title: Effect of Wellness Recovery Action Plan (WRAP) participation on psychiatric symptoms, sense of hope, and recovery.
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
  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.
authors.affiliation: University of Kansas Center for Research Methods and Data Analysis and School of Social Welfare, KS, USA. fsadaaki@ku.edu
authors.forename: Sadaaki
authors.initials: S
authors.lastname: Fukui
authors.forename: Vincent R
authors.initials: VR
authors.lastname: Starnino
authors.forename: Mariscal
authors.initials: M
authors.lastname: Susana
authors.forename: Lori J
authors.initials: LJ
authors.lastname: Davidson
authors.forename: Karen
authors.initials: K
authors.lastname: Cook
authors.forename: Charles A
authors.initials: CA
authors.lastname: Rapp
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Gowdy
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D003155:Community Mental Health Centers / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D017063:Outcome Assessment, Health Care / Q000379:methods* / Q000706:statistics & numerical data; D010358:Patient Participation / Q000379:methods* / Q000523:psychology; D011209:Power, Psychological; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011615:Psychotherapy, Group / Q000379:methods* / Q000706:statistics & numerical data; D012648:Self Care / Q000379:methods* / Q000523:psychology; D011795:Surveys and Questionnaires