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Psychosocial Change in Members of Clubhouse Paris (France) Over an 18-Month Period: A Longitudinal Mixed Methods Study

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Abstract

The community-based mental health organizations known as “Clubhouses” have existed since the 1940s in the United States, and the model has since spread to many countries. The present study investigates the psychological and social trajectories of 33 members of Clubhouse Paris, the first Clubhouse in France. The study used a pre-post, mixed methods design, with three assessments over an 18-month period. A participatory action research approach was taken to ensure compatibility with Clubhouse principles. The results showed improvements in Clubhouse members’ labor market integration, quality of life, sense of self-efficacy, psychosocial skills, symptoms, and hospitalization. The other variables studied (life satisfaction, social support, self-esteem) did not change over the study period. In addition to the statistical results, analysis of interviews highlights the diversity of individual patterns of change and the complexity of the interactions between the variables. These results confirm previous findings from the international literature, and the robustness of the Clubhouse model across different cultures.

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Notes

  1. The international standards for Clubhouse programs are principles approved by consensus by the international community of Clubhouses, and define the Clubhouse model of support for recovery.

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Acknowledgements

Our thanks to the members, employees, and director of Clubhouse Paris for their active and crucial participation in this research. Clubhouse Paris (7, rue de Lunéville, Paris. https://www.clubhousefrance.org/)

Funding

This study was financed by the Caisse Nationale de Solidarité pour l’Autonomie (CNSA, Paris, France).

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Authors and Affiliations

  1. Department of Psychology, EA 4430, Université Paris Nanterre, 200 Ave. de la République, 92001, Cédex, Nanterre, France

    Cyrille Bouvet, Clémence Battin & Camille Cappelaere

  2. Leroyhatala Conseil, 20 place des Vosges, Paris, France

    Claire Leroy-Hatala

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  1. Cyrille Bouvet
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  2. Clémence Battin
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  3. Camille Cappelaere
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  4. Claire Leroy-Hatala
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Correspondence to Cyrille Bouvet.

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This study was conducted in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments, and was authorized by the relevant French biomedical ethics committee (Comité de protection des personnes, authorization number 2012-B130904-31).

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Bouvet, C., Battin, C., Cappelaere, C. et al. Psychosocial Change in Members of Clubhouse Paris (France) Over an 18-Month Period: A Longitudinal Mixed Methods Study. Community Ment Health J 57, 853–863 (2021). https://doi.org/10.1007/s10597-020-00654-z

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