Psychosocial Support for Clubhouse Members and Staff in Hawai'i: A Maslowian Perspective on Wellness.

Occupational therapy in mental health · 2025 · Qualitative · OT
Adriana K Botero, Joy M Tanji, Haley Churchill, Lisa Nakamaura, Maileen Liu, Tyra M Kaukau, Heldevam Pereira, Joy L Agner

A qualitative study of 15 Clubhouse members and staff in Hawai'i described how the Clubhouse model supported needs from meals to purpose, and how pandemic closure caused acute isolation for members who relied on it as their main social connection.

Key findings

1

Participants described Clubhouse participation as supporting needs across all five levels of Maslow's hierarchy, from basic meals and safety to creativity, connection with nature, and spiritual purpose.

2

Pandemic closure of Clubhouses caused acute isolation and loneliness, particularly for members for whom the Clubhouse was their primary source of social connection rather than family or pets.

3

Virtual adaptations during the pandemic, while initially frustrating, led to increased digital literacy for some members and opened access to job or educational opportunities they had not previously pursued.

MethodologyResultsClinical Relevance

Single-blind randomized controlled trial. Sixty-four participants were randomized across two intervention arms and assessed at twelve weeks for the primary outcome…

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