A multisite longitudinal evaluation of Canadian clubhouse members: Impact on hospitalizations and community functioning.

IF 1.8 3区医学 Q3 PSYCHIATRY Psychiatric Rehabilitation Journal Pub Date : 2024-09-01 Epub Date: 2023-10-05 DOI:10.1037/prj0000581

Christina Mutschler, Kelly McShane, Rachel Liebman, Sana Junaid

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Abstract

Objective: The Clubhouse model of psychosocial rehabilitation supports the personal recovery of individuals with severe mental health challenges. To date, there has never been a multisite, longitudinal study examining the outcomes of Clubhouse members in Canada. Therefore, the purpose of the present study was to longitudinally assess the psychosocial outcomes and hospitalization rates of Clubhouse members from six Clubhouses across Canada. An exploratory aim of this study was to assess the psychosocial impact of the COVID-19 pandemic on Clubhouse members.

Method: The present study used a participatory approach with six accredited Clubhouses across Canada. A total of 462 Clubhouse members consented to participate in the study. Members completed a questionnaire battery every 6 months over a 2-year period (five data points total). The last three data points were collected during the COVID-19 pandemic. Primary outcomes included community functioning, measured by the Multnomah Community Ability Scale, and self-reported hospitalization rates. Data were analyzed using multilevel growth models.

Results: The results of the analysis indicated stability over the study period in community functioning and rates of hospitalization. Subscales of community functioning, including interference in functioning and behavioral problems improved over the course of the study, while adjustment to the community and social competence remained stable.

Conclusions and implications for practice: The consistency in outcomes across the study is notable, due to the worldwide impact of COVID-19 on mental health. Clubhouses may have had a buffering effect for members, in that membership diminished the impact of the pandemic on mental health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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加拿大俱乐部会员的多站点纵向评估：对住院和社区功能的影响。

目的：俱乐部心理社会康复模式支持有严重心理健康挑战的个人康复。到目前为止，还没有一项多站点、纵向的研究来检查加拿大俱乐部会员的结果。因此，本研究的目的是纵向评估加拿大六家俱乐部会员的心理社会结果和住院率。本研究的一个探索性目的是评估新冠肺炎大流行对俱乐部成员的心理社会影响。方法：本研究采用了一种参与式方法，对加拿大各地的六家经认证的俱乐部进行了调查。共有462名俱乐部会员同意参与这项研究。在2年的时间里，成员们每6个月完成一次问卷调查（共5个数据点）。最后三个数据点是在新冠肺炎大流行期间收集的。主要结果包括通过Multnomah社区能力量表测量的社区功能和自我报告的住院率。使用多水平增长模型对数据进行分析。结果：分析结果表明，在研究期间，社区功能和住院率稳定。社区功能的子范围，包括对功能的干扰和行为问题，在研究过程中得到了改善，同时对社区和社会能力的适应保持稳定。结论和对实践的影响：由于新冠肺炎对心理健康的全球影响，整个研究结果的一致性是值得注意的。俱乐部会所可能对会员产生了缓冲作用，因为会员资格减少了疫情对心理健康的影响。（PsycInfo数据库记录（c）2023 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric Rehabilitation Journal Multiple-

CiteScore

3.80

自引率

5.30%

发文量

期刊介绍： The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.