Section 22-A3900. MENTAL HEALTH CLUBHOUSE CERTIFICATION STANDARDS

 

3900.1These rules establish the requirements and process for certification of a mental health services provider as a Mental Health Clubhouse (Clubhouse) in the District of Columbia. 

 

3900.2Clubhouse services:

 

(a)are structured, community-support services provided primarily in a group rehabilitative setting;

 

(b)utilize behavioral, cognitive or supportive interventions to improve a member’s potential for establishing and maintaining social relationships and obtaining occupational or educational achievements;

 

(c)are provided in a collaborative environment where Clubhouse staff and members work side by side. 

 

3900.3Clubhouse program participants are referred to collectively as “members” and each individually as a “member.” 

 

3900.4Clubhouse members, with staff assistance:

 

(a) Operate all aspects of the Clubhouse, including food service, clerical, reception, janitorial and other member supports and services such as employment, housing and education;

 

(b) Participate in the day-to-day decision–making and governance of the Clubhouse; and

 

(c) Plan community projects and social activities to engage members in the community.

 

3900.5A Clubhouse is organized through a Work-Ordered Day, in accordance with International Center for Clubhouse Development (ICCD) standards.  The goal of the Work Ordered Day, Clubhouse decision-making opportunities and social activities, is for the individual members to achieve or regain the confidence and skills necessary to lead vocationally-productive and socially-satisfying lives.

 

3900.6Clubhouse activities focus on alleviating a member’s psychiatric symptoms, including, but not limited to confusion, anxiety, disorientation, distraction, preoccupation, isolation, withdrawal and feelings of low self-worth, in order to improve a member’s reality orientation, social adaptation, and other daily living skills. 

 

3900.7Clubhouse services are strength-based and focus on: 

 

(a) promoting the member’s recovery; 

 

(b) the member’s self-concept;  and

 

(c) meaningful life activities which include higher education and work, meaningful relationships, symptom stability, increased coping skills and achievement of the highest level of functioning in the community for the member.

 

3900.8The focus of interventions in the Clubhouse is the individualized goals related to: 

 

(a) addressing the member’s daily living and personal development; 

 

(b) developing strategies and supportive interventions that will maintain stability for the member; 

 

(c) assisting the member to increase social support skills that ameliorate life stresses resulting from mental illness;  

 

(d) helping the member to develop the skills needed to go back to school and work; and

 

(e) Improving family functioning.

 

3900.9A Clubhouse shall be:

 

(a) organized and operated in accordance with the International Standards for Clubhouse Programs established by the ICCD as amended from time to time;

 

(b) currently certified by ICCD as a Clubhouse;

 

(c) operated by an agency certified by the Department as a core services agency in accordance with the certification standards for mental health rehabilitation services (MHRS) providers set forth in 22A DCMR Chapter 34; and

 

(d) certified by the Department as a Clubhouse in accordance with the requirements of this Chapter.

 

authority

The Director of the Department of Mental Health (Department), pursuant to the authority set forth in sections 104, and 105 of the Department of Mental Health Establishment Amendment Act of 2001, effective December 18, 2001, (D.C. Law 14-56; D.C. Official Code §§ 7-1131.04 and 7-1131.05).

source

Emergency and Proposed Rulemaking published at 57 DCR 4010 (May 7, 2010)[EXPIRED]; as amended by Emergency and Proposed Rulemaking published at 57 DCR 7734 (August 20, 2010)[EXPIRED]; as amended by Final Rulemaking published at 57 DCR 8698, 8699 (September 24, 2010).