Developing an Exercise Routine among People with Serious Mental Illness in the Clubhouse Structured Exercise Program



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University of Houston Graduate College of Social Work


Using a psychosocial rehabilitation approach, the clubhouse model provides community-based services to address the multiple health and mental health needs of adults with Serious Mental Illness (SMI). Research resulting from two clubhouse programs demonstrated the effectiveness of a Clubhouse Structured Exercise (CSE) program on client outcomes. The main purpose of this study was to examine changes in Health-related Quality of Life (HRQOL) and selected healthrelated psychosocial factors (i.e. health motivation; health self-efficacy and self-esteem), which are associated with the level of physical activity in the CSE program. Second, this study explored the process of developing an exercise routine among people with SMI participating in the CSE, who are diagnosed with SMI. Twenty-five participants were selected from two leading clubhouses, which have developed strong CSE Programs. A mixed method was used to find changes of health-related outcomes through pre- and post-testing, as well as to gather qualitative information. The results of this study provided evidence of improvement in the perceived quality of life (physical health) and some health-related psychosocial factors. The findings from the qualitative interviews show the motivational and behavioral process of changing health behavior through the CSE Program.



Clubhouse, Health Promotion, Exercise, Psychiatric Rehabilitation, Wellness, Perspectives on Social Work, Ingyu Moon, Clubhouse, Health promotion, Exercise, Psychiatric Rehabilitation, Wellness, Perspectives on Social Work, Social work