Metacognition and the clubhouse model in treating severe mental illness.

Rice, Kevin; Pernice, Francesca; Michon, Amber

doi:10.1037/prj0000464

Cited by 15 publications

(10 citation statements)

References 54 publications

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“…Overall, our findings are consistent with the Clubhouse literature as well as the general theoretical literature on participation. First, themes we identified largely agree with those described in the Clubhouse program literature including the Standards (Anderson, 1999 ; Beard et al, 1982 ; Clubhouse International, 2021 ; Doyle et al, 2013 ; Hänninen, 2012 ) as well as themes identified in the research literature (Carolan et al, 2011 ; Hancock et al, 2015 ; Herman et al, 2005 ; Kinn et al, 2018 ; Mutschler et al, 2018 ; Norman, 2006 ; F. P. Chen & Oh, 2019 ; Pardi & Willis, 2018 ; Raeburn et al, 2013 , 2015 ; Rice et al, 2020 ; Schiff et al, 2008 ; Tan et al, 2018 ; Tanaka et al, 2015 ; Tanaka & Davidson, 2015a , 2015b ). Our study focus being service users’ perspectives, it is notable that the Autonomy and Egalitarian Connection themes we found corroborate staff views on what fosters member participation (F. P. Chen & Oh, 2019 ).…”

Section: Summary and Discussionmentioning

confidence: 99%

Conceptualizing participation in the community mental health context: Beginning with the Clubhouse model

Tanaka

Stein

Craig

et al. 2021

International Journal of Qualitative Studies on Health and Well

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Purpose: Although participation is key to community mental health, the concept remains elusive. The study explored a conceptualization of participation in the community-based mental health agencies context from a first-person perspective, using the Clubhouse model as an example. Methods: Qualitative data, collected from 21 Clubhouse service users through three focus groups (1 UK and 2 US) for primary analysis and secondary data from 104 individual interviews, were analysed using a grounded theory approach. Results: Focus group narratives revealed three main domains of what may be named everyday participation process, Making Decisions, Doing Work, and Locating Oneself in Community, blended with each other rather than forming clear-cut stages. Sixty-six extracted primary codes, with two underlying interrelated core categories identified, named Autonomy and Egalitarian Connection, were organized by domain and by category. Conclusions: The findings suggest a 3 × 2 axial model of participation that participation signifies a behaviour, comprised of three blended activity domains, entailing actions and interactions that concern Autonomy and Egalitarian Connection, which, dynamically interacting with each other, appear to condition meaningful participation the next day. Egalitarian relationship skills development appears critical for training practitioners to help promote service users' quality everyday participation and getting-a-life-back experiences towards wellbeing, or meaningful life.

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Section: Summary and Discussionmentioning

confidence: 99%

Conceptualizing participation in the community mental health context: Beginning with the Clubhouse model

Tanaka

Stein

Craig

et al. 2021

International Journal of Qualitative Studies on Health and Well

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“…What this also means is that the current state of affairs may not be the only state of affairs as activity and action are possible, both individual and collective, including the activity of recovery, and the roles of persons, structures, and institutions within it. Discussion of such intersubjective processes being facilitated in clubhouse program settings has been explored in relation to positively impacting recovery trajectories in serious mental illness ( Rice et al, 2020 ). One implication for the broader study of mental health and illness is to more closely interrogate the social , institutional , and community structures around the person, as potential contributors to illness and to recovery.…”

Section: Discussionmentioning

confidence: 99%

A return to lived experiencers themselves: Participatory action research of and by psychosocial clubhouse members

Vescey¹,

Yoon²,

Rice³

et al. 2023

Front. Psychol.

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IntroductionWithin the history of psychology and phenomenology, people with lived experience of mental illness have often served as participants in research, but far less as co-researchers themselves. There is now a growing movement focused on “participatory” research, where people with lived experience directly contribute to various stages of the research process. This article presents such a qualitative, participatory research study, led by members of a large psychosocial rehabilitation clubhouse—Fountain House in New York City—and informed by phenomenological research principles. The study focused on collaboratively assessing and improving the clubhouse program for its members.MethodsA key feature of the project was the extent of lived experiencer involvement, for instance, in designing and conducting the study, and co-writing this research report. Members of Fountain House were trained in phenomenologically-informed research methods and developed a research study that focused on the quality improvement of their clubhouse program. Member researchers conducted a series of focus groups with fellow clubhouse members, generating qualitative data that were analyzed and written up by member researchers in collaboration with staff and university partners.ResultsOverall, study findings place emphasis on the theme of action in members’ experiences—both with respect to how action, agency, and valued activity were key drivers of meaning and recovery for people facing severe mental illness, and with respect to the key component of the research process itself [i.e., participatory action research (PAR)]. Four major subthemes emerged from the study. First, findings revealed how members with mental illness experienced the clubhouse as a “new hope” and “the place for me,” to counteract their experience of inactivity, stigma, depression, and hopelessness prior to that point. Second, findings showed how, as members’ life goals changed, so did the precise meaning and role of Fountain House in their lives. Third, findings portrayed members’ need for, and pursuit of, transformation within the clubhouse space itself to provide more opportunities for meaningful work rather than what they viewed as merely busy-work. Finally, member researchers viewed their direct participation in this project as an opportunity to actively combat stigma, to be a driver of research, and to engage in what they viewed as a generative activity.DiscussionThese action-oriented themes serve as a counter to the historical view of people with mental illness as merely passive experiencers of symptoms and passive recipients of mental health care. We discuss how the process and content of participatory research can help enhance the relevance of research for stakeholders’ lives and contexts.

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“…Though the efficacy of social practice for populations living with SMI has been established (Battin et al, 2016; Hinchey et al, 2022; C. McKay et al, 2018; Rice et al, 2020), the specific mechanisms through which it operates and for whom it operates best are not well understood. A greater understanding of these social processes of healing may lead to innovation and focused interventions across a variety of concerns.…”

Section: Potential Future Implications Of Social Practicementioning

confidence: 99%

Community as therapy: The theory of social practice.

Pernice,

Hinchey,

Rice

et al. 2024

Psychiatric Rehabilitation Journal

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Objective: Though the efficacy of the Clubhouse model's interventions and practices in supporting recovery from serious mental illness (SMI) have been demonstrated by prior research, the causal mechanisms and theory driving these outcomes have yet to be comprehensively defined. This theory article aims to synthesize existing knowledge of these methods to define a unified theory of social practice, outline its role in SMI recovery, and discuss future implications. Method: Historical, theoretical, and practical foundations of social practice were synthesized to define a current theory of social practice and expand the term to apply to the methods and interventions that define the Clubhouse model. Results: Based on prior theory and findings, we define social practice as "the informed application of a specialized form of environmental therapy that utilizes an intentional community to assist people in their recovery." Key facets of social practice in the Clubhouse model of SMI recovery are discussed, including the efficacy of the practice in addressing SMI outcomes such as isolation and low self-efficacy, as well as its impact on both internal and external motivational forces. Conclusions and Implications for Practice: The theory of social practice describes a process of engaging people to become collaborators and contributors to a social environment. This article describes the philosophy and practices of Clubhouses and introduces the theory of social practice as an empirical means of unifying and communicating the methods, practices, and outcomes of both the Clubhouse model and the broader implications of intentional community as therapy. Impact and ImplicationsThis article unifies decades of findings from the Clubhouse model to define the theory of social practice-that is, the use of intentional community in recovery from serious mental illness. We discuss the historical and theoretical foundations of the model, outline the role of the theory in mental health recovery models, and discuss potential future implications and applications of social practice.

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Metacognition and the clubhouse model in treating severe mental illness.

Cited by 15 publications

References 54 publications

Conceptualizing participation in the community mental health context: Beginning with the Clubhouse model

Conceptualizing participation in the community mental health context: Beginning with the Clubhouse model

A return to lived experiencers themselves: Participatory action research of and by psychosocial clubhouse members

Community as therapy: The theory of social practice.

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