A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation.

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation.
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DOI:
10.1007/s10488-016-0760-3
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发表时间:
2018-01
期刊:
Administration and policy in mental health
影响因子:
--
通讯作者:
Lidz CW
Lidz CW
中科院分区:
其他
文献类型:
--
作者:
McKay C;Nugent KL;Johnsen M;Eaton WW;Lidz CW

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会所模式已经存在了超过65年,然而,一个综述,综合文献的模型是必要的。目前的研究利用现有的研究,对文章进行系统的回顾,全面了解会所模式,以确定现有的最佳证据,以及将受益于进一步研究的领域。结果进行了总结,证据是按结果领域分类。52篇文章符合随机临床试验(RCT)、准实验性研究或观察性研究的选择标准,包括就业领域(N = 29);生活质量/满意度(N = 10);减少精神病住院(N = 10);社会关系(N = 10);教育(N = 3);和健康促进活动(N = 2)。RCT结果支持会所模式在促进就业、减少住院和改善生活质量方面的有效性。准实验性和观察性研究为教育和社会领域提供了支持。从这次审查的结果表明,俱乐部会所是一个很有前途的做法,但需要使用严格的方法,报告结果的强度进行额外的研究,以评估俱乐部会所节目与忠实的俱乐部会所模型。本文的在线版本(doi:10.1007/s10488-016-0760-3)包含补充材料,可供授权用户使用。
The Clubhouse Model has been in existence for over sixty-five years; however, a review that synthesizes the literature on the model is needed. The current study makes use of the existing research to conduct a systematic review of articles providing a comprehensive understanding of what is known about the Clubhouse Model, to identify the best evidence available, as well as areas that would benefit from further study. Findings are summarized and evidence is classified by outcome domains. Fifty-two articles met the selection criteria of Randomized Clinical Trials (RCT’s), quasi-experimental studies, or observational studies for domains of employment (N = 29); quality of life/satisfaction (N = 10); reductions in psychiatric hospitalization(s) (N = 10); social relationships (N = 10); education (N = 3); and health promotion activities (N = 2). RCT results support the efficacy of the Clubhouse Model in promoting employment, reducing hospitalization(s), and improving quality of life. Quasi-experimental and observational studies offer support in education and social domains. The findings from this review indicate that Clubhouses are a promising practice but additional studies using rigorous methods that report the strength of the outcomes are needed to evaluate Clubhouse programs with fidelity to the Clubhouse Model. The online version of this article (doi:10.1007/s10488-016-0760-3) contains supplementary material, which is available to authorized users.
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