nach oben

Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

26.07.2016 | Original Paper

Building a Working Community: Staff Practices in a Clubhouse for People with Severe Mental Illness

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 5/2017

Einloggen, um Zugang zu erhalten

Abstract

The trademark of mental health clubhouses is that members and staff work side-by-side in partnership to enhance members’ autonomy, competency, and recovery. To explore the intricacies of this unique approach, the author conducted 53 in-depth interviews and 262 h of participant observation in 41 visits over a five-month period in a clubhouse. Findings indicated that staff members built the clubhouse as a “working community” by skillfully integrating three practice domains: social relationships, unit work, and individuals’ needs and pursuits. Distinctive skillsets helped to develop genuine relationships with members and facilitate community building, suggesting a model of generalist practice with specific intentionality.

There is no “supervisor” position according to the International Standards for Clubhouse Programs. However, for the purpose of this research, the author defined “supervisors” as the Fountain House personnel who were deeply involved in organizational human resource activities related to supervision, training, hiring, and termination. The interviews with supervisors aimed to capture a more comprehensive understanding of staff training and quality control of staff practices.

Anderson, S. (1985). The role of staff at fountain house. The Fountain House Annual, 3, 1–3.

Beard, J. H., Propst, R. N., & Malamud, T. J. (1982). The fountain house model of psychiatric rehabilitation. Psychosocial Rehabilitation Journal, 5(1), 47–53.

Clubhouse International (2016a). What is a Clubhouse? Retrieved from http://www.iccd.org/whatis.html

Clubhouse International (2016b). International Directory, retrieved from http://www.clubhouse-intl.org/search_form.php

Clubhouse International (2016c). International Standards for Clubhouse Programs. Retrieved from http://www.iccd.org/quality.html

Clubhouse International (2016d). Resources, retrieved from http://www.clubhouse-intl.org/resources.html

Clubhouse International (2016e). How Clubhouses Function, retrieved from http://www.iccd.org/function.html

Davey, J. (1995). Engaging Members in Clubhouse Activities: Getting From “Will You?” to “I Want To”. Retrieved from http://www.iccd.org/20davey.htm

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

Dougherty, S. J. (1994). The generalist role in clubhouse organizations. Psychosocial Rehabilitation Journal, 18(1), 95–108.CrossRef

Doyle, A., Lanoil, J., & Dudek, K. (2013). Fountain house: Creating community in mental health practice. New York: Columbia University Press.CrossRef

Finch, E. S., & Krantz, S. R. (1991). Low burnout in a high-stress setting: a study of staff adaptation at Fountain House. Psychosocial Rehabilitation Journal, 14(3), 15–26.CrossRef

Herman, S. E., Onaga, E., Pernice-Duca, F., Oh, S., & Ferguson, C. (2005). Sense of community in clubhouse programs: member and staff concepts. American Journal of Community Psychology, 36(3–4), 343–356.CrossRefPubMed

Leff, H. S., McPartland, J. C., Banks, S., Dembling, B., Fisher, W., & Allen, I. E. (2004). Service quality as measured by service fit and mortality among public mental health system service recipients. Mental Health Services Research, 6, 93–107.CrossRefPubMed

Macias, C., Rodican, C. F., Hargreaves, W. A., Jones, D. R., Barreira, P. J., & Wang, Q. (2006). Supported employment outcomes of a randomized controlled trial of ACT and clubhouse models. Psychiatric Services, 57, 1406–1415.CrossRefPubMed

McKay, C. E., Johnsen, M., Banks, S., & Stein, R. (2006). Employment transitions for clubhouse members. Work., 26(1), 67–74.PubMed

Mowbray, C. T., Woodward, A. T., Holter, M. C., MacFarlane, P., & Bybee, D. (2009). Characteristics of users of consumer-run drop-in centers versus clubhouses. Journal of Behavioral Health Services & Research, 36(3), 361–371.CrossRef

Payne, M. (2011). Humanistic social work: Core principles in practice. Chicago: Lyceum Books.

Pernice-Duca, F. M. (2010). Staff and member perceptions of the clubhouse environment. Administration and Policy in Mental Health and Mental Health Services Research, 37(4), 345–356.CrossRefPubMed

Propst, R. (1992). Standards for clubhouse programs: How and why they were developed. Psychosocial Rehabilitation Journal, 16(2), 25–30.CrossRef

Schatzman, L. (1991). Dimensional analysis: Notes on an alternative approach to the grounding of theory in qualitative research. In D. Maines (Ed.), Social organization and social process: Essays in honor of Anselm Strauss (pp. 303–314). New York: Aldine de Gruyter.

Schonebaum, A. D., Boyd, J. K., & Dudek, K. J. (2006). A comparison of competitive employment outcomes for the Clubhouse and PACT models. Psychiatric Services, 57(10), 1416–1420.CrossRefPubMed

The US Psychiatric Rehabilitation Board. (September 2007). USPRA definition of psychiatric rehabilitation. Retrieved from https://uspra.ipower.com/Board/Governing_Documents/Definition_of_Psychiatric_Rehabilitation.pdf

Tratnack, S. A., & Kane, C. (2010). Preventive health screenings in a clubhouse setting for persons with serious mental illness. American Journal for Nurse Practitioners, 14(4), 8–17.

Tsang, A. W. K., Ng, R. M. K., & Yip, K. C. (2010). A six-month prospective case-controlled study of the effects of the clubhouse rehabilitation model on Chinese patients with chronic schizophrenia. East Asian Archives of Psychiatry, 20, 23–30.PubMed

Vorspan, R. (1999) Clubhouse relationships need work! Paper presented at the 10th International Clubhouse Seminar, Toronto, Canada. Retrieved from http://www.fountainhouse.org/sites/default/files/ftp/articles/clubhouse-relations-need-work.pdf

Waegemakers Schiff, J., Coleman, H., & Miner, D. (2008). Voluntary participation in rehabilitation: Lessons Learned from a clubhouse environment. Canadian Journal of Community Mental Health, 27(1), 65–78.CrossRef

Titel: Building a Working Community: Staff Practices in a Clubhouse for People with Severe Mental Illness
Publikationsdatum: 26.07.2016
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 5/2017
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-016-0757-y

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Building a Working Community: Staff Practices in a Clubhouse for People with Severe Mental Illness

Abstract

Neu im Fachgebiet Psychiatrie

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Update Psychiatrie

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2017

Benchmarking Family Therapy for Adolescent Behavior Problems in Usual Care: Fidelity, Outcomes, and Therapist Performance Differences

Growing Better Therapists: A New Opportunity for Mental Health Administrators

Therapist-Specific Factors and Psychotherapy Outcomes of Adult and Youth Clients Seen in a Psychology Training Clinic

Harnessing the Therapist Effect in Patient-Centered Mental Health Care Decision Making

Statewide Implementation of Parenting with Love and Limits Among Youth with Co-Existing Internalizing and Externalizing Functional Impairments Reduces Return to Service Rates and Treatment Costs

Is There a Future for Therapists?

Neu im Fachgebiet Psychiatrie

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Update Psychiatrie