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Administration and Policy in Mental Health and Mental Health Services Research

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01-01-2018 | Original Article

Keeping Clubhouses Open: Toward a Roadmap for Sustainability

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 1/2018

Abstract

Clubhouses are recovery centers that help persons with serious mental illness obtain and maintain community-based employment, education, housing, social integration, and other services. Key informants from U.S. clubhouses were interviewed to create a conceptual framework for clubhouse sustainability. Survival analyses tested this model for 261 clubhouses. Clubhouses stayed open significantly longer if they had received full accreditation, had more administrative autonomy, and received funding from multiple rather than sole sources. Cox regression analyses showed that freestanding clubhouses which were accredited endured the longest. Budget size, clubhouse size, and access to managed care did not contribute significantly to sustainability.

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Title: Keeping Clubhouses Open: Toward a Roadmap for Sustainability
Publication date: 01-01-2018
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 1/2018
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-016-0766-x

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