Nine ways that clubhouses foster interpersonal connection for persons with severe mental illness: Lessons for other types of programs

Prince, Jonathan D.; Mora, Olivia; Ansbrow, Jacqueline; Benedict, Annie; DiCostanzo, Joanna; Schonebaum, Andrew

doi:10.1080/15332985.2017.1395781

Cited by 5 publications

(7 citation statements)

References 18 publications

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“…The results suggest that building and caring for a garden facilitates recovery from mental health problems and can create a recovery community. As indicated in other studies (Prince et al 2018;Webber and Fendt-Newlin 2017) listing social support-oriented features, this study also suggested that the connections among people that such activities create have an important impact on the recovery process. Craft activities can also be a direct strategy to connect people and to enhance recovery.…”

Section: Social Support As Direct Strategiessupporting

confidence: 80%

“…Clubhouse features are central to promoting interpersonal closeness in mental health work. Other types of mental health programmes can integrate many of the nine features that were listed by Prince et al (2018), in order to combat the social isolation that can lead to a relapse or other adverse consequences. Clubhouses promote closeness through (1) work, (2) repeated interactions among members, (3) a non-judgemental environment, (4) evening and weekend activities, (5) social skills enhancement, (6) power equalization among staff and members, (7) sharing of similar experiences, (8) flexibly structured activities, (9) and staff outreach after absence.…”

Section: Social Support As Direct Strategiesmentioning

confidence: 99%

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Social support and recovery from mental health problems: a scoping review

Bjørlykhaug

Karlsson

Hesook

et al. 2021

Nordic Social Work Research

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Several systematic reviews have suggested the linkages between social support and mental health or the use of mental health services in general. There is a need to develop the knowledge on different associations between social support, social work and mental health recovery, and the various features of social support. Inequality in health is a rising problem. Broader integration of social support-orientation in services and policy can play an important role in reducing health inequalities and enhance recovery. In this article we aim to scope existing literature regarding (a) the associations between social support, mental health and recovery, and (b) describe features of community mental health services that incorporate social support. Further, we discuss facilitators and barriers for social work and social support. Advanced searches were conducted in five relevant databases: Social Science Premium Collection, CINAHL, SweMed+, Idunn, and PsychInfo Ovid, and we did a qualitative synthesis of the included papers. Twenty-nine papers met the inclusion criteria in this scope and are organized into two major themes: a) Associations between mental health and social support, and b) Key features of social support-oriented community mental health services.

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Section: Social Support As Direct Strategiessupporting

confidence: 80%

Section: Social Support As Direct Strategiesmentioning

confidence: 99%

Social support and recovery from mental health problems: a scoping review

Bjørlykhaug

Karlsson

Hesook

et al. 2021

Nordic Social Work Research

View full text Add to dashboard Cite

show abstract

“…The Clubhouse approach has also been evaluated through robust qualitative studies. Prince et al 79 (Kmet 85) first identified the key features of the approach through focus groups involving 20 Clubhouse members. These features were then assessed for importance through interviews with a further 150 members.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies evaluating interventions aimed to improve the community participation of people with SMI were identified, three of which were quantitative [75][76][77] , five qualitative [78][79][80][81][82] , and one employed mixed methods 83 . Three of the studies were conducted in the US 76,79,83 , two in Canada 80,82 , and one each in Australia 78 , China 75 , Hungary 77 and the UK 81 .…”

Section: Community Participationmentioning

confidence: 99%

Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

et al. 2022

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People living with severe mental illness (SMI) are one of the most marginalized groups in society. Interventions which aim to improve their social and economic participation are of crucial importance to clinicians, policy‐makers and people with SMI themselves. We conducted a systematic review of the literature on social interventions for people with SMI published since 2016 and collated our findings through narrative synthesis. We found an encouragingly large amount of research in this field, and 72 papers met our inclusion criteria. Over half reported on the effectiveness of interventions delivered at the service level (supported accommodation, education or employment), while the remainder targeted individuals directly (community participation, family interventions, peer‐led/supported interventions, social skills training). We identified good evidence for the Housing First model of supported accommodation, for the Individual Placement and Support model of supported employment, and for family psychoeducation, with the caveat that a range of models are nonetheless required to meet the varied housing, employment and family‐related needs of individuals. Our findings also highlighted the importance of contextual factors and the need to make local adaptations when “importing” interventions from elsewhere. We found that augmentation strategies to enhance the effectiveness of social interventions (particularly supported employment and social skills training) by addressing cognitive impairments did not lead to transferable “real life” skills despite improvements in cognitive function. We also identified an emerging evidence base for peer‐led/supported interventions, recovery colleges and other interventions to support community participation. We concluded that social interventions have considerable benefits but are arguably the most complex in the mental health field, and require multi‐level stakeholder commitment and investment for successful implementation.

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“…Social practice methods of targeting the social deficits often experienced in SPMI have demonstrated a therapeutic efficacy consistent with theories that link social experiences and senses of belonging as crucial to a person's health and recovery from SPMI (Noyes et al, 2018;Pernice et al, 2020;Prince et al, 2018). Through these methods of community engagement, clubhouses maintain that the psychosocial outcomes (Fekete et al, 2020;McKay et al, 2018;Pernice et al, 2017) and resiliencies (Mandiberg & Edwards, 2013;Staples & Stein, 2008) demonstrated by their membership are due to a collective identity and enhanced sense of self that develops through strengthbased community participation that overcomes histories of isolation and alienation in SPMI.…”

Section: Clubhouse Social Practice and Metacognitionmentioning

confidence: 63%

Metacognition and the clubhouse model in treating severe mental illness.

Rice

Pernice

Michon

2020

Psychiatric Rehabilitation Journal

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Background: clubhouses have demonstrated significant positive psychosocial outcomes, in addition to more enduring resiliencies for persons with histories of severe persistent mental illness (SPMI). However, there is a paucity of research investigating the recovery processes impacted by communitybased interventions like clubhouse for SPMI. Research into metacognition and its relation to recovery trajectories in SPMI creates a compelling cognitive and intersubjective framework within which to understand the recovery impacts of the clubhouse intervention model of social practice. Objective: The present article examines significant areas of conceptual overlap between the clubhouse model of social practice, metacognition, and intersubjective recovery processes. A preliminary research project investigating the metacognitive impacts of community-based interventions for SPMI is presented. Method: An overview of the theoretical and practical relevance of the clubhouse community-based treatment model of social practice to metacognitive recovery processes is presented through a discussion of the resilience observed in clubhouse settings as it relates to the enhancement of intersubjectivity. Conclusion: The clubhouse model of social practice is a unique therapeutic modality with outcomes that can be readily investigated and explained through metacognitive processes relevant to recovery in SPMI. Impact and ImplicationsThis review provides an overview of the clubhouse model of social practice and its and impacts on recovery resilience from severe persistent mental illness through the possible enhancement of metacognitive processes relevant to intersubjectivity and recovery. An ongoing research investigation assessing the metacognitive impacts of social practice in clubhouse settings is summarized, providing the basis for a larger research project investigating community-based interventions for severe mental illness through the lens of metacognition.

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Nine ways that clubhouses foster interpersonal connection for persons with severe mental illness: Lessons for other types of programs

Cited by 5 publications

References 18 publications

Social support and recovery from mental health problems: a scoping review

Social support and recovery from mental health problems: a scoping review

Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

Metacognition and the clubhouse model in treating severe mental illness.

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