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Administration and Policy in Mental Health and Mental Health Services Research

Published in:

01-01-2007

Costs of Clubhouses: An International Perspective

Authors: Colleen E. McKay, Brian T. Yates, Matthew Johnsen

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 1/2007

Abstract

Costs of providing psychosocial rehabilitation services are analyzed using data from clubhouse programs in 12 countries. We explored effects of several program operating characteristics on total program cost per year, cost per member per year, and cost per visit. We also examined the relationship between program costs and the range of services offered. Clubhouse costs were found to be a function of the country in which the program was located, program age, and certification status. The number of specific services offered was not related to cost. Findings provide a more complete understanding of the operations and expenses of clubhouses.

Anderson S.B. (1998). We are not alone: Fountain House & the development of clubhouse culture. New York, NY, Fountain House

Baker B.C., Woods S.W. (2001). Cost of treatment failure for major depression: Direct costs of continued treatment. Administration and Policy in Mental Health 28: 263–277CrossRefPubMed

Beard J.H., Propst R.N., Malamud T.J. (1982). Fountain House model of psychiatric rehabilitation. Psychosocial Rehabilitation Journal 5: 47–53

Chandler D., Meisel J., Hu T.W. (1999). A capitated model for a cross-section of severely mentally ill clients: Employment outcomes. Year Book of Psychiatry & Applied Mental Health 5: 215–216

Chandler D., Spicer G. (2002). Capitated Assertive Community Treatment program savings: System implications. Administration and Policy in Mental Health 30: 3–19CrossRefPubMed

Clark R.E., Xie H., Becker D.R., Drake R.E. (1998). Benefits and costs of supported employment from three perspectives. Journal of Behavioral Health Services & Research 25: 22–34CrossRef

Cowell A., Pollio D.E., North C.S., Stewart A.M., McCabe M.M., Anderson D.W. (2003). Deriving service costs for a clubhouse psychosocial rehabilitation program. Administration and Policy in Mental Health 30: 323–340CrossRefPubMed

Flannery M., Glickman M. (1996). Fountain House: Portraits of lives reclaimed from mental illness. (First Ed.) Center City, MN: Hazelden Press

Glickman M. (1992). The voluntary nature of the clubhouse. Psychosocial Rehabilitation Journal 16: 39–40

Hayes, W. L. (1963). Statistics. New York: Holt, Rinehart, and Winston

International Center for Clubhouse Development (ICCD). (2002). ICCD International Clubhouse Directory. Retrieved March 19, 2002 from http://www.iccd.org/clubhouseDirectory.aspx

International Center for Clubhouse Development (ICCD). (2003). International standards for clubhouse programs. Retrieved December 1, 2003 from http://www.iccd.org/article.asp?articleID=8

Jackson R.L. (2001). The Clubhouse Model: Empowering applications of theory to generalist practice. Belmont, CA: Wadsworth

Johnsen M., McKay C., Corcoran J., Lidz C. (2002). Characteristics of clubhouses across the world: Findings from the International Survey of Clubhouses 2000. Center for Mental Health Services, Medical School, Massachusetts University, Worcester, MA. Manuscript submitted for publication

Macias C., Barreira P., Alden M., Boyd J. (2001). The ICCD benchmarks for clubhouses: A practical approach to quality improvement in psychiatric rehabilitation. Psychiatric Services 52: 207–213CrossRefPubMed

Macias C., DeCarlo L.T., Wang Q., Frey J., Barreira P. (2001). Work interest as a predictor of competitive employment: Policy implications for psychiatric rehabilitation. Administration and Policy in Mental Health 28: 279–297CrossRefPubMed

Macias C., Propst R.N., Rodican C., Boyd J. (2001). Strategic planning for ICCD clubhouse implementation: Development of the Clubhouse Research and Evaluation Screening Survey (CRESS). Mental Health Services Research 3: 155–167CrossRefPubMed

Macias C., Jackson R., Schroeder C., Wang Q. (1999). What is a clubhouse? Report on the ICCD 1996 survey of USA clubhouses. Community Mental Health Journal 35: 181–190CrossRefPubMed

Malamud T.J., McCrory D. (1988). Transitional employment and psychosocial rehabilitation. In: Cardiello J.A., Bell M.D. (eds) Vocational rehabilitation of persons with prolonged psychiatric disorders. Johns Hopkins University Press, Baltimore, MD, pp. 150–162

Waters B. (1992). The work unit: The heart of the clubhouse. Psychosocial Rehabilitation Journal 16: 41–48

Yates B.T. (1980). Improving effectiveness and reducing costs in mental health. Thomas, Springfield, IL

Yates B.T. (1994). Toward the incorporation of costs, cost-effectiveness analysis, and cost-benefit analysis into clinical research. Journal of Consulting and Clinical Psychology 62: 729–736CrossRefPubMed

Yates B.T. (1996). Analyzing costs, procedures, processes, and outcomes in human services: An introduction. Five-chapter book. Sage Publications, Thousand Oaks, CA

Title: Costs of Clubhouses: An International Perspective
Authors: Colleen E. McKay
Brian T. Yates
Matthew Johnsen
Publication date: 01-01-2007
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 1/2007
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-005-0008-0

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Costs of Clubhouses: An International Perspective

Abstract

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Abstract

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