Beyond these walls: Can psychosocial clubhouses promote the social integration of adults with serious mental illness in the community?

Gumber, Shinakee; Stein, Catherine H.

doi:10.1037/prj0000262

Cited by 18 publications

(14 citation statements)

References 39 publications

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“…She seemed particularly fulfilled by work which involved outside agencies or issues. Her account bears similarity to Gumber & Stein's finding which highlights the importance of social integration both inside and outside the clubhouse(32). Within the clubhouse, Eva said the work did not teach her a huge amount of novel skills, and rather what was helpful was teaching fellow members new skills.…”

supporting

confidence: 54%

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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supporting

confidence: 54%

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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“…Such developments would be responsive to recent wonderings and concerns in the literature of whether the belonging, community, and recovery-promoting benefits within the clubhouse could be possible outside of it. Gumber and Stein (2018), for example, discussed ways in which clubhouses may expand their work through explicit partnerships with community organizations and joint events with the community at large. As Raeburn et al, (2016) succinctly concluded: "Whether recovery is experienced by clubhouse members in wider society, may well depend on supports and opportunities outside the clubhouse" (p. 173).…”

Section: Discussionmentioning

confidence: 99%

“…While there have been several studies documenting the beneficial aspects of life within the clubhouse, the world faced by members outside the clubhouse-including its societal problems, social relations, and sense of belonging-has been less explicitly thematized within research (Gumber & Stein, 2018). The specter of the stigmatizing world has always been in the background of both clubhouse research and practice.…”

mentioning

confidence: 99%

“…One social institution that has emerged partly in response to these issues and the lack of opportunities for people facing such circumstances is the mental health “clubhouse,” a model first developed by Fountain House in New York and now present in and informed by clubhouses in over 30 countries around the world (Clubhouse International, 2020; Gumber & Stein, 2018; Kang & Kim, 2014; Mandiberg & Edwards, 2013; McKay et al, 2018; Pardi & Willis, 2018). This model originated in the 1940s, emerging from a grassroots form of mutual aid, which then developed into a formal clubhouse model for mental health that centers on what is called the work-ordered day (Doyle et al, 2013; Mandiberg & Edwards, 2013; McKay et al, 2018).…”

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confidence: 99%

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An “oasis within a desert,” but the desert remains: Clubhouse members’ experiences of social belonging and societal oppression.

Desai¹,

Manning²,

Pavlo³

et al. 2021

American Journal of Orthopsychiatry

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Persons living with mental health challenges are at increased risk of stigma, social isolation, and social exclusion. Due to its emphasis on member participation and community, the clubhouse model of mental health may help address these issues. In this study, we examined experiences of social belonging and of various social determinants of mental health among members attending a psychosocial clubhouse. Twelve members of a large psychosocial clubhouse were interviewed regarding their experiences of community life and belonging. Phenomenological qualitative methods were utilized to examine the meaning and structure of these experiences. Members overwhelmingly experienced the clubhouse as a central site of belonging ("an oasis"), but members also recounted devastating portraits of life in the outside world ("a desert"). This world presented fundamental restrictions on their movement and speech and held deeply sedimented norms pertaining to who is considered valuable, productive, and even human, which they were reminded of through an endless tyranny of questions ("what do you do," "where do you live," etc.). Life in the clubhouse presented an alternative world for members to experience nourishment, dignity, reaffirmed personhood, and a sense of beauty. And yet, the desert outside remained. Implications of these findings for clubhouses, mental health practice, and sociopolitical and community engagement are discussed, including the need to address profound deprivations and power imbalances within the wider world, beyond the walls of humane spaces such as these. Public Policy Relevance StatementMembers who attended a psychosocial clubhouse for mental health were able to experience nourishment, dignity, reaffirmed personhood, and a sense of beauty, but oppressive meanings and structures in the wider world remained. These findings suggest the need for clubhouse and broader mental health policy to focus greater attention on advocacy, community engagement, and sociopolitical issues, including societal restrictions on members' movement and speech, and the constant scrutiny and questioning they endure.

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“…In this specific context, however, the first steps in this direction have already been taken. Essentially, several researchers have questioned the model's effectiveness in promoting social integration, or ''social recovery'' [53][54][55][56]. It has been argued that Clubhouse support may inadvertently reinforce ''institutional dependency'', even though the goal of the model is to free people from it.…”

Section: Discussionmentioning

confidence: 99%

Interaction, Ideology, and Practice in Mental Health Rehabilitation

Valkeapää

Tanaka

Lindholm

et al. 2018

J. Psychosoc. Rehabil. Ment. Health

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This paper investigates how two ideologies of mental health rehabilitation-recovery ideology and communal approach-are realized in interactional practices associated with psychosocial rehabilitation. More spesifically, the paper discusses employee selection in the context of the Clubhousecreated Transitional Employment (TE) programme, which offers employment opportunities for rehabilitants. The paper describes how joint decisions are established during the moment-by-moment interactional processes at the Clubhouse. Drawing from the data set of 29 video-recorded rehabilitation group meetings, and Conversation Analysis as a method, the paper analyzes two questions: (1) How do the participants talk about the decision-making process associated with the TE on a ''meta'' level? And (2) how are the TE employees actually selected in the turn-by-turn sequential unfolding of interaction? When discussing the TE employee selection procedure on a ''meta'' level, the values of recovery ideology focusing on client empowerment and selfdetermination are prevalent. Also, the central ideals of the communal approach-openness and collaboration-are defended as decision-making guidelines. However, in the meetings where decisions on the TE employees are concretely made, there is a mismatch between the two ideological approaches to rehabilitation and the actual practices observable in the relevant interactional encounters. Keywords Rehabilitation Á Professional ideology Á Joint decision-making Á Conversation analysis Á Social interaction ''We made a democratic selection with the members who were interested in the job. It was a joint decision and the selection process went really well.''-Support worker evaluates a selection process of a transitional employment worker.

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Beyond these walls: Can psychosocial clubhouses promote the social integration of adults with serious mental illness in the community?

Cited by 18 publications

References 39 publications

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

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

An “oasis within a desert,” but the desert remains: Clubhouse members’ experiences of social belonging and societal oppression.

Interaction, Ideology, and Practice in Mental Health Rehabilitation

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