Clubhouse model of psychiatric rehabilitation: How is recovery reflected in documentation?
Raeburn, T and Schmied, V and Hungerford, C and Cleary, M, Clubhouse model of psychiatric rehabilitation: How is recovery reflected in documentation?, International journal of mental health nursing, 23, (5) pp. 389-397. ISSN 1445-8330 (2014) [Refereed Article]
Copyright 2014 Australian College of Mental Health Nurses Inc.
Recovery-oriented models of psychiatric rehabilitation, such as the Clubhouse model,
are an important addendum to the clinical treatment modalities that assist people with chronic and
severe mental illness. Several studies have described the subjective experiences of personal recovery of
individuals in the clubhouse context, but limited research has been undertaken on how clubhouses
have operationalized recovery in practice. The research question addressed in this paper is: How are
recovery-oriented practices reflected in the documentation of a clubhouse? The documents examined
included representative samples of key documents produced or utilized by a clubhouse, including
public health-promotion materials and policy and membership documents. Data were subjected to
content analysis, supported by the Recovery Promotion Fidelity Scale. The recovery categories identified
in the documents included collaboration (27.7%), acceptance and participation (25.3%), quality
improvement (18.0%), consumer and staff development (14.5%), and self-determination (14.5%).
These categories show how the clubhouse constructs and represents personal recovery through its
documentation. The findings are important in light of the role that documentation can play in
influencing communication, relationships, and behaviour within organizations. The findings can also
be used to inform future research related to recovery-oriented practices in clubhouse settings.