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How Young Adults in London Experience the Clubhouse Model of Mental Health Recovery: A Thematic Analysis

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Abstract

Clubhouses are recovery orientated, participatory communities in which people with mental health diagnoses can take part in the running of the clubhouse. The objective of this research was to produce the first qualitative study of its kind, examining how the clubhouse model of mental health recovery is perceived and experienced by young adults aged 16–25. Five participants provided lengthy and detailed semi-structured interviews regarding their experiences as members of a clubhouse in London. Analysis produced themes including mixed age services as a distinct benefit, the benefits of getting involved in the work of the clubhouse, the mostly positive perception of the clubhouse compared with other mental health services, and the sense of personal change and social improvement experienced on becoming members of the clubhouse. While further research is needed, it was concluded that the clubhouse model was beneficial to all its young members, for reasons including its entirely collaborative and consultative process between staff and members, its humanitarian approach, its lack of rigid or inflexible time limits, and its reciprocal relationships, where members are expected to both provide and receive support.

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References

  1. McKay C, Nugent KL, Johnsen M, Eaton WW, Lidz CW. A systematic review of evidence for the clubhouse model of psychosocial rehabilitation. Adm Policy Ment Health Ment Mental Serv Res. 2018;45:28–47.

    Article  Google Scholar 

  2. Goertzel V, Beard JH, Pilnick S. Fountain house foundation: case study of an expatient’s club. J Soc Issues. 1960;16(2):54–61.

    Article  Google Scholar 

  3. Zlotowitz S, Barker C, Moloney O, Howard C. Service users as the key to service change? The development of an innovative intervention for excluded young people. Child Adolesc Ment Health. 2016;21(2):102–8.

    Article  Google Scholar 

  4. Foot J, Hopkins T. A glass half-full: how an asset approach can improve community health and well-being. London: Improvement and Development Agency (IDeA); 2010.

    Google Scholar 

  5. House of Commons Health Committee, Children's and adolescents' mental health and CAMHS. London: The Stationary Office Limited; 2014. https://publications.parliament.uk/pa/cm201415/cmselect/cmhealth/342/342.pdf.

  6. McGorry P, Bates T, Birchwood M. Designing youth mental health services for the 21st century: examples from Australia, Ireland and the UK. Br J Psychiatry. 2013;54:s30–5.

    Article  Google Scholar 

  7. Battin C, Bouvet C, Hatala C. A systematic review of the effectiveness of the clubhouse model. Psychiatr Rehabil J. 2016;39(4):305–12.

    Article  PubMed  Google Scholar 

  8. Smith B. Generalizability in qualitative research: misunderstandings, opportunities and recommendations for the sport and exercise sciences. Qual Res Sport Exerc Health. 2018;10(1):137–49.

    Article  Google Scholar 

  9. Schonebaum AD, Boyd JK, Dudek KJ. A comparison of competitive employment outcomes for the clubhouse and PACT models. Psychiatr Serv. 2006;57(10):1416–20.

    Article  PubMed  Google Scholar 

  10. Di Masso J, Avi-Itzhak T, Obler DR. The clubhouse model: an outcome study on attendance, work attainment and status, and hospitalization recidivism. Work. 2001;17(1):23–30.

    Google Scholar 

  11. Biegel DE, Pernice-Duca F, Chang CW, D’Angelo L. Correlates of peer support in a clubhouse setting. Commun Ment Health J. 2013;49(3):249–59.

    Article  Google Scholar 

  12. Nelson G, Lomotey J. Quantity and quality of participation and outcomes of participation in mental health consumer-run organizations. J Ment Health. 2006;15(1):63–74.

    Article  Google Scholar 

  13. Mowbray CT, Woodward AT, Holter MC, MacFarlane P, Bybee D. Characteristics of users of consumer-run drop-in centers versus clubhouses. J Behav Health Serv Res. 2009;36(3):361–71.

    Article  PubMed  Google Scholar 

  14. Tsang AWK, Ng RMK, Yip KC. A six-month prospective case-controlled study on the effects of the clubhouse rehabilitation model on Chinese patients with chronic schizophrenia. East Asian Archiv Psychiatry. 2010;20(1):23–30.

    Google Scholar 

  15. Jung SH, Kim HJ. Perceived stigma and quality of life of individuals diagnosed with schizophrenia and receiving psychiatric rehabilitation services: a comparison between the clubhouse model and a rehabilitation skills training model in South Korea. Psychiatr Rehabil J. 2012;35(6):460–5.

    Article  PubMed  Google Scholar 

  16. McCarthy M, McDevitt S. What do children and adolescents value in their mental health recovery? J Psychosoc Rehabil Ment Health. 2018;5(1):31–41.

    Article  Google Scholar 

  17. Gandhi S, Thirthalli J, Bhola P, Nirmala B, Chinnayya P, Laxmappa R, et al. Effect of work performance on global functioning of persons with mental illness receiving psychiatric rehabilitation services at a tertiary neuro-psychiatric, super-speciality Hospital at Bangalore, India: a pilot study. J Psychosoc Rehabil Ment Health. 2014;1(1):27–30.

    Article  Google Scholar 

  18. Chaturvedi S. Mental health towards social and economic inclusion: nothing else matters! J Psychosoc Rehabil Ment Health. 2016;3:1–3.

    Article  Google Scholar 

  19. Raeburn T, Halcomb E, Walter G, Cleary M. An overview of the clubhouse model of psychiatric rehabilitation. Australas Psychiatry. 2013;21(4):376–8.

    Article  PubMed  Google Scholar 

  20. Hinden B, Wolf T, Biebel K, Nicholson J. Supporting clubhouse members in their role as parents: necessary conditions for policy and practice initiatives. Psychiatr Rehabil J. 2009;33(2):98–105.

    Article  PubMed  Google Scholar 

  21. Gorman J. Cost-benefit and cost-effectiveness analysis of employment services offered by the clubhouse model. Washington, DC: American University; 2012. https://auislandora.wrlc.org/islandora/object/thesesdissertations%3A390/datastream/PDF/view.

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

    Article  Google Scholar 

  23. Tanaka K, Craig T, Davidson L. Clubhouse community support for life: staff-member relationships and recovery. J Psychosoc Rehabil Ment Health. 2015;2(2):131–41.

    Article  Google Scholar 

  24. McKay CE, Osterman R, Shaffer J, Sawyer E, Gerrard E, Olivera N. Adapting services to engage young adults in ICCD clubhouses. Psychiatr Rehabil J. 2012;35(3):181–8.

    Article  PubMed  Google Scholar 

  25. Reavey P, Poole J, Corrigall R, Zundel T, Byford D, Sarhane S, et al. The ward as emotional ecology: adolescent experiences of managing mental health and distress in psychiatric inpatient settings. Health Place. 2017;46:210–8.

    Article  PubMed  Google Scholar 

  26. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.

    Article  Google Scholar 

  27. Hanninen E, Wahlberg H. Community-based rehabilitation and the clubhouse model as means to recovery and mental health services reform. Rev Neuropsiquiatr. 2013;76(1):3–12.

    Article  Google Scholar 

  28. Kightley M, Einfeld S, Hancock N. Routine outcome measurement in mental health: feasibility for examining effectiveness of an NGO. Australas Psychiatry. 2010;18:167–9.

    Article  PubMed  Google Scholar 

  29. Johnstone L, Boyle M, Cromby J, Dillon J, Harper D, Kinderman P, Longden E, Pilgrim D, Read J. The Power Threat Meaning Framework: Towards the identification of patterns in emotional distress, unusual experiences and troubled or troubling behaviour, as an alternative to functional psychiatric diagnosis. Leicester: British Psychological Society; 2018.

  30. The Norman C. Fountain House movement, an alternative rehabilitation model for people with mental health problems, members’ descriptions of what works. Scand J Caring Sci. 2006;20:184–92.

    Article  Google Scholar 

  31. Realpe A, Wallace LM. What is co-production? Heal Found. 2010. https://personcentredcare.health.org.uk/sites/default/files/resources/what_is_co-production.pdf.

  32. Gumber S, Stein CH. Beyond these walls: can psychosocial clubhouses promote the social integration of adults with serious mental illness in the community? Psychiatr Rehabil J. 2018;41(1):29–38.

    Article  PubMed  Google Scholar 

  33. Singh SP, Paul M, Ford T, Kramer T, Weaver T, McLaren S, et al. Process, outcome and experience of transition from child to adult mental healthcare: multiperspective study. Br J Psychiatry. 2010;197(4):305–12.

    Article  PubMed  Google Scholar 

  34. Ehrlich C, Dannapfe P. People with severe mental illness as co-producers of health: integrating consumer voice and choice into healthcare systems. Int J Integr Care. 2014;14(9):8.

    Google Scholar 

Download references

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Correspondence to Martin Willis.

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Pardi, J., Willis, M. How Young Adults in London Experience the Clubhouse Model of Mental Health Recovery: A Thematic Analysis. J. Psychosoc. Rehabil. Ment. Health 5, 169–182 (2018). https://doi.org/10.1007/s40737-018-0124-2

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  • DOI: https://doi.org/10.1007/s40737-018-0124-2

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