Abstract
Examine the impact of the Clubhouse Model of Vocational Rehabilitation by comparing the roles values of employed and unemployed members. It is a model of psychiatric rehabilitation and community support, which emphasizes the importance of work as a major re-integrative force for Clubhouse members. Participants: Sixty Clubhouse members consisting of 31 employed members and 29 non-employed members. Methods: A convenience sample of sixty participants completed the Role Checklist (Revised) (Oakley, Kielhofner, Barris, and Klinger-Reichler, 1988), the Maryland Addiction Questionnaire Short-Form (O'Donnell, 1997), and the Historical Background Survey (Gregitis, 2003). The study was completed at an ICCD certified Clubhouse in the United States. Results: Results showed that there was no significant difference in the working role values of employed and unemployed participants. However, there was a significant difference in resistance to treatment of substance use by employed and unemployed participants. Conclusions: Volition and motivation of the employed Clubhouse members was higher when seeking work and pursuing life roles outside the Clubhouse environment. Unemployed Clubhouse members derived personal satisfaction and volition in the work-ordered day within the clubhouse setting. Further research should include verification, with a larger sample, of the importance of the working role in relation to mental health.