Clubhouse Accreditaon Preliminary CPQ Research .Clubhouse Proï¬le Ques1onnaire (CPQ) • Electronic

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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

  • 167CPQsReturnedinFY15 Coali1onswith75%ormoreclubsreturningaCPQin2015:Ireland,Norway,Sweden,Hawaii,Missouri,Utah

    Datapresentedfrom226Clubhousesin27countriesand32statesthatreturnedaCPQbetween2013and2015usedforpresenta1on

    CPQReturns

  • ClubhouseCharacteris1csCharacteris1c AccreditedMean(Range)

    Non-AccreditedMean(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)

    TheClubhouseProfileQues1onnairePreliminaryResults2015UniversityofMassachuseCs:Allrightsreserved.Noreproduc1onswithoutwriCenpermission.

  • EmploymentOutcomes TE SE IE

    AccreditedNot

    AccreditedAccredited NotAccreditedAccredited

    NotAccredited

    #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

    TheClubhouseProfileQues1onnairePreliminaryResults2015UniversityofMassachuseCs:Allrightsreserved.Noreproduc1onswithoutwriCenpermission.

  • KeepingClubhousesOpen:TowardaRoadmapforSustainability

    JointprojectwiththeProgramforClubhouseResearchandAmericanUniversityinWashington,DC

    KeyinformantsfromU.S.clubhouseswereinterviewedtocreateaconceptualframeworkforclubhousesustainability.

    Survivalanalysesusedtotestthismodelfor261U.S.clubhousesthatwereinopera1onatsomepointbetween1994&2013.

  • KeepingClubhousesOpen:TowardaRoadmapforSustainability

    Sustainabilityconceptsiden1fiedbyclubhousefacultywere:Accredita1on,Asuppor1veauspiceagencyorboardofdirectors,Diversityoffunding,Clubhouseeffec1veness,Advocacy,Renewableorsteadyfunding,andResilientandforward-thinkingclubhousedirector.

  • KeepingClubhousesOpen:TowardaRoadmapforSustainability

    Clubhousesstayedopensignificantlylongerif: Theyhadreceivedfullthreeyearaccredita1on,Hadmoreadministra1veautonomy,and Receivedfundingfrommul1pleratherthansolesources.

    Analysesshowedthatfreestandingclubhouseswhichwereaccreditedenduredthelongest.

    Sizeofbudgetandaccesstomanagedcaresystemsdidnotcontributesignificantlytosustainability.

    2015UniversityofMassachuseCs:Allrightsreserved.Noreproduc1onswithoutwriCenpermission.

  • KeepingClubhousesOpen:TowardaRoadmapforSustainability

    Clubhousesaccreditedat3-yearlevelsstayedopen242monthslongerthanunaccreditedclubhouses

    Accreditedclubhouseshadsignificantlylongerlifespans(p