Abstract:
OBJECTIVE:Self-management of psychiatric illness is a central tenet of consumer-directed mental health treatment. While several manualized self-management programs have been developed in recent years, the most widely disseminated is the Wellness Recovery Action Plan (WRAP). This study examined the effects of WRAP participation on psychiatric symptoms, hope, and recovery outcomes for people with severe and persistent mental illness. METHODS:A quasi-experimental study, with an experimental (n=58) and a comparison (n=56) group was conducted. WRAP sessions (8-12 week) were facilitated by one staff person and one peer worker at five community mental health centers in a Midwestern state. The Modified Colorado Symptom Index, the State Hope Scale, and the Recovery Markers Questionnaire (RMQ) were employed at the first and last WRAP sessions, as well as six months following the intervention. Repeated measures analysis of covariance and planned comparisons before and after the intervention were conducted. RESULTS:Findings revealed statistically significant group intervention effects for symptoms and hope, but not for RMQ. Planned comparisons showed statistically significant improvements for the experimental group in psychiatric symptoms and hope after the intervention, while non-significant changes occurred in the comparison group. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE:The study results offer promising evidence that WRAP participation has a positive effect on psychiatric symptoms and feelings of hopefulness. If recovery is the guiding vision for mental health system reform, the study results provide evidence that WRAP programming may warrant a place in the current array of services offered through the publicly funded mental health system.
journal_name
Psychiatr Rehabil Jjournal_title
Psychiatric rehabilitation journalauthors
Fukui S,Starnino VR,Susana M,Davidson LJ,Cook K,Rapp CA,Gowdy EAdoi
10.2975/34.3.2011.214.222subject
Has Abstractpub_date
2011-01-01 00:00:00pages
214-22issue
3eissn
1095-158Xissn
1559-3126pii
KG0G33K3275513X3journal_volume
34pub_type
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