Psychosocial rehabilitation: Approach of choice for those with serious mental illnesses

Salutogenesis as a theoretical framework for psychosocial rehabilitation: the case of the Clubhouse model

“…These include empowerment, voluntarism, autonomy, partnership, the importance of hope, a focus on strengths and interests versus illness and limitations, and a results orientation. Different PSR services targeting different outcomes generally use similar techniques, such as skills training to improve role performance, providing support to improve role success, and advocacy to increase societal opportunities (Farkas, 2006;Farkas et al, 2007;Rössler, 2006). It is possible to provide a general description of the process of any PSR intervention (Farkas & Anthony, 2010), which comprises three phases: choosing or designating a goal; getting, which means taking steps to reach the goal; and keeping, meaning to maintain the achievement.…”

“…Despite the well-defined universal targets, values, principles, and techniques, the evaluation of PSR interventions has been somewhat elusive given the multifaceted nature of PSR (Farkas & Anthony, 2010;Farkas et al, 2007). For instance, within the population of people with mental illness, PSR deals with several distinct target groups, all of whom require different approaches and sets of techniques (Farkas et al, 2007). Moreover, different interventions target different outcomes, even though some of them provide comprehensive services (Rössler, 2006).…”

“…As a groundbreaking programme in the late 1940s, the Clubhouse model was a pioneering PSR intervention that contributed greatly to the development of the principles guiding the field (Anthony & Liberman, 1986;Cnaan et al, 1988). Originally developed in New York City, the model is considered to be a well-established recovery-and consumer-oriented intervention (Anthony & Liberman, 1986;Clubhouse International, 2018;Farkas et al, 2007;Stoffel, 2011). The Clubhouse model offers participation in meaningful activities to promote the recovery of people with mental illness by targeting a wide range of outcomes, including but not limited to social, vocational, housing, and citizenship issues (Cnaan et al, 1988;C.…”

Directions for Future Patient-Centered and Comparative Effectiveness Research for People With Serious Mental Illness

“…Such interventions include vocational rehabilitation through SEm or relationship building through family interventions, peer support, and social skills training. 324 PSR philosophies of autonomy and self-determination align well with patientcentered philosophies of care delivery.…”

“Finally, I belong somewhere I can be proud of” – Experiences of being a Clubhouse member in Norway

“…For example, there seems to be a lack of understanding of how model outcomes are achieved from a transnational and transcultural perspective (Tanaka & Davidson, 2015a, p. 271). Moreover, a better understanding of member experience is also important in terms of the increasingly principal status of user-involvement and codetermination in mental healthcare (Farkas, Jansen, & Penk, 2007;World Health Organization, 2013). Thus, Clubhouse members might provide key information on how they experience processes that improve their health and well-being in the context of a psychosocial rehabilitation program.…”