J.D., the Clubhouse, and Me

by Heather Lowe

Why did the clubhouse model work for J.D. (Jennifer Duncan) as well as it did? Let me start to answer that by stating that it was not because all the other programs she had tried had failed, or because she had failed at those other programs. It was simply because the daily work in the clubhouse held the most pieces of the puzzle that J.D. needed to put herself together. Everything that had come before in her life, including treatment, brought her to this point, to the clubhouse. At the clubhouse, we, the whole clubhouse community of members and staff, were able to put the puzzle pieces in her hands.

How did the clubhouse hold those puzzle pieces? Let's assemble them and see.

Relationships

The first piece was relationships. The relationships she made in the clubhouse were real. They were also reciprocal. What does reciprocal mean? Well, it does not mean you care more! Anyone who works in this field and does it well does so because they care. Most care a great deal. Reciprocal as defined by the clubhouse means that the member has an opportunity (is guaranteed) the opportunity to be as helpful to the clubhouse community as the clubhouse community is to the member.

In my relationship with J.D. there was a great deal of this reciprocity. She was a new member in August of `94, when I was newly hired. She was struggling with her addictions as well as her mental illness, while I was struggling with ... COMPUTERS!! As I had been in recovery from my own addictions for quite some time, there was in me a great deal of information that would be helpful to her recovery. As she had been tooling around computers since grade school she hand hands on experience I was desperate for. Fair trade? You bet. But how could we begin to access this? Here we were two people with the potential to help each other tremendously. How to get to it? How to open the door?

Work

The real work that comes out of each unit daily to keep the clubhouse functioning was to be the second piece of the puzzle. I must tell you that a part of me responded deeply to J.D. I honored her struggle and identified with it. I came to care for her, and in caring for her, I held her accountable to our friendship. I expected her to do what she told me she was going to do. Back to work though.

In clubhouse one of our premises is that everyone needs positive productivity -- not just people with mental illness, but everyone. The work in the units is real. No food preparation results in no lunch. Had members in units and on committees all over Massachusetts not come together in positive productivity we would not be here today.

J.D. ate this work up. It was like putting a banquet before a starving person. She attacked each day, solving problems, and she shone! She began to share her work and her accomplishments with others. I believe that sharing this gift with me and other members in the unit began to give J.D. a belief that she made a difference at Baybridge. That without her input not only wouldn't the work get done, but people

would miss her unique contribution. As her belief in this grew, so did her belief in herself. Less and less did she need to rely on her old patterns of behavior to see her through a crisis or symptomatic relapse. She was on her way.

Employment

The next piece of the puzzle was employment. The piece of clubhouse that guarantees the right to work fell into place here. J.D. wanted to apply what she had acquired in the clubhouse, outside. When a TE became available at the YMCA, she took it. The clubhouse supported her. I was her placement manager, and often went to work with her in times of struggle. She flat out quit one TE and revisited a lot of her old "stuff" during it, but I knew her and I knew it wasn't the work itself that she couldn't do. Together we found ways to support her desire to work. I did not believe that anyone other than Jennifer Duncan had the answers to what she needed. During the second TE, we brought what we learned from the first--strong continued connection to the clubhouse daily, including TE dinners, and a commitment to continue to pursue other treatment. J.D. is a whole person, and as wonderful as clubhouse is, she still needed her advocates in DMH and Human Services to be part of her recovery. She completed that TE! The puzzle was looking more and more complete.

Our relationship grew as did our work together. I become a godmother to her child and she is a regular visitor to my home, no more remarkable to my son than anyone else who visits from work.

There is no final piece of this puzzle. After all, aren't we all works in progress?

Although the circumstances of this day in the life of a clubhouse are mine and J.D.'s, they are in no way unique. These pieces, premises, and guarantees are developing in clubhouses all over the world. The freedom that clubhouses provide can become an integral part of anyone's recovery from mental illness. You just need the pieces. Let's all put the puzzle together, together.

Heather Lowe is on the staff of Baybridge in Hyannis, Massachusetts.