Impact of Wellness Recovery Action Planning on service utilization and need in a randomized controlled trial.

Cook, Judith Α.; Jonikas, Jessica A.; Hamilton, Marie M.; Goldrick, Virginia; Steigman, Pamela J.; Grey, Dennis D.; Burke, Larisa A.; Carter, Tina M.; Razzano, Lisa A.; Copeland, Mary Ellen

doi:10.1037/prj0000028

Cited by 37 publications

(32 citation statements)

References 42 publications

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“…WRAP's efficacy (25)(26)(27)(28)(29)(30)(31)(32)(33)(34) is supported by numerous nonexperimental studies (25,26,31,33), one quasi-experimental study (32), and two RCTs (27)(28)(29)(30). Both RCTs recruited relatively large samples (519 and 143 participants) with good retention rates, utilized blind assessors to administer standardized instruments of recovery outcomes, and delivered the intervention comparably to similar populations.…”

Section: Empirical Evidencementioning

confidence: 95%

“…Although the use of blind assessors reduces the potential for bias, the creator of WRAP was a coauthor in articles reporting results of both RCTs, an indicator of decreased evidential strength (18). Furthermore, the RCT that included an active control group of nutrition education revealed improvements in both conditions but no statistically significant differences between groups in symptom severity and perceived recovery (30). The remaining RCT demonstrated relatively modest changes in outcomes (28,29).…”

Section: Empirical Evidencementioning

confidence: 95%

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Reviewing Illness Self-Management Programs: A Selection Guide for Consumers, Practitioners, and Administrators

Petros¹,

Solomon²

2015

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Illness self-management (ISM) programs for adults with serious mental illness offer strategies to increase self-directed recovery activities to maximize wellness and increase independence from the service delivery system. This article describes five of the most popular ISM programs: Pathways to Recovery, The Recovery Workbook, Building Recovery of Individual Dreams and Goals through Education and Support, Wellness and Recovery Action Planning, and Illness Management and Recovery. It provides guidance for administrators, practitioners, and consumers for the purposes of selecting the program or programs providing the best fit. The framework for describing the five programs encompasses four contextual domains that supplement empirical evidence for a more comprehensive evaluation: structure, value orientation toward recovery, methods of teaching, and educational content. Contextual domains distinguish programs from one another, including length and time commitment, requisite resources, inclusion of group support, utilization of medical language and pathology, degree of traditional didactic education, and prioritization of consumer-driven self-exploration. The authors also searched PsycINFO, Google Scholar, and Cochrane Reviews for empirical evidence and evaluated the five programs on the strength of the evidence and the effectiveness of the intervention. Evidence of program effectiveness was found to range from low to moderate. However, empirical evidence alone is insufficient for selecting among the five programs, and contextual domains may offer the most relevant guidance by matching program features with goals of consumers, practitioners, and administrators.

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Section: Empirical Evidencementioning

confidence: 95%

Section: Empirical Evidencementioning

confidence: 95%

Reviewing Illness Self-Management Programs: A Selection Guide for Consumers, Practitioners, and Administrators

Petros¹,

Solomon²

2015

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“…Results of the recent REFOCUS trial suggested that delivering training based on the CHIME model to promote recovery-oriented practice in services may have a relatively limited impact on measures of personal recovery (13). On the other hand, positive outcomes for measures of recovery have been found for a number of self-management programs, which include materials on recovery (14–16). Notably, these programs tend to incorporate a strong perspective of learning from shared lived experience, with trialed interventions typically featuring peer co-facilitation and group format delivery, encouraging peer contact and peer-to-peer discussion.…”

Section: Introductionmentioning

confidence: 99%

Promoting Personal Recovery in People with Persisting Psychotic Disorders: Development and Pilot Study of a Novel Digital Intervention

et al. 2016

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BackgroundFor people with persisting psychotic disorders, personal recovery has become an important target of mental health services worldwide. Strongly influenced by mental health service consumer perspectives, personal recovery refers to being able to live a satisfying and contributing life irrespective of ongoing symptoms and disability. Contact with peers with shared lived experience is often cited as facilitative of recovery. We aimed to develop and pilot a novel recovery-based digitally supported intervention for people with a psychotic illness.MethodsWe developed a website to be used on a tablet computer by mental health workers to structure therapeutic discussions about personal recovery. Central to the site was a series of video interviews of people with lived experience of psychosis discussing how they had navigated issues within their own recovery based on the Connectedness–Hope–Identity–Meaning–Empowerment model of recovery. We examined the feasibility and acceptability of an 8-session low intensity intervention using this site in 10 participants with persisting psychotic disorders and conducted a proof-of-concept analysis of outcomes.ResultsAll 10 participants completed the full course of sessions, and it was possible to integrate use of the website into nearly all sessions. Participant feedback confirmed that use of the website was a feasible and acceptable way of working. All participants stated that they would recommend the intervention to others. Post-intervention, personal recovery measured by the Questionnaire for the Process of Recovery had improved by an average standardized effect of d = 0.46, 95% CI [0.07, 0.84], and 8 of the 10 participants reported that their mental health had improved since taking part in the intervention.ConclusionIn-session use of digital resources featuring peer accounts of recovery is feasible and acceptable and shows promising outcomes. A randomized controlled trial is the next step in evaluating the efficacy of this low intensity intervention when delivered in conjunction with routine mental health care.

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“…The approach is person-centered, values-based and is also increasingly reflected in the broader domain of chronic care research and practice [27]. Recovery-oriented interventions recommended in the 2014 NICE guidelines for psychosis as described by van der Krieke et al [28] include Individual Wellness Recovery Action Planning (WRAP) [29], Illness management and recovery (IMR) [30] and Individual Placement Support (IPS) [31]. However, the complex, multiple and interacting components of such interventions are challenging to implement [32–35], especially compared with pharmacological interventions, despite the latter’s higher risk of adverse events [28].…”

Section: Introductionmentioning

confidence: 99%

Transitions from biomedical to recovery-oriented practices in mental health: a scoping review to explore the role of Internet-based interventions

Strand

Gammon

Ruland

2017

BMC Health Serv Res

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BackgroundThe Internet is transforming mental health care services by increasing access to, and potentially improving the quality of, care. Internet-based interventions in mental health can potentially play a role in transitions from biomedical to recovery-oriented research and practices, but an overview of what this may entail, current work, and issues that need addressing, is lacking. The objective of this study is to describe Internet-based recovery-oriented interventions (referred to as e-recovery) and current research, and to identify gaps and issues relevant to advancing recovery research and practices through opportunities provided by the Internet.MethodsFive iterative stages of a scoping review framework were followed in searching and analyzing the literature. A recovery framework with four domains and 16 themes was used to deductively code intervention characteristics according to their support for recovery-oriented practices. Only Internet-based interventions used in conjunction with ongoing care were included.ResultsTwenty studies describing six e-recovery interventions were identified and originated in Australia, Finland, the Netherlands, Norway and USA. The domain supporting personal recovery was most clearly reflected in interventions, whereas the last three domains, i.e., promoting citizenship, organizational commitment and working relationship were less evident. Support for the formulation and follow-up of personal goals and preferences, and in accessing peer-support, were the characteristics shared by most interventions. Three of the six studies that employed a comparison group used randomization, and none presented definitive findings. None used recovery-oriented frameworks or specific recovery outcome measures. Four of the interventions were specific to a diagnosis.ConclusionResearch about how technologies might aid in illuminating and shaping recovery processes is in its formative stages. We recommend that future e-recovery research and innovation attend to four dimensions: evidence-supported interventions, new knowledge about personal recovery, values-based approaches and Internet as a facilitator for organizational transformation. The incremental changes facilitated by e-recovery may help propel a shift in mental health care toward recovery-oriented practices.

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Impact of Wellness Recovery Action Planning on service utilization and need in a randomized controlled trial.

Abstract: Training in mental illness self-management reduced the self-reported need for and use of formal mental health services over time. This confirms the importance of WRAP in an era of dwindling behavioral health service availability and access.

Cited by 37 publications

References 42 publications

Reviewing Illness Self-Management Programs: A Selection Guide for Consumers, Practitioners, and Administrators

Reviewing Illness Self-Management Programs: A Selection Guide for Consumers, Practitioners, and Administrators

Promoting Personal Recovery in People with Persisting Psychotic Disorders: Development and Pilot Study of a Novel Digital Intervention

Transitions from biomedical to recovery-oriented practices in mental health: a scoping review to explore the role of Internet-based interventions

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