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Keeping Clubhouses Open: Toward a Roadmap for Sustainability
Psychiatry Publications and Presentations
  • Jay A. Gorman, Edith Nourse Rogers Memorial VA Medical Center
  • Colleen E. McKay, University of Massachusetts Medical School Worcester
  • Brian T. Yates, American University
  • William H. Fisher, University of Massachusetts Lowell
UMMS Affiliation
Department of Psychiatry, The Program for Clubhouse Research, Systems and Psychosocial Advances Research Center
Publication Date
Document Type
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.
  • Clubhouse,
  • Psychiatric rehabilitation,
  • Survival,
  • Sustainability
DOI of Published Version
Adm Policy Ment Health. 2016 Sep 15. [Epub ahead of print] Link to article on publisher's site
Related Resources
Link to Article in PubMed
PubMed ID
Citation Information
Jay A. Gorman, Colleen E. McKay, Brian T. Yates and William H. Fisher. "Keeping Clubhouses Open: Toward a Roadmap for Sustainability" (2016) ISSN: 0894-587X (Linking)
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