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Perspectives from Within the Clubhouse: A Qualitative Investigation into a Peer-to-Peer Vocational Support Program for Adults with Serious Mental Illness

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Abstract

Adults with serious mental illness consistently have the highest rate of unemployment of all disability groups and in some regions, the rate exceeds 90%. To redress this, mental health clubhouses offer a unique form of vocational rehabilitation built upon peer support. Through the analysis of 14 interviews of clubhouse members, this phenomenological study provides details of the clubhouse experience and its broad effect. The findings reveal that clubhouse members, despite some situational disappointments, find the clubhouse to be an important and highly beneficial resource that provides a sense of connectedness, along with its aims of vocational rehabilitation.

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References

  1. U.S. Department of Health and Human Services. 2012 CMHS uniform reporting system output tables. 2016. http://media.samhsa.gov/dataoutcomes/urs/urs2012.aspx.

  2. Fountain House. Who we are. 2016. http://www.fountainhouse.org/about.

  3. International Center for Clubhouse Development. What is a clubhouse? 2014. http://www.iccd.org/whatis.html.

  4. McKay CE, Yates BT, Johnsen M. Costs of clubhouses: an international perspective. Adm Policy Ment Health. 2007;34(1):62–72.

    Article  PubMed  Google Scholar 

  5. Plotnick DF, Salzer MS. Clubhouse costs and implications for policy analysis in the context of system transformation initiatives. Psychiatr Rehabil J. 2008;32(2):128–31. doi:10.2975/32.2.2008.128.131.

    Article  PubMed  Google Scholar 

  6. Macias C, Rodican CF, Hargreaves WA, Jones DR, Barreira PJ, Wang Q. Supported employment outcomes of a randomized controlled trial of act and clubhouse models. Psychiatr Serv. 2006;57(10):1406–15.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Pernice-Duca FM. Staff and member perceptions of the clubhouse environment. Adm Policy Ment Health. 2010;37(4):345–56. doi:10.1007/s10488-009-0242-y.

    Article  PubMed  Google Scholar 

  8. Tsang AW, Ng RMK, Yip KC. A six-month prospective case-controlled study of the effects of the clubhouse rehabilitation model on Chinese patients with chronic schizophrenia. East Asian Arch Psychiatry. 2010;20:23–30.

    PubMed  Google Scholar 

  9. Stone RA, Delman J, McKay CE, Smith LM. Appealing features of vocational support services for Hispanic and non-Hispanic transition age youth and young adults with serious mental health conditions. J Behav Health Serv Res. 2015;42:452. doi:10.1007/s11414-014-9402-2.

    Article  PubMed  Google Scholar 

  10. Stoffel, VC. Perception of the clubhouse experience and its impact on mental health recovery. Diss Abstr Int Sect A Humanit Soc Sci. 2008;68(8-A).

  11. Tanaka K, Davidson L. Meanings associated with the core component of clubhouse life: the work-ordered day. Psychiatr Q. 2015;86:269. doi:10.1007/s11126-014-9330-6.

    Article  PubMed  Google Scholar 

  12. International Center for Clubhouse Development. The mission of the ICCD. 2014. http://www.iccd.org/mission.html.

  13. Szymanski EM, Parker RM. Work and disability: Issues and strengths in career development and job placemen. Austin: Pro-Ed; 1996.

    Google Scholar 

  14. Marrone J, Gold M. Supported employment for people with mental illness: myths and facts. J Rehabil. 1994;60(4):38–47.

    Google Scholar 

  15. Drake RE, McHugo GJ, Becker DR, Anthony WA, Clark RE. The New Hampshire study of supported employment for people with severe mental illness. J Consult Clin Psychol. 1996;64:391–9.

    Article  PubMed  Google Scholar 

  16. McKay CE, Johnsen M, Stein R. Employment outcomes in Massachusetts clubhouses. Psychiatr Rehabil J. 2005;29:25–34.

    Article  PubMed  Google Scholar 

  17. Moustakas C. Phenomenological research methods. Thousand Oaks: SAGE; 1994.

    Book  Google Scholar 

  18. Creswell JW. Qualitative inquiry and research design: choosing among five traditions. CA: SAGE; 2006.

    Google Scholar 

  19. Lichtman M. Qualitative research in education: a user’s guide. Thousand Oaks: SAGE; 2006.

    Google Scholar 

  20. Rice PL, Ezzy D. Qualitative research methods: a health focus. Melbourne: Oxford University Press; 1999.

    Google Scholar 

  21. Smith JA, Osborn R. Qualitative psychology: A practical guide to research methods. Thousand Oaks: SAGE; 2003.

    Google Scholar 

  22. Rogers CR. Client-centered therapy: its current practice implications, and theory. Boston: Houghton Mifflin; 1951.

    Google Scholar 

  23. Yau EF, Chan CH, Chan ASF, Chui BKT. Changes in psychosocial and work-related characteristics among clubhouse members: a preliminary report. Work. 2005;25:287–96.

    PubMed  Google Scholar 

  24. Pratt CW, Gill KJ, Barrett NM, Roberts MM. Psychiatric rehabilitation. San Diego: Academia Press; 2002.

    Google Scholar 

  25. International Center for Clubhouse Development. International standards for Clubhouse programs. 2014. http://www.iccd.org/quality.html.

  26. Herman SE, Onaga E, Pernice-Duca F, Oh S, Ferguson C. Sense of community in clubhouse programs: member and staff concepts. Am J Community Psychol. 2005;36:343–56.

    Article  PubMed  Google Scholar 

  27. Mowbray CT, Lewandowski L, Holter M, Bybee D. The clubhouse as an empowering setting. Health Soc Work. 2006;31:167–77.

    Article  PubMed  Google Scholar 

  28. Lysaker P, Morris B, Milstein R, Bryson G, Beam-Goulet J. Insight and psychosocial treatment compliance in schizophrenia. Psychiatry. 1994;57:307–401.

    Article  PubMed  Google Scholar 

  29. Olfson M, Marcus SC, Wilk J, West JC. Awareness of illness and nonadherence to antipsychotic medications among persons with schizophrenia. Psychiatr Serv. 2006;57(2):205–12.

    Article  PubMed  Google Scholar 

  30. Carrion P, Swann A, Kellert-Cecil H, Barber B. Compliance with clinic attendance by outpatients with schizophrenia. Hosp Community Psychiatry. 1993;44:764–7.

    PubMed  Google Scholar 

  31. Gray MJ, Elhai JD, Frueh BC. Enhancing patient satisfaction and increasing treatment compliance: patient education as a fundamental component of PTSD treatment. Psychiatr Q. 2004;75(4):321–32.

    Article  PubMed  Google Scholar 

  32. Ries RK, Jaffe C, Comtois KA, Kitchell M. Treatment satisfaction compared with outcome in severe dual disorders. Community Ment Health J. 1999;35:213–21.

    Article  PubMed  Google Scholar 

  33. National Governors Association. Strategies states can use to employ persons with mental illness. 2002. www.nga.org/cda/files/0703MENTALILLNESS.pdf.

  34. Macias, C. Massachusetts employment intervention demonstration project: an experimental comparison of PACT and clubhouse. Cooperative Agreement No. SM 51831. 2001. p. 1–36.

  35. Cowell AJ, Pollio DE, North CS, Stewart AM, McCabe MM, Anderson DW. Deriving service costs for a clubhouse psychosocial rehabilitation program. Adm Policy Ment Health. 2003;30(4):323–40.

    Article  PubMed  Google Scholar 

  36. Lucca AM. A clubhouse fidelity index: preliminary reliability and validity results. Ment Health Serv Res. 2000;2:89–94.

    Article  PubMed  Google Scholar 

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Correspondence to Gregory Roth.

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Roth, G. Perspectives from Within the Clubhouse: A Qualitative Investigation into a Peer-to-Peer Vocational Support Program for Adults with Serious Mental Illness. J. Psychosoc. Rehabil. Ment. Health 4, 5–17 (2017). https://doi.org/10.1007/s40737-016-0070-9

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  • DOI: https://doi.org/10.1007/s40737-016-0070-9

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