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

Published online by Cambridge University Press:  02 January 2018

Toby Raeburn ,
Virginia Schmied ,
Catherine Hungerford  and
Michelle Cleary
Toby Raeburn*
Affiliation:
School of Nursing & Midwifery, Western Sydney University, Sydney, NSW, Australia
Virginia Schmied
Affiliation:
School of Nursing, Midwifery, and Indigenous Health, Faculty of Science, Charles Sturt University, Bathurst, NSW, Australia
Catherine Hungerford
Affiliation:
School of Health Sciences, University of Tasmania, Sydney, NSW, Australia
Michelle Cleary
Affiliation:
School of Health Sciences, University of Tasmania, Sydney, NSW, Australia
*
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
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Abstract

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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.

Type
Research Article
Information
BJPsych Open , Volume 2 , Issue 2 , March 2016 , pp. 173 - 178
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
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/).
Copyright
Copyright © The Royal College of Psychiatrists 2016

Footnotes

Declaration of interest

None.

References

1 Smith, M. Anti-stigma campaigns: time to change. Br J Psychiatry 2013; 202 (suppl 55): s49–50.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
6 Tondora, J, Miller, R, Slade, M, Davidson, L. Partnering for Recovery in Mental Health: A Practical Guide to Person-Centered Planning. Wiley, 2014.10.1002/9781118388532Google Scholar
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.Google Scholar
8 Hungerford, C. Recovery as a model of care? Insights from an Australian case study. Issues Ment Health Nurs 2014; 35: 156–64.Google Scholar
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.Google Scholar
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.Google Scholar
11 Drake, R, Bond, G, Becker, D. Individual Placement and Support: An Evidence-Based Approach to Supported Employment. Oxford University Press, 2012.Google Scholar
12 Yen, IH, Syme, SL. The social environment and health: a discussion of the epidemiologic literature. Annu Rev Public Health 1999; 20: 287–308.Google Scholar
13 Dudek, KJ, Aquila, R. Fountain house and recovery centers. Psychiatr Serv 2012; 63: 396.Google Scholar
14 Mandiberg, JM, Warner, R. Is mainstreaming always the answer? The social and economic development of service user communities. Psychiatrist 2013; 37: 153–5.Google Scholar
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: 1–30.Google Scholar
16 Raeburn, T, Halcomb, E, Walter, G, Cleary, M. An overview of the clubhouse model of psychiatric rehabilitation. Australas Psychiatry 2013; 21: 376–8.Google Scholar
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.Google Scholar
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: 23–30.Google Scholar
19 Schon, U-K. The power of identification: peer support in recovery from mental illness. Scand J Disabil Res 2010; 12: 83–90.Google Scholar
20 Coniglio, FD, Hancock, N, Ellis, A. Peer support within clubhouse: a grounded theory study. Community Ment Health J 2010; 48: 153–60.Google Scholar
21 Stake, RE. The Art of Case Study Research. Sage, 1995.Google Scholar
22 Deci, E, Ryan, R. Overview of Self-Determination Theory. Oxford University Press, 2012.Google Scholar
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.Google Scholar
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): S1–20.Google Scholar
25 Spradley, J. Participant Observation. Holt Rinehart and Winston, 1980.Google Scholar
26 Armstrong, N, Steffen, J. The recovery promotion fidelity scale: assessing the organizational promotion of recovery. Community Ment Health J 2009; 45: 163–70.Google Scholar
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.Google Scholar
28 Yin, R. Case Study Research: Design and Methods. 4th edn. Sage, 2009.Google Scholar
29 Braun, V, Clarke, V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77–101.Google Scholar
30 Mancini, A. Self-determination theory: a framework for the recovery paradigm. Adv Psychiatr Treat 2008; 14: 358–65.10.1192/apt.bp.107.004036Google Scholar
31 Thomas, E, Magilvy, JK. Qualitative rigor or research validity in qualitative research. J Spec Pediatr Nurs 2011; 16: 151–5.10.1111/j.1744-6155.2011.00283.xGoogle Scholar
32 Dowling, M. Approaches to reflexivity in qualitative research. Nurse Res 2006; 13: 7–21.Google Scholar
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).Google Scholar
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.Google Scholar
35 Ritsner, MS. Handbook of Schizophrenia Spectrum Disorders, Volume DIII. Therapeutic Approaches, Comorbidity, and Outcomes. Springer, 2011.Google Scholar
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: 1–14.Google Scholar
37 Schneider, Z. Nursing Research: Methods, Critical MAppraisal and Utilisation. Mosby Publishers, 2002.Google Scholar
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