Abstract
A fundamental aspect of successful illness self-management for people with serious mental illnesses is the ability to advocate
for themselves in health and rehabilitation settings. This study reports findings from a randomized controlled trial comparing
propensity for patient self-advocacy among those who received a peer-led mental illness self-management intervention called
Wellness Recovery Action Planning (WRAP) and those who received usual care. Outcomes were self-reported engagement in self-advocacy
with service providers, and the relationship between patient self-advocacy and other key recovery outcomes. In a multivariable
analysis, at immediate post-intervention and 6-month follow-up, WRAP participants were significantly more likely than controls
to report engaging in self-advocacy with their service providers. Higher self-advocacy also was associated with greater hopefulness,
better environmental quality of life, and fewer psychiatric symptoms among the intervention group. These findings provide
additional support for the positive impact of peer-led illness self-management on mental health recovery.
for themselves in health and rehabilitation settings. This study reports findings from a randomized controlled trial comparing
propensity for patient self-advocacy among those who received a peer-led mental illness self-management intervention called
Wellness Recovery Action Planning (WRAP) and those who received usual care. Outcomes were self-reported engagement in self-advocacy
with service providers, and the relationship between patient self-advocacy and other key recovery outcomes. In a multivariable
analysis, at immediate post-intervention and 6-month follow-up, WRAP participants were significantly more likely than controls
to report engaging in self-advocacy with their service providers. Higher self-advocacy also was associated with greater hopefulness,
better environmental quality of life, and fewer psychiatric symptoms among the intervention group. These findings provide
additional support for the positive impact of peer-led illness self-management on mental health recovery.
- Content Type Journal Article
- Category Original Paper
- Pages 1-10
- DOI 10.1007/s10597-011-9475-9
- Authors
- Jessica A. Jonikas, Department of Psychiatry, University of Illinois at Chicago, 1601 West Taylor Street, 4th Floor, M/C 912, Chicago, IL 60612, USA
- Dennis D. Grey, Department of Psychiatry, University of Illinois at Chicago, 1601 West Taylor Street, 4th Floor, M/C 912, Chicago, IL 60612, USA
- Mary Ellen Copeland, Copeland Center for Wellness and Recovery, PO Box 6471, Brattleboro, VT 05302, USA
- Lisa A. Razzano, Department of Psychiatry, University of Illinois at Chicago, 1601 West Taylor Street, 4th Floor, M/C 912, Chicago, IL 60612, USA
- Marie M. Hamilton, Department of Psychiatry, University of Illinois at Chicago, 1601 West Taylor Street, 4th Floor, M/C 912, Chicago, IL 60612, USA
- Carol Bailey Floyd, Copeland Center for Wellness and Recovery, PO Box 6471, Brattleboro, VT 05302, USA
- Walter B. Hudson, Copeland Center for Wellness and Recovery, PO Box 6471, Brattleboro, VT 05302, USA
- Judith A. Cook, Department of Psychiatry, University of Illinois at Chicago, 1601 West Taylor Street, 4th Floor, M/C 912, Chicago, IL 60612, USA
- Journal Community Mental Health Journal
- Online ISSN 1573-2789
- Print ISSN 0010-3853