Recovery in the Clubhouse Environment: Applying Ecological and Social Cognitive Theories

Pernice-Duca, Francesca; Markman, Barry S.; Chateauvert, Heather

doi:10.2190/sh.7.2.d

Cited by 9 publications

(9 citation statements)

References 24 publications

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“…The Clubhouse Model is consistent with recovery practices with its emphasis on member choice, self-determination, community integration, equal partnerships with members and staff working side-by-side, offering hope, and helping individuals live a meaningful life. The emphasis on recovery is reflected in the growth of the literature on the Clubhouse Model in recent years (Biegel et al 2013a , b ; Conrad-Garrisi 2011 ; Conrad-Garrisi and Pernice-Duca 2013 ; Hancock et al 2013 ; Pernice-Duca et al 2013 ; Raeburn et al 2014 ; Raeburn et al 2016a , b ; Tanaka et al 2015 ).…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

McKay

Nugent

Johnsen

et al. 2016

Adm Policy Ment Health

123

101

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The Clubhouse Model has been in existence for over sixty-five years; however, a review that synthesizes the literature on the model is needed. The current study makes use of the existing research to conduct a systematic review of articles providing a comprehensive understanding of what is known about the Clubhouse Model, to identify the best evidence available, as well as areas that would benefit from further study. Findings are summarized and evidence is classified by outcome domains. Fifty-two articles met the selection criteria of Randomized Clinical Trials (RCT’s), quasi-experimental studies, or observational studies for domains of employment (N = 29); quality of life/satisfaction (N = 10); reductions in psychiatric hospitalization(s) (N = 10); social relationships (N = 10); education (N = 3); and health promotion activities (N = 2). RCT results support the efficacy of the Clubhouse Model in promoting employment, reducing hospitalization(s), and improving quality of life. Quasi-experimental and observational studies offer support in education and social domains. The findings from this review indicate that Clubhouses are a promising practice but additional studies using rigorous methods that report the strength of the outcomes are needed to evaluate Clubhouse programs with fidelity to the Clubhouse Model.Electronic supplementary materialThe online version of this article (doi:10.1007/s10488-016-0760-3) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

McKay

Nugent

Johnsen

et al. 2016

Adm Policy Ment Health

123

101

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“…Members of Progress Place also stated that they have more independence and self-efficacy in making their own choices and have the skills in order to make plans, problem solve, and act independently. Self-efficacy has been found to increase feelings of recovery and personhood through members’ newly acquired skills [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Developing a realist theory of psychosocial rehabilitation: the Clubhouse model

Mutschler

Rouse

McShane

et al. 2018

BMC Health Serv Res

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BackgroundPsychosocial rehabilitation is a service that supports recovery from mental illness by providing opportunities for skill development, self-determination, and social interaction. One type of psychosocial rehabilitation is the Clubhouse model. The purpose of the current project was to create, test, and refine a realist theory of psychosocial rehabilitation at Progress Place, an accredited Clubhouse.MethodRealist evaluation is a theory driven evaluation that uncovers contexts, mechanisms, and outcomes, in order to develop a theory as to how a program works. The current study involved two phases, encompassing four steps: Phase 1 included (1) initial theory development and (2) initial theory refinement; and Phase 2 included (3) theory testing and (4) refinement.ResultsThe data from this two-phase approach identified three demi-regularities of recovery comprised of specific mechanisms and outcomes: the Restorative demi-regularity, the Reaffirming demi-regularity, and the Re-engaging demi-regularity. The theory derived from these demi-regularities suggests that there are various mechanisms that produce outcomes of recovery from the psychosocial rehabilitation perspective, and as such, it is necessary that programs promote a multifaceted, holistic perspective on recovery.ConclusionsThe realist evaluation identified that Progress Place promotes recovery for members. Additional research on the Clubhouse model should be conducted to further validate that the model initiates change and promotes recovery outcomes.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3265-9) contains supplementary material, which is available to authorized users.

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“…These stressors can eventually create a destructive force in the family system. Therefore, families, professionals, and individuals themselves must find positive environments, places, or niches that respond to the adaptive needs of the person to support growth and development (Pernice‐Duca et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…A central tenant of the Clubhouse is the work‐ordered day, which is predicated on meaningful tasks to run the “house.” This may include being part of the kitchen staff to prepare daily meals, working in the clerical department, running a health snack shop, or helping with the maintenance unit. Working alongside other members and professional staff to accomplish the work of the house is theorized to increase personal skills and self‐efficacy and serve as a catalyst to help people experience greater recovery from their illness (Pernice‐Duca et al, ).…”

Section: Brief Overview Of Clubhouse Model Programsmentioning

confidence: 99%

“…Psychosocial Clubhouses, which not only address mental illness and recovery but also strengthen social networks beyond kin and integrate persons with mental illness back into the community, may help address an overreliance on family. Clubhouse Models, nationally and internationally, evolved to provide a physical place for recovery and reintegration (Pernice‐Duca, Markman, & Chateauvert, ).…”

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confidence: 99%

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Family Members' Perceptions of How They Benefit When Relatives Living with Serious Mental Illness Participate in Clubhouse Community Programs

et al. 2015

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Family members provide a significant source of social support to relatives living with a serious mental health disorder, such as schizophrenia. Few public mental health programs offer families a supportive environment where their relatives can develop independence, life skills, and satisfying relationships that are not dependent on the family's involvement. The Clubhouse is one such model. Although family members are not directly involved, they may experience indirect effects from their relative's participation. Family members with relatives involved in Clubhouse (n = 35) completed an in‐depth semi‐structured interview. Transcripts were analyzed to identify underlying themes. Five primary themes emerged ranging from less burden to greater positive family interaction. Specifically, family members attributed Clubhouses as providing a supportive external community for their loved ones, but also ameliorating negative aspects of family care and improving family interactions. Practical implications for family professionals are discussed.

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Recovery in the Clubhouse Environment: Applying Ecological and Social Cognitive Theories

Cited by 9 publications

References 24 publications

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

Developing a realist theory of psychosocial rehabilitation: the Clubhouse model

Family Members' Perceptions of How They Benefit When Relatives Living with Serious Mental Illness Participate in Clubhouse Community Programs

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