Skip to main content
×
×
Home

The use of social environment in a psychosocial clubhouse to facilitate recovery-oriented practice

  • Toby Raeburn (a1), Virginia Schmied (a2), Catherine Hungerford (a3) and Michelle Cleary (a3)
Abstract
Background

Recovery-oriented language has been widely adopted in mental health policy; however, little is known about how recovery practices are implemented within individual services, such as psychosocial clubhouses.

Aims

To explore how recovery practices are implemented in a psychosocial clubhouse.

Method

Qualitative case study design informed by self-determination theory was utilised. This included 120 h of participant observation, interviews with 12 clubhouse members and 6 staff members. Field notes and interview transcripts were subject to theoretical thematic analysis.

Results

Two overarching themes were identified, each comprising three sub-themes. In this paper, the overarching theme of ‘social environment’ is discussed. It was characterised by the sub-themes, ‘community and consistency’, ‘participation and opportunity’ and ‘respect and autonomy’.

Conclusions

Social environment was used to facilitate recovery-oriented practice within the clubhouse. Whether recovery is experienced by clubhouse members in wider society, may well depend on supports and opportunities outside the clubhouse.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      The use of social environment in a psychosocial clubhouse to facilitate recovery-oriented practice
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      The use of social environment in a psychosocial clubhouse to facilitate recovery-oriented practice
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      The use of social environment in a psychosocial clubhouse to facilitate recovery-oriented practice
      Available formats
      ×
Copyright
This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Corresponding author
Toby Raeburn, School of Nursing & Midwifery, Western Sydney University, Post; 88 Mallet Street, Camperdown NSW 2006, Sydney, NSW, Australia. Email: 16473430@student.uws.edu.au
Footnotes
Hide All

Declaration of interest

None.

Copyright and usage

© The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.

Footnotes
References
Hide All
1 Smith, M. Anti-stigma campaigns: time to change. Br J Psychiatry 2013; 202 (suppl 55): s4950.
2 Baggett, TP, O'Connell, JJ, Singer, DE, Rigotti, NA. The unmet health care needs of homeless adults: a national study. Am J Public Health 2010; 100: 1326–33.
3 Harvey, SB, Modini, M, Christensen, H, Glozier, N. Severe mental illness and work: what can we do to maximise the employment opportunities for individuals with psychosis? Aust N Z J Psychiatry 2013; 47: 421–4.
4 Tew, J, Ramon, S, Slade, M, Bird, V, Melton, J, Le Boutillier, C. Social factors and recovery from mental health difficulties: a review of the evidence. Br J Soc Work 2012; 42: 443–60.
5 Slade, M, Leamy, M, Bacon, F, Janosik, M, Le Boutillier, C, Williams, J, et al. International differences in understanding recovery: systematic review. Epidemiol Psychiatr Sci 2012; 21: 353–64.
6 Tondora, J, Miller, R, Slade, M, Davidson, L. Partnering for Recovery in Mental Health: A Practical Guide to Person-Centered Planning. Wiley, 2014.
7 Leamy, M, Bird, V, Le Boutillier, C, Williams, J, Slade, M. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry 2011; 199: 445–52.
8 Hungerford, C. Recovery as a model of care? Insights from an Australian case study. Issues Ment Health Nurs 2014; 35: 156–64.
9 Slade, M, Bird, V, Clarke, E, Le Boutillier, C, McCrone, P, Macpherson, R, et al. Supporting recovery in patients with psychosis through care by community-based adult mental health teams (REFOCUS): a multisite, cluster, randomised, controlled trial. Lancet Psychiatry 2015; 2: 503–14.
10 Macpherson, R, Pesola, F, Leamy, M, Bird, V, Le Boutillier, C, Williams, J, et al. The Relationship between Clinical and Recovery Dimensions of Outcome in Mental Health. Schizophrenia Research, 2015.
11 Drake, R, Bond, G, Becker, D. Individual Placement and Support: An Evidence-Based Approach to Supported Employment. Oxford University Press, 2012.
12 Yen, IH, Syme, SL. The social environment and health: a discussion of the epidemiologic literature. Annu Rev Public Health 1999; 20: 287308.
13 Dudek, KJ, Aquila, R. Fountain house and recovery centers. Psychiatr Serv 2012; 63: 396.
14 Mandiberg, JM, Warner, R. Is mainstreaming always the answer? The social and economic development of service user communities. Psychiatrist 2013; 37: 153–5.
15 Pernice-Duca, F, Onaga, E. Examining the contribution of social network support to the recovery process among clubhouse members. Am J Psychiatr Rehabil 2009; 12: 130.
16 Raeburn, T, Halcomb, E, Walter, G, Cleary, M. An overview of the clubhouse model of psychiatric rehabilitation. Australas Psychiatry 2013; 21: 376–8.
17 Jung, SH, Kim, HJ. Perceived stigma and quality of life of individuals diagnosed with schizophrenia and receiving psychiatric rehabilitation services: a comparison between the clubhouse model and a rehabilitation skills training model in South Korea. Psychiatr Rehabil J 2012; 35: 460–5.
18 Tsang, AWK, Ng, RMK, Yip, KC. A six-month prospective case-controlled study of the effects of the clubhouse rehabilitation model on Chinese patients with chronic schizophrenia. East Asian Arch Psychiatry 2010; 20: 2330.
19 Schon, U-K. The power of identification: peer support in recovery from mental illness. Scand J Disabil Res 2010; 12: 8390.
20 Coniglio, FD, Hancock, N, Ellis, A. Peer support within clubhouse: a grounded theory study. Community Ment Health J 2010; 48: 153–60.
21 Stake, RE. The Art of Case Study Research. Sage, 1995.
22 Deci, E, Ryan, R. Overview of Self-Determination Theory. Oxford University Press, 2012.
23 Raeburn, T, Schmied, V, Hungerford, C, Cleary, M. Self-determination theory: a framework for clubhouse psychosocial rehabilitation research. Issues Ment Health Nurs 2015; 36: 145–51.
24 Horsfall, J, Cleary, M, Walter, G, Hunt, GE. Conducting mental health research: key steps, practicalities, and issues for the early career researcher. Int J Ment Health Nurs 2007; 16 (suppl 1): S120.
25 Spradley, J. Participant Observation. Holt Rinehart and Winston, 1980.
26 Armstrong, N, Steffen, J. The recovery promotion fidelity scale: assessing the organizational promotion of recovery. Community Ment Health J 2009; 45: 163–70.
27 Burgess, P, Pirkis, J, Coombs, T, Rosen, A. Assessing the value of existing recovery measures for routine use in Australian mental health services. Aust N Z J Psychiatry 2011; 45: 267–80.
28 Yin, R. Case Study Research: Design and Methods. 4th edn. Sage, 2009.
29 Braun, V, Clarke, V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77101.
30 Mancini, A. Self-determination theory: a framework for the recovery paradigm. Adv Psychiatr Treat 2008; 14: 358–65.
31 Thomas, E, Magilvy, JK. Qualitative rigor or research validity in qualitative research. J Spec Pediatr Nurs 2011; 16: 151–5.
32 Dowling, M. Approaches to reflexivity in qualitative research. Nurse Res 2006; 13: 721.
33 Raeburn, T, Schmied, V, Hungerford, C, Cleary, M. Autonomy support and recovery practice at a psychosocial clubhouse. Perspect Psychiatr Care. 27 Jan 2016 (epub ahead of print).
34 Macias, C, Barreira, P, Alden, M, Boyd, J. The ICCD benchmarks for clubhouses: a practical approach to quality improvement in psychiatric rehabilitation. Psychiatr Serv 2001; 52: 207–15.
35 Ritsner, MS. Handbook of Schizophrenia Spectrum Disorders, Volume DIII. Therapeutic Approaches, Comorbidity, and Outcomes. Springer, 2011.
36 Lim, C, Barrio, C, Hernandez, M, Barragán, A, Brekke, JS. Recovery from schizophrenia in community-based psychosocial rehabilitation settings rates and predictors. Res Soc Work Pract 2015; 1: 114.
37 Schneider, Z. Nursing Research: Methods, Critical MAppraisal and Utilisation. Mosby Publishers, 2002.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Open
  • ISSN: -
  • EISSN: 2056-4724
  • URL: /core/journals/bjpsych-open
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 34 *
Loading metrics...

Abstract views

Total abstract views: 82 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 26th May 2018. This data will be updated every 24 hours.

The use of social environment in a psychosocial clubhouse to facilitate recovery-oriented practice

  • Toby Raeburn (a1), Virginia Schmied (a2), Catherine Hungerford (a3) and Michelle Cleary (a3)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *