Department of Psychology, EA 4430, Université Paris Nanterre, 200 Ave. de la République, 92001, Cédex, Nanterre, France.
Leroyhatala Conseil, 20 place des Vosges, Paris, France.
Community Ment Health J. 2021 Jul;57(5):853-863. doi: 10.1007/s10597-020-00654-z. Epub 2020 Jun 5.
The community-based mental health organizations known as "Clubhouses" have existed since the 1940s in the United States, and the model has since spread to many countries. The present study investigates the psychological and social trajectories of 33 members of Clubhouse Paris, the first Clubhouse in France. The study used a pre-post, mixed methods design, with three assessments over an 18-month period. A participatory action research approach was taken to ensure compatibility with Clubhouse principles. The results showed improvements in Clubhouse members' labor market integration, quality of life, sense of self-efficacy, psychosocial skills, symptoms, and hospitalization. The other variables studied (life satisfaction, social support, self-esteem) did not change over the study period. In addition to the statistical results, analysis of interviews highlights the diversity of individual patterns of change and the complexity of the interactions between the variables. These results confirm previous findings from the international literature, and the robustness of the Clubhouse model across different cultures.
自 20 世纪 40 年代以来，美国就出现了以“会所”为基础的社区心理健康组织，此后，这种模式已经传播到许多国家。本研究调查了巴黎会所（法国第一家会所）的 33 名会员的心理和社会轨迹。该研究采用了前后混合方法设计，在 18 个月内进行了三次评估。采用参与式行动研究方法，以确保与会所原则兼容。研究结果表明，会所会员的劳动力市场融入度、生活质量、自我效能感、社会心理技能、症状和住院率都有所改善。研究期间，其他研究变量（生活满意度、社会支持、自尊）没有变化。除了统计结果外，对访谈的分析还强调了个体变化模式的多样性以及变量之间相互作用的复杂性。这些结果证实了国际文献中的先前发现，并证明了会所模式在不同文化中的稳健性。
