Document Detail


The wellness planner: empowerment, quality of life, and continuity of care in mental illness.
MedLine Citation:
PMID:  21784286     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Coordination of mental health services has often been a challenge from the user's point of view. Resulting gaps in care can lead to increased use of crisis services, more frequent hospitalization, and impaired quality of life. This study examined an innovative approach to building an individual's self-care capacities by testing the use of a wellness intervention: an adaptation of a client-held medical record/crisis plan in booklet form. Fifty individuals using community mental health services were recruited. Using a pretest-posttest design, participants completed measures of empowerment, continuity of care, quality of life, and satisfaction with services at the start of and again following 3 months of using the booklet. The booklet, referred to as the Wellness Planner, included components that have been empirically demonstrated as effective, such as crisis planning, goal setting, and resource planning. For the 42 individuals who completed the study, statistically significant increases were seen in empowerment, continuity of care, and satisfaction with services after 3 months of using the Wellness Planner. Qualitative data further demonstrated positive acceptance of the booklet by the users. Findings of the study suggest that the use of such a booklet could not only have a positive impact on the recovery of individuals but could also have utility within the mental health system. Since the completion of this study, the Winnipeg Regional Health Authority has adopted the booklet for use within all its adult mental health programs. Future research will focus on the impact of the booklet on system-wide indicators such as service utilization and readmission rates.
Authors:
Shelley Marchinko; Diana Clarke
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Publication Detail:
Type:  Journal Article     Date:  2010-12-30
Journal Detail:
Title:  Archives of psychiatric nursing     Volume:  25     ISSN:  1532-8228     ISO Abbreviation:  Arch Psychiatr Nurs     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8708534     Medline TA:  Arch Psychiatr Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  284-93     Citation Subset:  IM; N    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
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