Tse Jeanie, Rice Kevin, Landry Christopher D, Jenuwine Mackenzie, Jedrzejczak Kinga, D'Angelo Lori, Skaggs Daniel, Delman John, Bayer Craig, Simaitis Gytis, Rickertsen Kali, Ballard Elizabeth, Pernice Francesca
Fountain House, 425 West 47th Street, New York, NY, 10036, USA.
Department of Psychiatry, NYU Grossman School of Medicine, 462 First Avenue, New York, NY, 10016, USA.
Community Ment Health J. 2025 Jul;61(5):978-988. doi: 10.1007/s10597-024-01438-5. Epub 2025 Jan 10.
The Clubhouse model of psychosocial rehabilitation has supported the recovery of people with serious mental illness for over 75 years, but many of the roughly 350 Clubhouses are not well-integrated into the larger health care system, limiting their reach. This article examines Clubhouses' and psychiatric providers' interactions and experiences to understand the nature of and barriers to partnerships. The directors of Clubhouses affiliated with Clubhouse International were surveyed, examining their attitudes and practices around collaboration with psychiatric providers. To provide context, psychiatric providers were also surveyed regarding their understanding of and experiences with Clubhouses. Findings reveal broad support among both Clubhouse directors and psychiatrists for enhancing partnerships, despite current barriers, limited interactions, and the need for greater mutual understanding. Key considerations that emerged include the importance of maintaining the Clubhouse model's distinct non-clinical, community-based, and member-directed identity in any integration efforts.
俱乐部式心理社会康复模式已助力重度精神疾病患者康复逾75年，但在约350家俱乐部中，许多并未很好地融入更大的医疗保健系统，限制了其覆盖面。本文探讨俱乐部与精神科医疗服务提供者的互动及经历，以了解合作关系的本质和障碍。对国际俱乐部联盟下属俱乐部的负责人进行了调查，考察他们在与精神科医疗服务提供者合作方面的态度和做法。为提供背景信息，还就精神科医疗服务提供者对俱乐部的了解及经历进行了调查。研究结果显示，尽管存在当前的障碍、互动有限且需要增进相互理解，但俱乐部负责人和精神科医生都广泛支持加强合作关系。出现的关键考量因素包括，在任何整合工作中，保持俱乐部式模式独特的非临床、基于社区且由会员主导的特性的重要性。
