Skip to main content

Advertisement

Log in

Integrating Wellness, Recovery, and Self-management for Mental Health Consumers

  • Original Paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

Three distinct, yet interrelated, terms—wellness, recovery, and self-management—have received increasing attention in the research, consumer, and provider communities. This article traces the origins of these terms, seeking to understand how they apply, individually and in conjunction with one another to mental health consumers. Each shares a common perspective that is health-centered rather than disease-centered and that emphasizes the role of consumers as opposed to professional providers as the central determinants of health and well-being. Developing approaches combining elements of each construct may hold promise for improving the overall health and well-being of persons with serious mental disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Alfred Workforce Development Team. (2005). Self-management: Evidence and theoretical components. Diabetes Prevention and Management Initiative (Module 4.2). Retrieved September 15, 2008, from the DHC Public Health Web site: http://www.health.vic.gov.au/diabetes/downloads/42self_management.ppt#1.

  • Adler, R. C. (2007). Wellness can be achieved through understanding and addressing elements of metabolic syndrome. The Journal of Alternative & Complementary Medicine, 13(1), 11–12.

    Article  Google Scholar 

  • Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990’s. Psychosocial Rehabilitation Journal, 16(4), 11–23.

    Google Scholar 

  • Ardell, D. B. (1985). The history and future of wellness. Health Values, 9(6), 37–56.

    CAS  PubMed  Google Scholar 

  • Armstrong, M. (2005). Vet-to-Vet peer support. Retrieved October 1, 2008, from Veteran’s Recovery Web site: http://www.veteranrecovery.org/peer_support/index.htm.

  • Brown, S. J. (1999). Making wellness medicine work. Family Practice Management, 6(4), 26–32.

    Google Scholar 

  • Buffington, E. (2003). Wellness recovery action plan: WRAP evaluation, State of Minnesota. Minneapolis, MN: Mental Health Consumer/Survivor Network of Minnesota.

    Google Scholar 

  • Castelein, S., Bruggerman, R., van Bussechback, J. T., van der Gagg, M., Stant, A. D., Knegering, H., et al. (2008). The effectiveness of peer support groups in psychosis: A randomized controlled trial. Acta Psychiatrica Scandinavica, 118(1), 64–72.

    Article  CAS  PubMed  Google Scholar 

  • Chodosh, J., Morton, S., Mojica, W., Maglione, M., Suttorp, M., Hilton, L., et al. (2005). Meta-analysis of chronic disease self-management programs for older adults. Annals of Internal Medicine, 143(6), 427–438.

    PubMed  Google Scholar 

  • Copeland, M. E. (1997). Wellness recovery action plan. Dummerston, VT: Peach Press.

    Google Scholar 

  • Copeland, M. E. (2005). Community links: Pathways to reconnection and recovery program implementation manual. Waterbury, CT: Vermont State Department of Mental Health and Mental Retardation.

    Google Scholar 

  • Davidson, L., Harding, C., & Spaniol, L. (Eds.). (2005). Recovery from severe mental illness: Research, evidence and implications for practice. Boston: Center for Psychiatric Rehabilitation, Boston University.

    Google Scholar 

  • Davidson, L., O’Connell, M., Tondora, J., Styron, T., & Kangas, K. (2006). The top ten concerns about recovery encountered in mental health system transformation. Psychiatric Services, 57(5), 640–645.

    Article  PubMed  Google Scholar 

  • Davies, N. E. (1979). Holistic health care, high-level wellness and the abolition of disease. Southern Medical Journal, 72(11), 1357.

    CAS  PubMed  Google Scholar 

  • Dunn, H. (1961). High level wellness. Washington, DC: Mt. Vernon.

    Google Scholar 

  • Engel, G. (1977). The need for a new medical model. Science, 196, 129–136.

    Article  CAS  PubMed  Google Scholar 

  • Foss, L. (1989). The challenge of biomedicine. Journal of Medicine and Philosophy, 14, 165–191.

    CAS  PubMed  Google Scholar 

  • Frese, F., Stanley, J., Kress, K., & Vogel-Scibilia, S. (2001). Integrating evidence-based practices and the recovery model. Psychiatric Services, 52, 1462–1468.

    Article  PubMed  Google Scholar 

  • Goldstrom, I. D., Campbell, J., Rogers, J. A., Lambert, D. B., Blacklaw, B., Henderson, M. J., et al. (2006). National estimates for mental health mutual support groups, self-help organization, and consumer operative services. Administration and Policy in Mental Health and Mental Health Services, 33(1), 92–103.

    Article  Google Scholar 

  • Gordon, E. J., Prohaska, T., Siminoff, L. A., Minich, P. J., & Sehgal, A. R. (2006). Can focusing on self-care reduce disparities in kidney transplant. American Journal of Kidney Disease, 45(5), 935–940.

    Article  Google Scholar 

  • Green, K. (1985). Health promotion: Its terminology, concepts, and modes of practice. Health Values, 9(3), 8–14.

    CAS  PubMed  Google Scholar 

  • Harding, C. M., Brooks, G. W., Ashikaga, T., Strauss, J. S., & Breier, A. (1987). The Vermont longitudinal study of persons with severe mental illness. American Journal of Psychiatry, 144(6), 727–735.

    CAS  PubMed  Google Scholar 

  • Hoeger, W. W. R. (1989). Lifetime physical fitness and wellness. Englewood, CO: Morton.

    Google Scholar 

  • Holman, H., & Lorig, K. (2004). Patient self-management: A key to effectiveness and efficiency in care of chronic diseases. Public Health Reports, 119, 239–243.

    Article  PubMed  Google Scholar 

  • Humphreys, K., Moos, R. H., & Finney, J. W. (1995). Two pathways out of drinking problems without professional treatment. Addictive Behavior, 20, 427–441.

    Article  CAS  Google Scholar 

  • Jones, F. (2006). Strategies to enhance chronic disease self-management: How can we apply this to stroke. Disability and Rehabilitation, 28(13–14), 841–847.

    PubMed  Google Scholar 

  • Kickbusch, I., & Payne, L. (2003). Twenty-first century health promotion: The public health revolution meets and wellness revolution. Health Promotion International, 18(4), 275–278.

    Article  PubMed  Google Scholar 

  • Lorig, K. (2001). Chronic disease self management leader’s manual. Palo Alto, CA: Stanford University Press.

    Google Scholar 

  • Lorig, K., & Holman, H. R. (2003). Self management: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26(1), 1–7.

    Article  PubMed  Google Scholar 

  • Lorig, K., Holman, H., Sobel, D., Laurent, D., Gonzalex, V., & Minor, M. (1994). Living a healthy life with chronic conditions. Palo Alto, CA: Bull Publishing Company.

    Google Scholar 

  • Mackey, S. (2000). Towards a definition of wellness. The Australian Journal of Holistic Nursing, 7(2), 34–38.

    CAS  PubMed  Google Scholar 

  • Magura, S., Cleland, C., Vogel, H., Knight, E., & Laudet, A. (2007). Effects of ‘duel focus’ mutual aid on self-efficacy for recovery and quality of life. Administrative Policy for Mental Health and Mental Services Research, 34, 1–12.

    Article  Google Scholar 

  • McGillivray, D. (2005). Fitter, happier, more productive: Governing working bodies through wellness. Culture and Organization, 11(2), 125–138.

    Article  Google Scholar 

  • McGinnis, J. M., Williams-Russo, P., & Knickman, J. R. (2002). The case for more active policy attention to health promotion. Health Affairs, 21(2), 78–93.

    Article  PubMed  Google Scholar 

  • Mental Health America. (2007). Mental health America 2007 annual meeting: Bringing Wellness Home. Washington, DC, June 6–9.

  • National Alliance on Mental Illness. (2005). Peer-to-peer: NAMI’s recovery curriculum. Retrieved October 1, 2008, from National Alliance on Mental Illness (NAMI) Web site: http://nami.org/template.cfm?section=Peer-to-Peer.

  • National Alliance on Mental Illness. (2008). Schizophrenia: Public attitudes, personal needs. Retrieved April 1, 2009, from National Alliance on Mental Illness (NAMI) Web site: http://www.nami.org/sstemplate.cfm?section=SchizophreniaSurvey.

  • Nelson, G., Ochocka, J., Janzen, R., & Trainor, J. (2006). A longitudinal study of mental health consumers/survivor initiatives: Part 2–A qualitative study of impacts of participation on new members. Journal of Community Psychology, 34(3), 261–272.

    Article  Google Scholar 

  • Newbould, J. (2006). Lay-led self-management in chronic illness: A review of the evidence. Chronic Illness, 2(4), 249–261.

    PubMed  Google Scholar 

  • Parks, J., Svendsen, D., Singer, P., & Foti, M. E. (2006). Morbidity and mortality in people with serious mental illness. Alexandria, VA: National Association of State Mental Health Program Directors, Medical Directors Council.

    Google Scholar 

  • Pelletier, J., Nguyen, M., Bradley, K., Johnson, M., & McKay, C. (2005). A study of a structured exercise program with members of an ICCD certified clubhouse: Program designs, benefits, and implications for feasibility. Psychiatric Rehabilitation Journal, 29(2), 89–96.

    Article  PubMed  Google Scholar 

  • Ralph, R., & Corrigan, P. (Eds.). (2005). Recovery in mental illness: Broadening our understanding of wellness. Washington, DC: American Psychological Association.

    Google Scholar 

  • Rodgers, M. L., Norell, D. M., Roll, J. M., & Dyck, D. G. (2007). An overview of mental health recovery. Primary Psychiatry, 14(12), 76–85.

    Google Scholar 

  • Saylor, C. (2004). The circle of health: A health definition model. Journal of Holistic Nursing, 22(2), 97–115.

    Article  PubMed  Google Scholar 

  • Schauer, C., Everett, A., & del Vecchio, P. (2007). Promoting the value and practice of shared decision-making in mental health care. Psychiatric Rehabilitation Journal, 31(1), 54–61.

    Article  PubMed  Google Scholar 

  • Schuster, T. L., Dobson, M., Jauregui, M., & Blanks, R. H. (2004). Wellness lifestyles II: Modeling the dynamic of wellness, health lifestyle practices, and network spinal analysis. Journal of Alternative and Complementary Medicine, 10(2), 357–367.

    Article  Google Scholar 

  • Sullivan, W. P. (1997). A long and winding road: The process of recovery from severe mental illness. In L. Spaniol, C. Gagne, & M. Koehler (Eds.), Psychological and social aspects of psychiatric disability (pp. 14–24). Boston: Center for Psychiatric Rehabilitation.

    Google Scholar 

  • Tennessee Department of Mental Health and Developmental Disabilities. (1995). Building recovery of individual dreams and goals through education and support. Retrieved October 1, 2008 from Tennessee Department of Mental Health and Developmental Disabilities Web site: http://www.tennessee.gov/mental/recovery/Bridges.html.

  • Theriot, N. M. (2001). Negotiating illness: Doctors, patients, and families in the 19th century. Journal of the History of Behavioral Sciences, 37(4), 349–368.

    Article  CAS  Google Scholar 

  • U.S. Department of Health, Human Services. (1999). Mental health: A report of the surgeon general—executive summary. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.

    Google Scholar 

  • Velente, T. W., Okamoto, J., Pumpaung, P., Okamoto, P., & Sussman, S. (2007). Differences in perceived implementation of a standard versus peer-led interactive substance abuse prevention program. American Journal of Health Behavior, 31(3), 297–311.

    Google Scholar 

  • White, W., Boyle, M., & Loveland, D. (2003). Alcoholism/addiction as a chronic disease: From rhetoric to clinical application. Alcoholism Treatment Quarterly, 20(3/4), 107–130.

    Google Scholar 

  • World Health Organization. (2007a). The world health report 2007—a safer future: Global public health security in the 21st century. Retrieved December 1, 2007, from the World Health Organization Web site: http://www.who.int/whr/2007/en/index.html.

  • World Health Organization. (2007b). Mental health: Strengthening mental health promotion. Fact Sheet No. 220. Retrieved December 1, 2007, from the World Health Organization Web site: http://www.who.int/mediacentre/factsheets/fs220/en/.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Evelina W. Sterling.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sterling, E.W., von Esenwein, S.A., Tucker, S. et al. Integrating Wellness, Recovery, and Self-management for Mental Health Consumers. Community Ment Health J 46, 130–138 (2010). https://doi.org/10.1007/s10597-009-9276-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-009-9276-6

Keywords

Navigation