The clubhouse model: An outcome study on attendance, work attainment and status, and hospitalization recidivism

Abstract

The purpose of this outcome study is to assess the effectiveness of one clubhouse program model, Connections Clubhouse. The study was conducted on 117 randomly selected members attending Connections Clubhouse from January 1998 to June 1999. The study examines the effect of attendance rates on members' employment attainment and status, and on rate of hospitalization recidivism. Rate of hospitalization recidivism was conceptualized as the difference between number of hospitalizations after enrollment and before enrollment in the program. It is hypothesized that adult psychiatric patients, with a high rate of attendance at Connections Clubhouse, will demonstrate (a) a high rate of employment attainment and more advanced employment status; and (b) a low rate of hospitalization recidivism as compared to those with a low attendance rate. As hypothesized, the proportion of members with a high rate of attendance with no employment of any kind was significantly lower than the proportion of members with a low rate of attendance. Though less pronounced, the proportion of members with a high rate of attendance holding a more advanced employment status was significantly higher than the proportion of members with a low rate of attendance. As expected, the recidivism rate of members with a high rate of attendance was significantly lower than for members with a low rate of attendance.