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(colleen.mckay@umassmed.edu)AssistantProfessor&DirectorTheProgramforClubhouseResearchSystemsandPsychosocialAdvancesResearchCenterDepartmentofPsychiatryUniversityofMassachuseCsMedicalSchool222MapleAvenueShrewsburyMA01545