nach oben

Current Treatment Options in Psychiatry

Erschienen in:

01.12.2022 | Social Determinants of Health (R Holliday, Section Editor)

Characterizing Social Determinants of Health in Research Regarding the Clubhouse Model for Individuals with Mental Health Conditions

verfasst von: Adam R. Kinney, Nazanin Bahraini, Meghan L. Donovan, Lisa A. Brenner

Erschienen in: Current Treatment Options in Psychiatry | Ausgabe 4/2022

Einloggen, um Zugang zu erhalten

Abstract

Purpose of review

An evaluation of the most comprehensive review of literature on the Clubhouse model to date was conducted, with the goal of characterizing the ways in which social determinants of health (SDoH) were examined within studies of the Clubhouse model and evaluating the composition of Clubhouse samples with respect to characteristics that may reflect disproportionate exposure to social disadvantage (e.g., structural racism and discrimination).

Recent findings

Findings from the aforementioned review indicate that the Clubhouse model likely benefits individuals with mental illness, especially with respect to employment-related outcomes. However, this review did not include information regarding SDoH domains upon which Clubhouse studies focused. Further, this review did not evaluate the composition of Clubhouse samples in terms of member characteristics that reflect disproportionate exposure to social disadvantage (e.g., race/ethnicity; disability status).

Summary

We found that most studies focused on narrowly defined factors associated with economic stability and social and community context. Moreover, sample characteristics reporting was insufficient for understanding whether the Clubhouse literature included adequate representation of or equally benefited individuals at disproportionate social risk (e.g., minoritized racial groups). How these gaps can inform a research agenda aimed at understanding how SDoH influence implementation and evaluation of Clubhouse services are discussed.

Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51(1):8–19.PubMed

Substance Abuse and Mental Health Services Administration. Key substance use and mental health indicators in the United States: results from the 2020 National Survey on Drug Use and Health (HHS publication No. PEP21–07–01–003, NSDUH Series H–56). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. 2021. Retrieved from https://www.samhsa.gov/data/report/2020-nsduh-annual-national-report.

Mental Illness: National Institute of Mental Health 2022 [Available from: https://www.nimh.nih.gov/health/statistics/mental-illness#part_2538. Accessed 26 April 2022.

Evans TS, Berkman N, Brown C, Gaynes B, Weber RP. AHRQ comparative effectiveness technical briefs. Disparities Within Serious Mental Illness. Rockville (MD): Agency for Healthcare Research and Quality (US); 2016

Janssen EM, McGinty EE, Azrin ST, Juliano-Bult D, Daumit GL. Review of the evidence: prevalence of medical conditions in the United States population with serious mental illness. Gen Hosp Psychiatry. 2015;37(3):199–222.PubMedPubMedCentral

Horvitz-Lennon M, Volya R, Donohue JM, Lave JR, Stein BD, Normand SL. Disparities in quality of care among publicly insured adults with schizophrenia in four large U.S. states, 2002–2008. Health Serv Res. 2014;49(4):1121–44.PubMedPubMedCentral

7.•

Healthy People 2020: Social determinants of health: U.S. Department of Health and Human Services; 2014 [updated 2022. Available from: https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-health/interventions-resources. Accessed 28 Dec 2021. Overview of Social Determinants of Health.

Structural Racism and Discrimination: National Insitute on Minority Health and Health Disparities 2021. [Available from: https://www.nimhd.nih.gov/resources/understanding-health-disparities/srd.html. Accessed 26 April 2022.

9.•

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. 2018;45(1):28–47. Parent review of evidence regarding the Clubhouse model

10.

Doyle A, Lanoil J, Dudek K. Fountain house. Fountain House: Columbia University Press; 2013.

11.•

How Clubhouses Work: Clubhouse International 2022 [Available from: https://clubhouse-intl.org/resources/how-clubhouses-work/. Accessed 26 April 2022. Overview of the Clubhouse model.

12.

Accreditation Clubhouse International 2022 [Available from: https://clubhouse-intl.org/resources/accreditation/. Accessed 26 April 2022.

13.

Biegel DE, Pernice-Duca F, Chang C-W, Chung C-L, Min MO, D’Angelo L. Family social networks and recovery from severe mental illness of clubhouse members. J Fam Soc Work. 2013;16(4):274–96.

14.

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

15.

Accordino MP, Herbert JT. Treatment outcome of four rehabilitation interventions for persons with serious mental illness. J Ment Health Couns. 2000;22(3):268–82.

16.

Beard JH, Pitt RB, Fisher SH, Goertzel V. Evaluating the effectiveness of a psychiatric rehabilitation program. Am J Orthopsychiatry. 1963;33(4):701.PubMed

17.

Beard JH, Malamud TJ, Rossman E. Psychiatric rehabilitation and long-term rehospitalization rates: the findings of two research studies. Schizophr Bull. 1978;4(4):622.PubMed

18.

Boyd AS, Bentley KJ. The relationship between the level of personal empowerment and quality of life among psychosocial clubhouse members and consumer-operated drop-in center participants. Soc Work Ment Health. 2006;4(2):67–93.

19.

Carolan M, Onaga E, Pernice-Duca F, Jimenez T. A place to be: the role of clubhouses in facilitating social support. Psychiatr Rehabil J. 2011;35(2):125.PubMed

20.

Dorio J, Guitar A, Solheim L, Dvorkin C, Marine S. Differences in job retention in a supported employment program Chinook Clubhouse. Psychiatr Rehabil J. 2002;25(3):289.PubMed

21.

Dougherty S, Hastie C, Bernard J, Broadhurst S, Marcus L. Supported education: a clubhouse experience. Psychosoc Rehabil J. 1992;16(2):91.

22.

Gregitis S, Glacken J, Julian C, Underwood K. Comparing working role values of employed and unemployed Clubhouse members. Work. 2010;36(1):39–46.PubMed

23.

Gold PB, Macias C, Rodican CF. Does competitive work improve quality of life for adults with severe mental illness? Evidence from a randomized trial of supported employment. J Behav Health Serv Res. 2016;43(2):155–71.PubMedPubMedCentral

24.

Hancock N, Honey A, Bundy AC. Sources of meaning derived from occupational engagement for people recovering from mental illness. Br J Occup Ther. 2015;78(8):508–15.

25.

Jacobs HE, DeMello C. The Clubhouse model and employment following brain injury. J Vocat Rehabil. 1996;7(3):169–79.

26.

Jordan WB, Selwyn PA. HIV prevention in the clubhouse. Psychiatric Services. 2008;59(8):933.PubMed

27.

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.PubMed

28.

Macias C, DeCarlo LT, Wang Q, Frey J, Barreira P. Work interest as a predictor of competitive employment: policy implications for psychiatric rehabilitation. Adm Policy Mental Health Mental Health Services Res. 2001;28(4):279–97.

29.

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.PubMedPubMedCentral

30.

Macias C, Kinney R, Rodican C. Transitional employment: an evaluative description of Fountain House practice. J Vocat Rehabil. 1995;5(2):151–7.

31.

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

32.

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.PubMed

33.

Okon S, Webb D. Self-determination: a curriculum of empowerment for health and wellness in a psychosocial rehabilitation clubhouse. Occup Ther Ment Health. 2014;30(2):196–212.

34.

Pelletier JR, Nguyen M, Bradley K, Johnsen M, McKay C. A study of a structured exercise program with members of an ICCD Certified Clubhouse: program design, benefits, and implications for feasibility. Psychiatr Rehabil J. 2005;29(2):89.PubMed

35.

Pernice-Duca FM. The structure and quality of social network support among mental health consumers of clubhouse programs. J Community Psychol. 2008;36(7):929–46.

36.

Rosenfield S, Neese-Todd S. Elements of a psychosocial clubhouse program associated with a satisfying quality of life. Psychiatr Serv. 1993;44(1):76–8.

37.

Schonebaum A, Boyd J. Work-ordered day as a catalyst of competitive employment success. Psychiatr Rehabil J. 2012;35(5):391.PubMed

38.

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.PubMed

39.

Stein LI, Barry KL, Dien GV, Hollingsworth EJ, Sweeney J. Work and social support: a comparison of consumers who have achieved stability in ACT and clubhouse programs. Community Ment Health J. 1999;35(2):193–204.PubMed

40.

Tsang AW, Ng RM, Yip K. 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(1):23–30.PubMed

41.

Unger KV, Pardee R. Outcome measures across program sites for postsecondary supported education programs. Psychiatr Rehabil J. 2002;25(3):299.PubMed

42.

Warner R, Huxley P, Berg T. An evaluation of the impact of clubhouse membership on quality of life and treatment utilization. Int J Soc Psychiatry. 1999;45(4):310–20.PubMed

43.

Wilkinson WH. New Day Inc, of Spartanburg: hospitalization study. Psychosoc Rehabil J. 1992;16(2):163.

44.

Yau EF, Chan CC, Chan AS, Chui BK. Changes in psychosocial and work-related characteristics among clubhouse members: a preliminary report. Work. 2005;25(4):287–96.PubMed

45.

Bond GR, Drake RE, Mueser KT, Becker DR. An update on supported employment for people with severe mental illness. Psychiatr Serv. 1997;48(3):335–46.PubMed

46.

Crowther R, Marshall M, Bond G, Huxley P. Vocational rehabilitation for people with severe mental illness. Cochrane Database Syst Rev. 2001;2001(2):Cd003080

47.

Crowther RE, Marshall M, Bond GR, Huxley P. Helping people with severe mental illness to obtain work: systematic review. BMJ. 2001;322(7280):204–8.PubMedPubMedCentral

48.

Drake RE, Becker DR, Bond GR. Recent research on vocational rehabilitation for persons with severe mental illness. Curr Opin Psychiatry. 2003;16(4):451–5.

49.

Salyers MP, Becker DR, Drake RE, Torrey WC, Wyzik PF. A ten-year follow-up of a supported employment program. Psychiatr Serv. 2004;55(3):302–8.PubMed

50.

U.S. Bureau of Labor Statistics. Employee Benefits in the United States Summary. 2021. Retrieved from https://www.bls.gov/news.release/ebs2.nr0.htm on December 28 2021.

51.

Chua KP, Sommers BD. Changes in health and medical spending among young adults under health reform. JAMA. 2014;311(23):2437–9.PubMed

52.

Finkelstein A, Taubman S, Wright B, Bernstein M, Gruber J, Newhouse JP, et al. The Oregon Health Insurance Experiment: evidence from the first year. Q J Econ. 2012;127(3):1057–106.PubMedPubMedCentral

53.

Deci EL, Ryan RM. Self-determination theory. In: Paul A. M. Van Lange AWK, E. Tory Higgins, editor. Handbook of Theories of Social Psychology. Thousand Oaks, CA: SAGE Publications; 2012. pp. 416–36.

54.

Boardman J. Social exclusion and mental health–how people with mental health problems are disadvantaged: an overview. Mental Health and Social Inclusion. 2011;15(3):112–21. https://doi.org/10.1108/20428301111165690.

55.

Unger KV, Pardee R, Shafer MS. Outcomes of postsecondary supported education programs for people with psychiatric disabilities. J Vocat Rehabil. 2000;14(3):195–9.

56.

Getzel EE, McManus S, Briel LW. Research to practice brief: an effective model for college students with learning disabilities and attention deficit hyperactivity disorders. Improving secondary education and transition services through research. 2004;3(1):1–5.

57.

Gutman SA, Kerner R, Zombek I, Dulek J, Ramsey CA. Supported education for adults with psychiatric disabilities: effectiveness of an occupational therapy program. Am J Occup Ther. 2009;63(3):245–54.PubMed

58.

Ross CE, Wu C-l. The links between education and health. American sociological review. 1995;60(5):719–45.

59.

Kawachi I, Adler NE, Dow WH. Money, schooling, and health: mechanisms and causal evidence. Ann N Y Acad Sci. 2010;1186(1):56–68.PubMed

60.

Cutler DM, Lleras-Muney A. Education and health: evaluating theories and evidence. No. W12352. Cambridge (MA): National Bureau of Economic Research; 2006.

61.

Harris KM, Edlund MJ, Larson S. Racial and ethnic differences in the mental health problems and use of mental health care. Medical care. 2005;43(8):775–84.

62.

U.S. Department of health and human services. Mental health: culture, race, and ethnicity — A supplement to mental health: A report of the surgeon general. Rockville, MD: US Department of health and human services, substance abuse and mental health services; 2001.

63.

Hardeman RR, Homan PA, Chantarat T, Davis BA, Brown TH. Improving the measurement of structural racism to achieve antiracist health policy. Health Aff (Millwood). 2022;41(2):179–86.PubMed

64.

Lett E, Asabor E, Beltrán S, Cannon AM, Arah OA. Conceptualizing, contextualizing, and operationalizing race in quantitative health sciences research. Ann Fam Med. 2022;20(2):157–63.PubMedPubMedCentral

65.

LoSchiavo C, Krause KD, Singer SN, Halkitis PN. The confluence of housing instability and psychosocial, mental, and physical health in sexual minority young adults: the P18 cohort study. J Health Care Poor Underserved. 2020;31(4):1693.PubMedPubMedCentral

66.

Romero AP, Goldberg SK, Vasquez LA. LGBT people and housing affordability, discrimination, and homelessness. Los Angeles, CA: UCLA School of Law. 2020. Retrieved from https://escholarship.org/content/qt3cb5b8zj/qt3cb5b8zj.pdf. Accessed 26 April 2022.

67.

Puckett JA, Cleary P, Rossman K, Mustanski B, Newcomb ME. Barriers to gender-affirming care for transgender and gender nonconforming individuals. Sex Res Soc Policy. 2018;15(1):48–59.

68.

Penman-Aguilar A, Talih M, Huang D, Moonesinghe R, Bouye K, Beckles G. Measurement of health disparities, health inequities, and social determinants of health to support the advancement of health equity. J Public Health Manag Practice: JPHMP. 2016;22(Suppl 1):S33.

69.

Braveman P, Egerter S, Williams DR. The social determinants of health: coming of age. Annu Rev Public Health. 2011;32:381–98.PubMed

70.

Cantor MN, Thorpe L. Integrating data on social determinants of health into electronic health records. Health Aff. 2018;37(4):585–90.

71.

Alcántara C, Diaz SV, Cosenzo LG, Loucks EB, Penedo FJ, Williams NJ. Social determinants as moderators of the effectiveness of health behavior change interventions: scientific gaps and opportunities. Health Psychol Rev. 2020;14(1):132–44.PubMed

Titel: Characterizing Social Determinants of Health in Research Regarding the Clubhouse Model for Individuals with Mental Health Conditions
verfasst von: Adam R. Kinney
Nazanin Bahraini
Meghan L. Donovan
Lisa A. Brenner
Publikationsdatum: 01.12.2022
Verlag: Springer International Publishing
Erschienen in: Current Treatment Options in Psychiatry / Ausgabe 4/2022
Elektronische ISSN: 2196-3061
DOI: https://doi.org/10.1007/s40501-022-00274-2

Update Psychiatrie

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

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Characterizing Social Determinants of Health in Research Regarding the Clubhouse Model for Individuals with Mental Health Conditions