Department of Psychiatry, Program for Clubhouse Research, Systems and Psychosocial Advances Research Center
Health Policy | Mental and Social Health | Psychiatry | Psychiatry and Psychology | Vocational Rehabilitation Counseling
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.
Clubhouse, Evidence, Evidence based practice, Psychosocial rehabilitation
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Copyright The Author(s) 2016. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
DOI of Published Version
Adm Policy Ment Health. 2018 Jan;45(1):28-47. doi: 10.1007/s10488-016-0760-3. Link to article on publisher's site
Administration and policy in mental health
McKay CE, Nugent KL, Johnsen M, Eaton WW, Lidz CW. (2018). A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation. Psychiatry Publications and Presentations. https://doi.org/10.1007/s10488-016-0760-3. Retrieved from https://escholarship.umassmed.edu/psych_pp/790
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.