Employment transitions for Clubhouse members

UMMS Affiliation

Department of Psychiatry



Document Type


Medical Subject Headings

Mental Disorders; Mental Health Services; Social Support; Rehabilitation, Vocational; Employment, Supported


Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology


Using a longitudinal dataset which followed 2195 individuals employed in 3379 separate job placements over a four-year period, this paper explores movement between the employment supports, [Transitional (TE), Supported (SE), and Independent Employment (IE)], offered by clubhouses. Sixty-four percent of employed members held only one job (N=1395) and 36% held multiple jobs during the study (N=791). Patterns of movement were consistent for transitions between the first and second job and subsequent transitions. Forty-six percent of individuals holding multiple jobs moved from one employment type to another. When movement occurred clubhouse members were significantly more likely to move from employment types offering more supports to those that offer less supports.

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Citation: McKay, C., Johnsen, M., Banks, S., & Stein, R. (2006). Employment Transitions for Clubhouse Members. Work: A Journal of Prevention, Assessment, and Rehabilitation, 26(1), 67-74.