Research
November, 2006
Dear Colleagues
I wanted to share with you the recently published articles about the Genesis Employment Program. The Genesis Club Community is very excited about these findings that document the Genesis Club employment services meet and exceed the very best mental health employment programs in the United States.
The Genesis Club Employment Program was published in two articles in Psychiatric Services Journal, October 2006. The first is titled “A Comparison of Competitive Employment Outcomes for the Clubhouse and PACT Models” authored by Schonebaum, Boyd and Dudek. Over a period of two and one-half years it was determined that Genesis Club members earned significantly higher hourly wages and stayed employed for significantly more weeks than PACT participants .The second study “Supported Employment Outcomes of a Randomized Controlled Trial of ACT and Clubhouse Models” authored by Macias, Rodican, Hargreaves, Jones, Barriera and Wang also documented that over two years Genesis members worked significantly longer and earned higher wages than the PACT participants.
The commentary on these studies titled “Policy Priorities and Shifting Sands in the Supported Employment Evidence Base” authored by David S. Salkever states the data from the site in Worcester, Massachusetts (Genesis Club), contradict earlier findings and report employment services provided to members of a clubhouse achieve outcomes similar to those of IPS supported employment.
Kevin Bradley
Executive Director
McKay, C.E. & Pelletier, J.R. (2007). Health Promotion in Clubhouse Programs: Needs, Barriers, and Current and Planned Activities. Psychiatric Rehabilitation Journal, 31(2), 155-159.
Abstract (From Journal):
A survey was designed to obtain information concerning ways clubhouses affiliated with the International Center for Clubhouse Development (ICCD) promote practices that improve the physical health of members. This study examined perceptions of the need for health promotion interventions, current and planned health promotion practices, and barriers to change and program development. The mean number of health promotion activities ICCD clubhouses (N = 219) report providing was 5.24, SD = 2.42, range = 1 to 10. Despite barriers (e.g., cost), results indicate that every clubhouse responding to this survey offers at least one health promotion activity.
Schonebaum, A.D., Boyd, J.K., & Dudek, K.J. (2006). A Comparison of Competitive Employment Outcomes for the Clubhouse and PACT Models. Psychiatric Services, 57(10):1416-20.
Abstract (From Journal):
OBJECTIVE: This study determined whether the clubhouse model of community support and psychiatric rehabilitation can produce competitive employment outcomes that are comparable or superior to those of the Program of Assertive Community Treatment (PACT) model. METHODS: This longitudinal study followed a group of 170 individuals with severe mental illness who were randomly assigned either to the experimental design, a clubhouse program (N=86), or to the control design, a PACT team (N=84). Study participants were tracked for 30 months, and employment outcome data were collected. RESULTS: After 30 months, 72 clubhouse and 76 PACT participants remained active in the project. After 30 months, 74 percent of PACT participants and 60 percent of clubhouse participants had been placed in at least one job. The average clubhouse participant worked 21.8 weeks per job and earned $7.38 per hour, whereas the average PACT participant worked 13.1 weeks per job and earned $6.30 per hour. CONCLUSIONS: Participants from both the PACT and clubhouse models achieved high employment levels, with no significant differences in weekly employment or 30-month job placement rates over the course of the study. During this time, clubhouse participants earned significantly higher wages and remained competitively employed for significantly more weeks per job than PACT participants. (Psychiatric Services).
McKay, C., Johnsen, M., Banks, S. & Stein, R. (2006). Employment transitions for Clubhouse members. WORK, 26, 67-74.
Abstract (From Journal):
Using a longitudinal dataset which followed 2195 individuals employed in 3379 separate job placements over a four-year period, this paper explores movement between the employment supports, [Transitional (TE), Supported (SE), and Independent Employment (IE)], offered by clubhouses. Sixty-four percent of employed members held only one job (N=1395) and 36% held multiple jobs during the study (N=791). Patterns of movement were consistent for transitions between the first and second job and subsequent transitions. Forty-six percent of individuals holding multiple jobs moved from one employment type to another. When movement occurred clubhouse members were significantly more likely to move from employment types offering more supports to those that offer less supports.
Pelletier, J.R.; Nguyen, M.; Bradley, K.; Johnsen, M.; McKay, C. (2005).A Study of a Structured Exercise Program with Members of an ICCD Certified Clubhouse: Program Design, Benefits, and Implications for Feasibility. Psychiatric Rehabilitation Journal, Vol. 29 Issue 2, p89-96.
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