Psychiatr Serv 60:246-249, February 2009
doi: 10.1176/appi.ps.60.2.246
© 2009 American Psychiatric Association
Initial Outcomes of a Mental Illness Self-Management Program Based on Wellness Recovery Action Planning
Judith A. Cook, Ph.D.,
Mary Ellen Copeland, Ph.D.,
Marie M. Hamilton, L.C.S.W., M.P.H.,
Jessica A. Jonikas, M.A.,
Lisa A. Razzano, Ph.D.,
Carol B. Floyd,
Walter B. Hudson, B.S.,
Rachel T. Macfarlane, B.A. and
Dennis D. Grey, B.A.
Dr. Cook, Ms. Hamilton, Ms. Jonikas, Dr. Razzano, Ms. MacFarlane, and Mr. Grey are affiliated with the Department of Psychiatry, University of Illinois at Chicago, 1601 W. Taylor St., 4th Floor, M/C 912, Chicago, IL 60612 (e-mail: cook{at}ripco.com). Dr. Copeland and Ms. Floyd are with Mental Health Recovery and WRAP, Inc., West Dummerston, Vermont. Mr. Hudson is with the Copeland Center for Wellness and Recovery, Chandler, Arizona.
OBJECTIVE: This study examined changes in psychosocial outcomes among participants in an eight-week, peer-led, mental illness self-management intervention called Wellness Recovery Action Planning (WRAP). METHODS: Eighty individuals with serious mental illness at five Ohio sites completed telephone interviews at baseline and one month after the intervention. RESULTS: Paired t tests of pre- and postintervention scores revealed significant improvement in self-reported symptoms, recovery, hopefulness, self-advocacy, and physical health; empowerment decreased significantly and no significant changes were observed in social support. Those attending six or more sessions showed greater improvement than those attending fewer sessions. CONCLUSIONS: These promising early results suggest that further research on this intervention is warranted. Confirmation of the efficacy and effectiveness of peer-led self-management has the potential to enhance self-determination and promote recovery for people with psychiatric disabilities.
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