Department of Psychology, Ryerson University.
Department of Human Resource Management and Organizational Behaviour, School of Business Management, Ryerson University.
Psychiatr Rehabil J. 2024 Sep;47(3):193-199. doi: 10.1037/prj0000581. Epub 2023 Oct 5.
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.
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.
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.
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).
会所模式的心理社会康复支持严重精神健康挑战个体的个人康复。迄今为止，加拿大从未有过一项多地点、纵向研究来检查会所成员的结果。因此，本研究的目的是纵向评估来自加拿大六个会所的会所成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 COVID-19 大流行对会所成员的心理社会影响。
本研究采用了加拿大六个认可的会所的参与式方法。共有 462 名会所成员同意参与研究。成员在两年期间每 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 COVID-19 大流行期间收集的。主要结果包括社区功能，用 Multnomah 社区能力量表测量，以及自我报告的住院率。使用多层次增长模型进行数据分析。
分析结果表明，在研究期间，社区功能和住院率保持稳定。社区功能的子量表，包括功能障碍和行为问题，在研究过程中有所改善，而对社区的适应和社会能力保持稳定。
由于 COVID-19 对心理健康的全球影响，研究中结果的一致性是值得注意的。会所可能对成员有缓冲作用，因为成员减少了大流行对心理健康的影响。（PsycInfo 数据库记录（c）2024 APA，保留所有权利）。
