The clubhouse program works to address both the lack of access to mental health treatment and essential services like employment.
The clubhouse model functions around a “work-ordered,” day where members engage in a structured set of daily tasks as a mode to highlight their strengths rather than their weakness. These tasks can be anything from making meals to cleaning the clubhouse.
Members therefore work every day to create meaning and community for themselves and the others around them. This form of rehabilitation, functions to provide members with greater confidence and self-esteem to build basic workplace skills and potentially move forward towards re-entering the workplace.
Bridgeways’ mission is to provide services that promote quality of life for individuals living with a mental health concern in a manner that facilitates growth, independence, and a sense of community.
Bridgeways Clubhouse is a peer run group that treats all with dignity and respect and provides the opportunity for individuals to be participating members and be a part of a beloved community of belonging. We do this by seeking to facilitate for those living with a mental health concern, an inclusive community that emphasizes their strengths and not their weaknesses as a mode for strength and empowerment.
The primary benefits of the Clubhouse to members and the community are to provide meaningful activity that help people with a mental health concern stay out of hospitals and off the street by having the opportunity to achieve social, financial, and vocational goals. Current research on existing Clubhouses have shown the benefits of the Clubhouse model and the positive results that have been achieved.
For Fountain House in New York City, the oldest and longest running clubhouse, 30% of its members are employed, as compared to 15% of American adults with serious mental health concerns (source: Clubhouse International). Additionally, studies have shown that the Clubhouse model produces higher rates of employment and higher earnings than other programs offered for people with mental illness (source: NIH).
Criminal justice system involvement has been found to be substantially diminished during and after Clubhouse membership. An estimated 24% of members have a history of incarceration and justice involvement, after joining, recidivism rates are less than 5%. This coupled with our therapeutic court programs (some of them rendering a 90%+ reduction in recidivism for example) we are confident that we could make significant progress in the recidivism and incarceration rates with clubhouse members. It cost $42,318 in 2019 to incarcerate one person for one year in Washington State. In comparison, it cost $5,579 for one Fountain House member to access Fountain House’s employment, education, wellness services and community for mutual support for one year.
Compared with individuals receiving services as usual, Clubhouse members were significantly more likely to report that they had close friendships and someone they could rely on when they needed help.
99% of Fountain House members are stably housed. 40% join with a prior history of homelessness. It costs $140,000 in 2019 to house one person in the NYC shelter system for one year. In comparison, it cost $25,870 for one Fountain House member to access all of Fountain House’s services in addition to safe, supported housing (source: Fountain House).
High utilizers of New York State Medicaid services have a 21% decrease in total cost of care after enrolling in Fountain House (Source: Fountain House).
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