Clubhouse Model and Its Impact on Psychiatric Hospitalization in Canada: A Cohort Study
Publication: Canadian Journal of Community Mental Health
25 October 2021
Abstract
We investigated the relationship between membership in an accredited Clubhouse for mental health support and psychiatric hospitalization in Canada using linked administrative data. Results show that Clubhouse members were less likely to be hospitalized after enrollment and after longer-term enrollment, and younger members diagnosed with schizophrenia and/or bipolar disorders were at increased risk of hospitalization compared to older members without such diagnoses. These findings provide evidence of the possible benefits of Clubhouses in Canada and the characteristics of members who may benefit from support.
Résumé
Nous avons étudié la relation entre l’adhésion à un clubhouse (accrédité par Clubhouse International) et les hospitalisations psychiatriques au Canada à partir de données administratives. Résultats : les membres de clubhouses sont moins susceptibles d’être hospitalisés après leur adhésion, et ce, d’autant plus s’ils sont membres depuis longtemps. Les jeunes membres avec un diagnostic de schizophrénie ou de troubles bipolaires sont plus à risque d’hospitalisation que les plus âgés sans ces diagnostics. Les résultats traduisent de possibles effets positifs du soutien apporté par les clubhouses canadiens à leurs membres.
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References
Accordino M. P. and Herbert J. T. 2000 Treatment outcome of four rehabilitation interventions for persons with serious mental illness Journal of Mental Health Counseling 22 3 268 -281
Austin P. C. 2011 An introduction to propensity score methods for reducing the effects of confounding in observational studies Multivariate Behavioral Research 46 3 399 -424
Barnes T. R. and Paton C. 2011 Antipsychotic polypharmacy in schizophrenia: Benefits and risks CNS Drugs 25 5 383 -399
Battin C., Bouvet C., and Hatala C. 2016 A systematic review of the effectiveness of the clubhouse model Psychiatric Rehabilitation Journal 39 305 -312 https://doi.org/10.1037/prj0000227
Bouvet C., Battin C., Cappelaere C., and Leroy Hatala C. 2020 Psychosocial change in members of Clubhouse Paris (France) over an 18-month period: A longitudinal mixed methods study Community Mental Health Journal https://doi.org/10.1007/s10597-020-00654-z
Clubhouse International. (2018). International standards for Clubhouse programs. https://Clubhouse-intl.org/wp-content/uploads/2019/03/standards_2018_eng.pdf
Clubhouse International. (2020). Clubhouse International. https://clubhouse-intl.org/
Dear, M., & Wolch, J. (1987). Landscapes of despair: From reinstitutionalization to homelessness. Princeton University Press.
Dougherty S. J. 1994 The generalist role in clubhouse organizations Psychosocial Rehabilitation Journal 18 1 95 -108
Doyle, A., Lanoil, J., & Dudek, K. (2013). Fountain House: Creating community in mental health practice. Columbia University Press.
Drake R. E. and Latimer E. 2012 Lessons learned in developing community mental health care in North America World Psychiatry 11 1 47 -51
Fielding N. G. 2012 Triangulation and mixed methods designs Journal of Mixed Methods Research 6 2 124 -136
Folsom D. P., Hawthorne W., Lindamer L., Gilmer T., Bailey A., Golshan S., and Jeste D. V. 2005 Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system American Journal of Psychiatry 162 2 370 -376
Grinspan, Z. (2015). Fountain House and use of healthcare resources. Weill Cornell Medical College.
Guyatt G. H., Devereaux P., Lexchin J., Stone S. B., Yalnizyan A., Himmelstein D., and Bhatnagar N. 2007 A systematic review of studies comparing health outcomes in Canada and the United States Open Med 1 1 e27 -36 https://www.ncbi.nlm.nih.gov/pubmed/20101287
Jepsen P., Johnsen S. P., Gillman M. W., and Sorensen H. T. 2004 Interpretation of observational studies Heart 90 8 956 -960
Johnson J. and Hickey S. 1999 Arrests and incarcerations after psychosocial program involvement: Clubhouse vs. jailhouse Psychiatric Rehabilitation Journal 23 1 66 -69
Lally J. and MacCabe J. H. 2015 Antipsychotic medication in schizophrenia: A review British Medical Bulletin 114 1 169 -179
Lamb H. R. and Bachrach L. L. 2001 Some perspectives on deinstitutionalization Psychiatric Services 52 8 1039 -1045
Leff S. H., McPartland J., Banks S., Dembling B., Fisher W., and Allen E. I. 2004 Service quality as measured by service fit and mortality among public mental health system service recipients Mental Health Services Research 6 93 -107
Macias C., Kinney R., and Rodican C. 1995 Transitional employment: An evaluative description of Fountain House practice Journal of Vocational Rehabilitation 5 2 151 -157
Macias C., Propst R., Rodican C., and Boyd J. 2001 Strategic planning for ICCD Clubhouse implementation: Development of the Clubhouse Research and Evaluation Screening Survey (CRESS). International Center for Clubhouse Development Mental Health Services Research 3 3 155 -167
Masso J., Avi-Itzhak T., and Obler D. R. 2001 The Clubhouse model: An outcome study on attendence, work attainment and status, and hospitalization recidivism Work 17 23 -30
McKay C., Nugent K. L., Johnsen M., Eaton W. W., and Lidz C. W. 2018 A systematic review of evidence for the Clubhouse model of psychosocial rehabilitation Administration and Policy in Mental Health 45 1 28 -47
Mowbray C. T., Robinson E. A., and Holter M. C. 2002 Consumer drop-in centers: Operations, services, and consumer involvement Health Social Work 27 4 248 -261
Moxley, D. P., & Mowbray, C. T. (1997). Consumers as providers: Forces and factors legitimizing role innovation in psychiatric rehabilitation. In C. T. Mowbray, D. P. Moxley, C. A. Jasper, & L. L. Howell, (Eds.), Consumers as providers in psychiatric rehabilitation. International Association of Psychosocial Rehabilitation Services.
Niles C. 2013 Examining the deinstitutionalization movement in North America Health Tomorrow: Interdisciplinarity and Internationality 1 1 54 -83
Perlman C. M., Hirdes J. P., and Vigod S. 2015 Psychiatric rehospitalization: Development of a person-level indicator for care planning and quality assurance Primary Care Companion for CNS Disorders 17 4
Potential Place Society. (2020). Potential Place. https:// https://potentialplace.org/
Ridic G., Gleason S., and Ridic O. 2012 Comparisons of health care systems in the United States, Germany and Canada Mater Sociomed 24 2 112 -120
Rose S. M. 1979 Deciphering deinstitutionalization: Complexities in policy and program analysis The Milbank Memorial Fund Quarterly. Health and Society 57 4
Simmon, H. (1990). Unbalanced: Mental health policy in Ontario, 1930–1989. Wall and Thompson.
Solís-Román, C., & Knickman, J. (2016). Project to evaluate the impact of Fountain House programs on Medicaid utilization and expenditures. New York University.
Stergiopoulos V., Hwang S. W., Gozdzik A., Nisenbaum R., Latimer E., Rabouin D., and At Home/Chez Soi I. 2015 Effect of scattered-site housing using rent supplements and intensive case management on housing stability among homeless adults with mental illness: A randomized trial JAMA 313 9 905 -915
Talbott J. A. 1979 Deinstitutionalization: Avoiding the disasters of the past Hospital Community Psychiatry 30 9 621 -624
Tang K. L., Lucyk K., and Quan H. 2017 Coder perspectives on physician-related barriers to producing high-quality administrative data: A qualitative study CMAJ Open 5 3 E617 -E622
Wahl O. F. 1999 Mental health consumers’ experience of stigma Schizophremia Bulletin 25 3 467 -478
Walker W. 2016 The strengths and weaknesses of research designs involving quantitative measures Journal of Research in Nursing 10 5 571 -582
Warner R., Huxley P., and Berg T. 1999 An evaluation of the impact of clubhouse membership on quality of life and treatment utilization International Journal of Social Psychiatry 45 4 310 -320
Wilkinson W. H. 1992 New Day, Inc., of Spartanburg: Hospitalization study Psychosocial Rehabilitation Journal 16 2 163 -168
Zou G. 2004 A modified Poisson regression approach to prospective studies with binary data American Journal of Epidemiology 159 702 -706
Zhu Y., Matsuyama Y., Ohashi Y., and Setoguchi S. 2015 When to conduct probabilistic linkage vs. deterministic linkage? A simulation study Journal of Biomedical Informatics 56 80 -86
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Canadian Journal of Community Mental Health
Volume 40 • Number 3 • November 2021
Pages: 29 - 44
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Version of record online: 25 October 2021
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Matthew Joseph Russell, Natasha Lifeso, Jordan Fazio, Carley Piatt, Frank Kelton, Xinjie Cui, and Izu Nwachukwu. 2021. Clubhouse Model and Its Impact on Psychiatric Hospitalization in Canada: A Cohort Study. Canadian Journal of Community Mental Health.
40(3): 29-44. https://doi.org/10.7870/cjcmh-2021-019
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