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Abstract

Objective:

The purpose of this study was to test the effectiveness of the Wellness Recovery Action Planning (WRAP) self-management intervention in reducing depression and anxiety and in increasing self-perceived recovery among individuals with a serious mental illness.

Methods:

Participants were recruited from outpatient community mental health settings in six Ohio communities: Canton, Cleveland, Columbus, Dayton, Lorain, and Toledo. With a single-blind, randomized controlled trial design, 519 individuals were assigned to WRAP or to services as usual and assessed at baseline and at two- and eight-month follow-ups. The intervention consisted of eight weekly 2.5-hour sessions delivered by peers in recovery from serious mental illness who were certified WRAP educators.

Results:

The mean number of WRAP sessions attended was five, and fidelity ranged from 90% to 92%. Analysis using mixed-effects random regression revealed interactions of study condition by time in each outcome area. Compared with the control group, intervention participants reported significantly greater reduction over time in Brief Symptom Inventory depression and anxiety subscales and significantly greater improvement in total Recovery Assessment Scale scores as well as the subscales measuring personal confidence and goal orientation.

Conclusions:

Training in mental illness self-management reduced depression and anxiety and improved participants' self-perceived recovery over time. Results confirmed the importance of WRAP as part of a group of evidence-based, recovery-oriented interventions. (Psychiatric Services 63:541–547, 2012; doi: 10.1176/appi.ps.201100125)

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Figures and Tables

Table 1 Characteristics of participants in each arm of a randomized controlled study of Wellness Recovery Action Planning
Table 2 Unadjusted mean scores and standard deviations for outcome measures from Wellness Recovery Action Planning or usual treatment at three time points
Table 3 Effects of Wellness Recovery Action Planning intervention versus usual care on participant depression, anxiety, and recovery

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 541 - 547
PubMed: 22508435

History

Published online: 1 June 2012
Published in print: June 2012

Authors

Details

Judith A. Cook, Ph.D. [email protected]
Dr. Cook, Ms. Jonikas, Ms. Hamilton, Dr. Razzano, Ms. Carter, and Mr. Grey are affiliated with the Department of Psychiatry, University of Illinois at Chicago, 1601 West Taylor St., M/C 912, Chicago, IL 60612 (e-mail: [email protected]).
Mary Ellen Copeland, Ph.D.
Dr. Copeland and Ms. Floyd are with the Copeland Center for Wellness and Recovery, Brattleboro, Vermont.
Carol Bailey Floyd
Dr. Copeland and Ms. Floyd are with the Copeland Center for Wellness and Recovery, Brattleboro, Vermont.
Jessica A. Jonikas, M.A. [email protected]
Dr. Cook, Ms. Jonikas, Ms. Hamilton, Dr. Razzano, Ms. Carter, and Mr. Grey are affiliated with the Department of Psychiatry, University of Illinois at Chicago, 1601 West Taylor St., M/C 912, Chicago, IL 60612 (e-mail: [email protected]).
Marie M. Hamilton, L.C.S.W., M.P.H. [email protected]
Dr. Cook, Ms. Jonikas, Ms. Hamilton, Dr. Razzano, Ms. Carter, and Mr. Grey are affiliated with the Department of Psychiatry, University of Illinois at Chicago, 1601 West Taylor St., M/C 912, Chicago, IL 60612 (e-mail: [email protected]).
Lisa Razzano, Ph.D., C.P.R.P. [email protected]
Dr. Cook, Ms. Jonikas, Ms. Hamilton, Dr. Razzano, Ms. Carter, and Mr. Grey are affiliated with the Department of Psychiatry, University of Illinois at Chicago, 1601 West Taylor St., M/C 912, Chicago, IL 60612 (e-mail: [email protected]).
Tina M. Carter, B.A. [email protected]
Dr. Cook, Ms. Jonikas, Ms. Hamilton, Dr. Razzano, Ms. Carter, and Mr. Grey are affiliated with the Department of Psychiatry, University of Illinois at Chicago, 1601 West Taylor St., M/C 912, Chicago, IL 60612 (e-mail: [email protected]).
Walter B. Hudson, B.S.Ed., C.P.S.
Mr. Hudson is with Resilience Advocacy and Associates, Inc., Wooster, Ohio.
Dennis D. Grey, B.A. [email protected]
Dr. Cook, Ms. Jonikas, Ms. Hamilton, Dr. Razzano, Ms. Carter, and Mr. Grey are affiliated with the Department of Psychiatry, University of Illinois at Chicago, 1601 West Taylor St., M/C 912, Chicago, IL 60612 (e-mail: [email protected]).
Sherry Boyd, B.A.
Ms. Boyd is retired from the Ohio Department of Mental Health, Columbus.

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