Clubhouses facilitate transitional employment, supported employment, supported socialization, and other social interventions, including supported housing by some clubhouses.
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- Building a Working Community: Staff Practices in a Clubhouse for People with Severe Mental Illness;
- A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation.
There is some promising evidence that clubhouses promote success and satisfaction of their members. Yet the book glosses over some important issues. From an empirical perspective, there is a lack of rigorous evidence in support of clubhouses. For due diligence, I reviewed the relevant literature and spoke to internationally accredited clubhouse leaders in North America; I found only one randomized controlled trial of the clubhouse model from published by Cook et al , which found it had better vocational outcomes than Assertive Community Treatment ACT , although that is not a good comparison as ACT is not well designed to achieve positive vocational outcomes by itself; and clubhouse leaders confirmed the lack of rigorous research in support of the clubhouse model.
From a practice perspective, there seems to be some subtle coercion or undue influence involved in the clubhouse model, as participation in the work ordered day is required for membership, although that is not necessarily always conducive to a particular individual's recovery which admittedly may be a matter of theoretical contention ; indeed, on page of the book, there is a startling example of such coercion or influence: 'As the member drew pictures, he began to cry again and verbalize negative recollections of abuse and ridicule.
The staff worker calmly but directly said, "If you don't stop crying and talking about the past, we will stop drawing and you will have to leave. To sum, the book is helpful in clarifying the clubhouse model. Abraham Rudnick based in Victoria, BC is a practising psychiatrist, medical director and associate professor who earned a medical degree, from the Hebrew University in Israel; a master in psychiatry, from Tel Aviv University; a doctorate in philosophy, from Tel Aviv University; and certification as a psychiatric rehabilitation practitioner, from the Psychiatric Rehabilitation Association in the United States.
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Alan Doyle is the director of the Fountain House Institute. He is a former assistant director for occupational education for a regional school system on Long Island, has served as the federal liaison for the Massachusetts State Education Commissioner, and attended Fordham University and the Harvard Graduate School of Education.
Fountain House: Creating Community in Mental Health Practice
Julius Lanoil is a psychotherapist and wellness consultant at Fountain House and a certified medical rehabilitation director. He has served as assistant director of Fountain House and has been assistant professor in the Department of Psychiatry and director of psychiatric rehabilitation at the University of Medicine and Dentistry of New Jersey. He is also a cofounder of the Psychiatric Rehabilitation Association and the first coeditor of its journal. Kenneth J.
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