clubhouse accreditaon preliminary cpq research results · clubhouse profile ques1onnaire (cpq) •...
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ClubhouseAccredita1onPreliminaryCPQResearchResults
ColleenMcKay,MA,CAGSAssistantProfessor&Director
ProgramforClubhouseResearchSystemsandPsychosocialAdvancesResearchCenter
UniversityofMassachuseCsMedicalSchool
18thInterna1onalClubhouseSeminarDenver,Colorado,USA
ClubhouseProfileQues1onnaire(CPQ)• Electronicdatabasedesignedtoobtaininforma1onconcerning
prac1ces,characteris1cs,concerns,&performanceoutcomesofclubhouseprograms.
• Areasaddressedinthesurveyinclude:funding,governance&administra1on;membership;staffing&staffcreden1als;unitstructure;employment;housing;servicesprovided;par1cipa1oninclubhousetraining;&researchac1vi1es.
• AdministeredbytheProgramforClubhouseResearchattheUniversityofMassachuseCsMedicalSchool
• UsedbyClubhouseInterna1onalfor:• Qualityassurance&programimprovement,• Monitorprogressofaccredita1on&training• Trackdevelopmentofthemodelover1me
• 167CPQ’sReturnedinFY15• Coali1onswith75%ormoreclubsreturningaCPQin2015:Ireland,Norway,Sweden,Hawaii,Missouri,Utah
• Datapresentedfrom226Clubhousesin27countriesand32statesthatreturnedaCPQbetween2013and2015usedforpresenta1on
CPQReturns
ClubhouseCharacteris1csCharacteris1c Accredited
Mean(Range)Non-Accredited
Mean(Range)
ClubLength(Years) 20.27(.15-54.03) 11.23(.14-31.13)
ClubhasBoardofDirectors 47% 51%
Average#MembersonBoard 2.37 2.76
ClubhasanAdvisoryBoard 61% 39%
ClubbelongstoaClubhouseCoali1on 83% 62%
ACemptstoMeetallClubhouseStandards 98% 86%
ClubhousehasanAuspice(ParentAgency) 51.2% 45.3%
#Full-TimeStaff 7.71(1-48) 4.46(1-10)
Ac1veMember:StaffRa1o 17.38:1 21.75:1
ClubhouseCosts Accredited Non-Accredited
AnnualBudget
$655,571USD595,186€
5,500,400NOK5,080,711HKD5,582,765SEK
$347,902USD315,948€
2,919,409NOK2,696,281HKD2,963,224SEK
CostperMemberperYear
$5225USD4,744€
43,837NOK40,494HKD44,491SEK
$4772USD4,336€
40,064.26NOK36,983.62HKD40,644SEK
CostperMemberperDay
$45.84USD41.61€
384.72NOK355.26HKD390.33SEK
$43.02USD39.09€
361.24NOK333.41HKD366.41SEK
Membership&MemberPar1cipa1on*AccreditedMean(Range)
Non-AccreditedMean(Range)
NumberofReferrals 86.07(5-621) 59.53(1-226)%Intake(orienta1on)becomeMembers 70.83%(14-100%) 68.04%(10-100%)
AverageDailyACendance(ADA) 38.92(8-225) 23.74(6-50)
EveningWeekend 59.23(5-492) 33.91(3-193)
Ac1veMembership 136.68(21-960) 82.42(18-215)
TotalMembership 619.11(17-4908) 238.39(18-2711)
ADAWork-OrderedDay 37.13(3-225) 22.61(5-83)
TypesofUnitWorkbyAccredita1onStatus
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
TrackingACendance
ThrikStore
SupportedEduca1on
Research
Outreach
MemberEnrollment
Maintenance/Cleaning
Housing
FoodPrep/FoodService
Employment
Clerical
AnsweringTelephones
Administra1on
Accoun1ng
NotAccredited(N=68) Accredited(N=135)
%ofClubhousesOfferingServicesbyAccredita1onStatus
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%100%
Recrea1onalAc1vi1es
LowPricedMeals
HousingSupports
SupportedEduca1on
Educa1onLinkages
Medica1onLinkage
MoneyManagement
MobileOutreach
Arbitra1onofMemberDisputes
FinancialAssistance
Non-ReimbursedCaseManagement
SupportsforFamilyMembers
HospitalAdmiCance/Discharge
ReimbursedCaseManagement NotAccredited(N=74)
Accredited(N=142)
TheClubhouseProfileQues1onnaire–PreliminaryResults©2015UniversityofMassachuseCs:Allrightsreserved.Noreproduc1onswithoutwriCenpermission.
EmploymentOutcomes TE SE IE
AccreditedNot
AccreditedAccredited Not
AccreditedAccreditedNot
Accredited
#MembersEmployedinFY 14.91 4.71 13.2 7.56 21.35 12.54
#Employers 4.42 2.57 7.68 4.11 17.70 8.20
#IndividualJobs 7.44 3.38 11.04 6.16 19.08 9.72
TEPlacements 10.05 3.56 10.45 6.27 19.18 9.04
TheClubhouseProfileQues1onnaire–PreliminaryResults©2015UniversityofMassachuseCs:Allrightsreserved.Noreproduc1onswithoutwriCenpermission.
KeepingClubhousesOpen:TowardaRoadmapforSustainability
• JointprojectwiththeProgramforClubhouseResearchandAmericanUniversityinWashington,DC
• KeyinformantsfromU.S.clubhouseswereinterviewedtocreateaconceptualframeworkforclubhousesustainability.
• Survivalanalysesusedtotestthismodelfor261U.S.clubhousesthatwereinopera1onatsomepointbetween1994&2013.
KeepingClubhousesOpen:TowardaRoadmapforSustainability
• Sustainabilityconceptsiden1fiedbyclubhousefacultywere:– Accredita1on,– Asuppor1veauspiceagencyorboardofdirectors,– Diversityoffunding,– Clubhouseeffec1veness,– Advocacy,– Renewableorsteadyfunding,and– Resilientandforward-thinkingclubhousedirector.
KeepingClubhousesOpen:TowardaRoadmapforSustainability
• Clubhousesstayedopensignificantlylongerif:– Theyhadreceivedfullthreeyearaccredita1on,– Hadmoreadministra1veautonomy,and– Receivedfundingfrommul1pleratherthansolesources.
• Analysesshowedthatfreestandingclubhouseswhichwereaccreditedenduredthelongest.
• Sizeofbudgetandaccesstomanagedcaresystemsdidnotcontributesignificantlytosustainability.
©2015UniversityofMassachuseCs:Allrightsreserved.Noreproduc1onswithoutwriCenpermission.
KeepingClubhousesOpen:TowardaRoadmapforSustainability
• Clubhousesaccreditedat3-yearlevelsstayedopen242monthslongerthanunaccreditedclubhouses
• Accreditedclubhouseshadsignificantlylongerlifespans(p<.001)
• Accreditedclubhouseshada0.89probabilityofopera1ngfortheoverallmedianof229months,whereasunaccreditedclubhouseshada0.57probabilityofsustaining
©2015UniversityofMassachuseCs:Allrightsreserved.Noreproduc1onswithoutwriCenpermission.
ForMoreInforma1onColleenMcKay,M.A.,C.A.G.S.508-856-8471([email protected])AssistantProfessor&DirectorTheProgramforClubhouseResearchSystemsandPsychosocialAdvancesResearchCenterDepartmentofPsychiatryUniversityofMassachuseCsMedicalSchool222MapleAvenueShrewsburyMA01545