Partial Hospitalization Model
The combined program (IVIP and Clubhouse Services), unlike the standard services, also involved three, one hour a week of courses and group which utilized cognitive behavioral therapy psychoeducation to address the disempowering beliefs and thoughts as well as identifying/modifying cognitive distortions members had about their ability to work and adapt into community (i.e. “I am terrible at work and I cannot perform my job” and “I never will be able to work like everyone else; I am inadequate”) (Lysaker et al., 2005). The researchers utilized The Bech Hopelessness Scale, The Rosenberg Self-Esteem Scale, and The Work Behavioral Inventory which is a 35 item tool designed to measure the quality of work values and outcomes of the
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Participation across the program as well as community outreach contacted indicated 717 contacts on average per day in the Clubhouse programs surveyed (Potnick and Salzer, 2008). Researchers in this study also discuss another widely used, evidence-based model that is standard in Pennsylvania called the Partial Hospitalization Model (PHP) which encompasses community housing of clients, but involves clients spending up to seven days a week in a Community Mental Health Center or hospital setting (Potnick and Salzer, 2008). So this section of the study in essence compares a model where SPMI individuals participate in informal community support (Clubhouse) to SPMI individuals who commute to formal community support services (institutions). The researchers assert that both programs make a substantial impact on reducing psychiatric inpatient admissions and address various symptoms/concerns in this population. Potnick and Salzer (2008) do maintain both Clubhouse mode as well as PHPs as evidence based practices and strongly argue in favor of their benefits and necessity, but in an analysis of cost to outcomes, conclude that in Pennsylvania that Clubhouses yield 43 percent less cost than the PHP’s. Contributors to this may include the fact that PHP’s are reimbursed higher, although they provide less hours of contact than Clubhouses. The researchers note that if the PHP provided as many units of services, due to this increase, the difference state wide in cost would be around 7.5 million dollars (Potnick and Salzer,
Participation across the program as well as community outreach contacted indicated 717 contacts on average per day in the Clubhouse programs surveyed (Potnick and Salzer, 2008). Researchers in this study also discuss another widely used, evidence-based model that is standard in Pennsylvania called the Partial Hospitalization Model (PHP) which encompasses community housing of clients, but involves clients spending up to seven days a week in a Community Mental Health Center or hospital setting (Potnick and Salzer, 2008). So this section of the study in essence compares a model where SPMI individuals participate in informal community support (Clubhouse) to SPMI individuals who commute to formal community support services (institutions). The researchers assert that both programs make a substantial impact on reducing psychiatric inpatient admissions and address various symptoms/concerns in this population. Potnick and Salzer (2008) do maintain both Clubhouse mode as well as PHPs as evidence based practices and strongly argue in favor of their benefits and necessity, but in an analysis of cost to outcomes, conclude that in Pennsylvania that Clubhouses yield 43 percent less cost than the PHP’s. Contributors to this may include the fact that PHP’s are reimbursed higher, although they provide less hours of contact than Clubhouses. The researchers note that if the PHP provided as many units of services, due to this increase, the difference state wide in cost would be around 7.5 million dollars (Potnick and Salzer,