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      Salutogenesis as a theoretical framework for psychosocial rehabilitation: the case of the Clubhouse model

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          ABSTRACT

          Purpose: This study explored whether the holistic theory of salutogenesis may be a suitable theoretical framework for the Clubhouse model of psychosocial rehabilitation, a pioneer among psychosocial rehabilitation programmes.

          Methods: A systematic examination of elements of the Clubhouse model, as prescribed by the Clubhouse standards, was performed within the context of the theory of salutogenesis including its basic salutogenic orientation and the main concepts of sense of coherence and resistance resources.

          Results: We found that several standards and practices within the Clubhouse model can be understood as applications of salutogenesis. We have hypothesized that the Clubhouse model promotes peoples’ sense of coherence and mental health. However, our investigation also showed that, to enhance the recovery of Clubhouse members, more explicitly incorporating some salutogenic principles, such as “appropriate challenges” and “active adaptation as the ideal in treatment”, may benefit Clubhouse practice.

          Conclusions: The Clubhouse model of psychosocial rehabilitation is very consistent with the salutogenic orientation and main salutogenic concepts. The present study suggests that salutogenesis may be a suitable theoretical framework for the Clubhouse model and possibly in the psychosocial rehabilitation field in general.

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          Most cited references41

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          Contextualizing salutogenesis and Antonovsky in public health development.

          More than 20 years have passed since the American-Israeli medical sociologist Aaron Antonovsky introduced his salutogenic theory 'sense of coherence' as a global orientation to view the world, claiming that the way people view their life has a positive influence on their health. Sense of coherence explains why people in stressful situations stay well and even are able to improve their health. The origin of salutogenesis derives from the interviews of Israeli women with experiences from the concentration camps of the Second World War who in spite of this stayed healthy. Sixty years after the Holocaust this paper aim to shed light on the salutogenic theory in the context of public health and health promotion. In addition, other approaches with salutogenic elements for the explanation of health are considered. A potential direction for public health of the early 21st century is proposed. The historical paradox is to honour the victims of the Holocaust and see the birth of post-modern public health and the salutogenic framework through the experience of its survivors in the ashes of Modernity.
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            Recovery from mental illness as an emergent concept and practice in Australia and the UK.

            The language of recovery is now widely used in mental health policy, services, and research. Yet the term has disparate antecedents, and is used in a variety of ways. Some of the history of the use of the term recovery is surveyed, with particular attention to the new meaning of the term, especially as identified by service users, supported and taken up to various degrees by research and in the professional literature. Policy and practice in two countries--Australia and the United Kingdom--are examined to determine the manner and extent to which the concept of recovery is evident. In its new meaning, the concept of recovery has the potential to bring about profound and needed changes in mental health theory and practice. It is being taken up differently in different settings. It is clear that--at least in Australia and the United Kingdom--there are promising new recovery models and practices that support recovery, but the widespread use of recovery language is not enough to ensure that the core principles of the recovery model are implemented.
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              Recovery as policy in mental health services: Strategies emerging from the states.

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                Author and article information

                Journal
                Int J Qual Stud Health Well-being
                Int J Qual Stud Health Well-being
                ZQHW
                zqhw20
                International Journal of Qualitative Studies on Health and Well-being
                Taylor & Francis
                1748-2623
                1748-2631
                2020
                06 April 2020
                : 15
                : 1
                : 1748942
                Affiliations
                [a ]Department of Welfare and Participation, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences and Department of Health Promotion and Development Faculty of Psychology, University of Bergen , Bergen, Norway
                [b ]Department of Welfare and Participation, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences , Bergen, Norway
                [c ]Department of Health Promotion and Development Faculty of Psychology, University of Bergen , Bergen, Norway
                [d ]Department of Health and Caring Sciences, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences , Bergen, Norway
                Author notes
                CONTACT Orsolya Reka Fekete orsolya.reka.fekete@ 123456hvl.no Department of Health and Caring Sciences, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences and Department of Health Promotion and Development Faculty of Psychology, University of Bergen , P.O. Box 7030, Bergen N-5020, Norway
                Author information
                http://orcid.org/0000-0001-6160-7293
                http://orcid.org/0000-0002-3045-5925
                http://orcid.org/0000-0003-3457-9922
                http://orcid.org/0000-0003-3594-2877
                Article
                1748942
                10.1080/17482631.2020.1748942
                7170324
                32249690
                2afa4ff8-bdde-417d-b72e-b90cd105b99f
                © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 25 March 2020
                Page count
                Figures: 2, References: 62, Pages: 14
                Funding
                Funded by: no financial
                There are no financial conflicts of interest to disclose.
                Categories
                Philosophical Papers

                Health & Social care
                clubhouse model,mental health promotion,mental illness,psychosocial rehabilitation,salutogenesis

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