The 131st Annual Meeting (November 15-19, 2003) of APHA

Abstract #65862

Brian T. Yates, PhD¹, Colleen McKay, MA, CAGS², and Matthew Johnsen, PhD². (1) Dept. of Psychology, American University, 4400 Mass. Ave., N.W., American Univeristy, Washington, DC 20016-8062, 301-775-1892, briantyates@earthlink.net, (2) Center for Mental Health Services Research, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655

This presentation describes the monetary costs of Clubhouses (N=170)in 17 countries using data collected in 2000. Clubhouses are supportive communities that help members obtain and keep employment, access community education, obtain quality housing, receive community support services, and take advantage of social and recreational opportunities. The Clubhouse model is a partnership model in which members and staff work side-by side to operate the program within the work-ordered day. Most clubhouses use a combination of approaches to achieve mainstream, above-minimum-wage employment, including transitional employment, supported employment, and independent employment. These structures are designed to provide catalysts for recovery. The model has been in existence for over 50 years, and over 280 Clubhouses in 28 Countries are organizational members of the International Center for Clubhouse Development. The presentation examines variation of the cost per member for different Clubhouses with the types of services offered members. In addition to describing amounts and types of personnel, facility, equipment, and material resources used by Clubhouses in different regions of the world, we will contrast average, maximum, and minimum cost per consumer per month for different types of Clubhouses (e.g., certified versus noncertified, small versus large). Furthermore, we measure the ingredients that make Clubhouses possible, e.g., the types of consumer and staff personnel, facilities, equipment, and materials that are used by different types of Clubhouses, and the types and sources of funding, e.g., public versus private. Together, the information reported will provide an understanding of the operations as well as the expenses of Clubhouses

Learning Objectives:

At the end of the presentation, audience members should be able to:
• Describe the Clubhouse model and what it provides persons with mental or emotional illness that is not provided by traditional mental health services systems.
• Explain the extent to which consumers of mental health care services, and staff, are involved in Clubhouse operations and decisions,
• Describe the average cost per member in Clubhouses in a variety of different countries
• Explain differences in Clubhouse costs according to public and private sources of funding and types of services offered.

Keywords: Cost Issues, Mental Health Services

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Clubhouses
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.