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New research shows clubhouse approach best for helping people achieve their career goals

Horizon House is a membership-based organisation that values respect, member participation and relationships. The 'clubhouse' approach has evolved steadily over several decades, its development informed by participants' experience. In recent years, it has also been been informed by the results of randimized controlled trials that have shown the effectiveness of the 'Individual Placement and Support' (IPS) model in helping people return to employment. The IPS principles are:

  • Services should be focused on paid employment in integrated settings.

  • Eligibility should be based on the individual's preferences; anyone who chooses to work is given the help to do so.

  • Programmes should involve rapid job search and minimal pre-vocational training.

  • Vocational programmes should be integrated into the work of the clinical team

  • Attention to client preferences and choice is important.

  • There should be the availability of time-unlimited support and this should be tailored to the person's individual needs.

  • Benefits counselling should be provided to help people maximise in work welfare benefits.

The clubhouse approach already incorporated these principles and at Horizon House we have systematically strengthened our programme in accord with the IPS appraoch. However, the clubhouse is more than these principles, for example in our use of Transitional Employment Placements and in emphasising members helping other members.

A few years ago, our approach was compared in a randomized controlled trial with another approach ('PACT') that is very similar to the 'pure' IPS model. The results showed that the clubhouse approach led to higher earnings and better retention of jobs, while maintaining the same high rate of 'job starts' as the PACT programme.

The research has finally been published in the October 2006 issue of the refereed journal, Psychiatric Services, in the following articles:

There is also commentary on the implications of the findings in the following two articles:


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