title: Autonomy Support and Recovery Practice at a Psychosocial Clubhouse.
abstract: OBJECTIVE
  To explore how recovery practices are embodied in the behavior of staff and implemented by staff and members at a psychosocial clubhouse.
  
  
  METHODS
  Case study design guided 120 hr of participation observation and 18 interviews at a psychosocial clubhouse. Data were subjected to thematic analysis guided by self-determination theory.
  
  
  RESULTS
  "Autonomy support" emerged as an overarching theme, with three subthemes: "voice cultivating," "talent scouting," and "confidence coaching."
  
  
  CONCLUSIONS
  Autonomy support is an important means of supporting the self-determination of clubhouse members. The findings of this study inform the ongoing development of the clubhouse involved and also provide insights for health services generally in relation to how to implement recovery-oriented practice.
authors.affiliation: Toby Raeburn, RN, MA, nurse practitioner is a PhD candidate, School of Nursing & Midwifery, Western Sydney University, Sydney, NSW, Australia.
authors.forename: Toby
authors.initials: T
authors.lastname: Raeburn
authors.affiliation: Virginia Schmied, RN, RM, PhD, is a Professor, School of Nursing and Midwifery, Western Sydney University, NSW, Australia.
authors.forename: Virginia
authors.initials: V
authors.lastname: Schmied
authors.affiliation: Catherine Hungerford, RN, NP, PhD, FACMHN, is a Professor and Head of School, School of Nursing, Midwifery, and Indigenous Health, Faculty of Science, Charles Sturt University, NSW, Australia.
authors.forename: Catherine
authors.initials: C
authors.lastname: Hungerford
authors.affiliation: Michelle Cleary, RN, PhD, is a Professor of Mental Health Nursing, Faculty of Health, University of Tasmania, Sydney, NSW, Australia.
authors.forename: Michelle
authors.initials: M
authors.lastname: Cleary
mesh_terms: D000328:Adult; D003155:Community Mental Health Centers; D003156:Community Mental Health Services / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D026684:Personal Autonomy; D012944:Social Support
keywords: Autonomy; clubhouse; psychosocial; recovery; self-determination