title: A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation.
abstract: The Clubhouse Model has been in existence for over sixty-five years; however, a review that synthesizes the literature on the model is needed. The current study makes use of the existing research to conduct a systematic review of articles providing a comprehensive understanding of what is known about the Clubhouse Model, to identify the best evidence available, as well as areas that would benefit from further study. Findings are summarized and evidence is classified by outcome domains. Fifty-two articles met the selection criteria of Randomized Clinical Trials (RCT's), quasi-experimental studies, or observational studies for domains of employment (N = 29); quality of life/satisfaction (N = 10); reductions in psychiatric hospitalization(s) (N = 10); social relationships (N = 10); education (N = 3); and health promotion activities (N = 2). RCT results support the efficacy of the Clubhouse Model in promoting employment, reducing hospitalization(s), and improving quality of life. Quasi-experimental and observational studies offer support in education and social domains. The findings from this review indicate that Clubhouses are a promising practice but additional studies using rigorous methods that report the strength of the outcomes are needed to evaluate Clubhouse programs with fidelity to the Clubhouse Model.
authors: Department of Psychiatry, Program for Clubhouse Research, Systems and Psychosocial Advances Research Center, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA. Colleen.McKay@umassmed.edu.
authors: Colleen
authors: C
authors: McKay
authors: Maryland Psychiatric Research Center, University of Maryland School of Medicine, PO Box 21247, Baltimore, MD, 21228, USA.
authors: Katie L
authors: KL
authors: Nugent
authors: Department of Sociology, Worcester State University, 486 Chandler Street, Worcester, MA, 01602, USA.
authors: Matthew
authors: M
authors: Johnsen
authors: Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Room 880B, 624 North Broadway, Baltimore, MD, 21205, USA.
authors: William W
authors: WW
authors: Eaton
authors: Department of Psychiatry, Systems and Psychosocial Advances Research Center, University of Massachusetts Medical School, Worcester, MA, 01655, USA.
authors: Charles W
authors: CW
authors: Lidz
mesh_terms: D003695:Delivery of Health Care; D004493:Education; D004651:Employment; D055317:Evidence-Based Practice; D006293:Health Promotion; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007398:Interpersonal Relations; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D010549:Personal Satisfaction; D000067250:Psychiatric Rehabilitation / Q000379:methods*; D011788:Quality of Life; D013808:Therapeutic Community
keywords: Clubhouse; Evidence; Evidence based practice; Psychosocial rehabilitation