of Consumer-Run Drop-In Centers Versus Clubhouses

Mowbray

Woodward

Holter

et al. 2008

J Behav Health Serv Res

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show abstract

“…Además, se observó que los usuarios percibieron sueldos más bajos que los establecidos por el mercado. A pesar de que el impacto en la empleabilidad de los empleos protegidos no cuente con evidencia sólida que lo avale, tales intervenciones poseen beneficios de índo-le terapéutica que es relevante mencionar: [28][29][30][31] a) Reducción de recaídas y hospitalizaciones; b) Disminución de las problemáticas con el sistema judicial; c) Aumento de la autonomía, la funcionalidad y la autoeficacia personal; d) Mayor sensación de bienestar, que radicaría en la formación de redes de amistad y apoyo.…”

Section: Rehabilitación Vocacional Tradicionalunclassified

Estrategias de inserción laboral en población con discapacidad mental: una revisión

2013

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SUMMARYThe employability and access to the productive market are considered key elements for the full integration of the patient with mental disability. The aim of this review was to describe and analyze the scientific literature for the main employability strategies: traditional vocational rehabilitation (sheltered work and social firms) and supported employment (particularly in its mode of individualized supported employment). The results of the review suggest that individualized supported employment is the most effective approach in obtaining employment for people with mental disabilities.Key words: Mental disability, employability, sheltered work, social firms, supported employment. RESUMENLa inserción laboral y el acceso al mercado productivo son considerados elementos claves para la plena integración del paciente con discapacidad mental. El objetivo de la presente revisión fue describir y analizar la literatura científica correspondiente a las principales estrategias de inserción laboral: rehabilitación vocacional tradicional (empleo protegido y empresas sociales) y empleo con apoyo (particularmente en su modalidad de empleo con apoyo individualizado). Los resultados de la revisión indican que el empleo con apoyo individualizado es el abordaje más efectivo en la obtención de empleo en personas con discapacidad mental.Palabras clave: Discapacidad mental, inserción laboral, empleo protegido, empresas sociales, empleo con apoyo.

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“…The clubhouse model provides a programmatic orientation designed to reflect the elements of consumer empowerment, competency, and recovery. These elements are recognized and implemented through shared decision-making between staff and members, skill training, and through educational and vocational supports (Beard et al 1982;Warner et al 1999).…”

Section: The Clubhouse Modelmentioning

confidence: 99%

Staff and Member Perceptions of the Clubhouse Environment

Pernice-Duca

2009

Adm Policy Ment Health

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Several studies have been conducted about Clubhouse operations and the users of Clubhouses (i.e., members); however none have sought to weigh the importance of both staff and member perceptions of the Clubhouse environment. A measure assessing the program climate as well as service components was administered to both members and staff across a representative sample of Clubhouses. In addition, level of program fidelity was included to examine differences between high and low fidelity clubhouses and ratings of the program environment. Two overarching questions were explored in this study: (1) to what extent do staff and members share common perceptions of the Clubhouse environment, and (2) is fidelity to the Clubhouse model relevant to rating of the program environment? Members and staff were concordant on 68% of the environmental assessments. Across all program environment domains, staff ratings of the clubhouse environment were higher than those of clubhouse members. Staff endorsed items reflecting the philosophy of the psychosocial program whereas consumers perceived the environment in terms of the actual services or lived experiences. Members of relatively high fidelity Clubhouses rated the program environment higher on five dimensions.

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An Evaluation of the Impact of Clubhouse Membership On Quality of Life and Treatment Utilization

Cited by 72 publications

References 12 publications

Characteristics of Users of Consumer-Run Drop-In Centers Versus Clubhouses

Characteristics of Users of Consumer-Run Drop-In Centers Versus Clubhouses

Estrategias de inserción laboral en población con discapacidad mental: una revisión

Staff and Member Perceptions of the Clubhouse Environment

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