Community Mental Health Journal

, Volume 49, Issue 3, pp 260–269 | Cite as

Improving Propensity for Patient Self-Advocacy Through Wellness Recovery Action Planning: Results of a Randomized Controlled Trial

  • Jessica A. JonikasEmail author
  • Dennis D. Grey
  • Mary Ellen Copeland
  • Lisa A. Razzano
  • Marie M. Hamilton
  • Carol Bailey Floyd
  • Walter B. Hudson
  • Judith A. Cook
Original Paper


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.


Mental illness self-management Patient self-advocacy Mental health recovery outcomes 



This work was supported by the US Department of Education, National Institute on Disability and Rehabilitation Research; and the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services (Cooperative Agreement #s: H133B050003, H133B100028). The views expressed do not reflect the policy or position of any Federal agency. The authors gratefully acknowledge the contribution of the WRAP instructors from the six Ohio study sites who gave so willingly of their time and expertise, as well as the Ohio Department of Mental Health and the Ohio county service boards who helped make this research possible, and the UIC Survey Research Laboratory.


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Jessica A. Jonikas
    • 1
    Email author
  • Dennis D. Grey
    • 1
  • Mary Ellen Copeland
    • 2
  • Lisa A. Razzano
    • 1
  • Marie M. Hamilton
    • 1
  • Carol Bailey Floyd
    • 2
  • Walter B. Hudson
    • 2
  • Judith A. Cook
    • 1
  1. 1.Department of PsychiatryUniversity of Illinois at ChicagoChicagoUSA
  2. 2.Copeland Center for Wellness and RecoveryBrattleboroUSA

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