본문 바로가기
KERD
논문KCI 등재

정신장애인 동료지원 프로그램으로서의 웰니스 회복 행동 계획 (WRAP)이 회복에 미치는 효과

The Effects of Wellness Recovery Action Plan (WRAP) as a Peer Support Program on Recovery for People with Mental Illness

0

조회

0

다운로드

13

인용

0

참고문헌

키워드

주제분류사회복지학

초록

본 연구의 목적은 Mary Ellen Copeland를 중심으로 한 정신장애인 당사자에 의해개발되어 동료지원의 방법으로 활용되는 자기관리기법인 웰니스 회복 행동 계획(WRAP) 프로그램을 정신재활시설을 이용하는 정신장애인 대상으로 실시하고, WRAP이 정신장애인의 회복 정도에 미치는 효과를 검증하는 것이다. 이를 위해 유사실험설계를 통해 실험집단과 비교집단을 구성한 후 8회기 프로그램을 실시하였고, 회복평가척도(RAS)로 사전-사후 검사를 실시하였다. 프로그램의 효과를 검증하기 위하여 맨-휘트니(Mann-Whitney) 검증과 공변량분석(ANCOVA) 검증을 활용하여 분석한결과, WRAP 프로그램에 참여한 정신장애인 그룹이 그렇지 않은 그룹에 비해 회복 정도가 통계적으로 유의미하게 향상된 것으로 나타났다. 이러한 연구 결과를 바탕으로WRAP이 프로그램이 회복을 증진시키기 위한 프로그램의 하나로 활용될 수 있다는 가능성을 확인하고 이에 대한 실천적 제언을 하였다.

Abstract

The purpose of this study was to examine the effect of WRAP as a tool of peer support, on the recovery for people with mental illness. For this, quasi-experimental design was employed. The actual effects of WRAP program, which consists of eight sessions, were measured by Recovery Assessment Scale(RAS). To analyze the statistical differences between the test results of the experimental and comparison group, Mann-Whitney and ANCOVA were used. The results showed that the score of recovery in the experimental group increased significantly compared to those of the comparison group. Therefore, it shows that WRAP program is a useful peer support group for the recovery of people with mental illness.

참고문헌 (47)

  1. 김지영, "정신분열병 환자의 회복 경험 : '삶의 재구성' 과정", 박사, 간호과학, pp.2003
  2. 문수백, "학위논문 작성을 위한 연구방법의 실제" (2003), 학지사
  3. 송경옥, "사회복귀시설 프로그램을 활용한 정신장애인의 self-stigma 감소 효과에관한 사례연구", 한국정신보건사회복지학회, pp.103~119 (2010)
  4. 신성자, "사회복지실천론" (2017), 양성원
  5. 이근희, "동료지원활동에 참여한 정신장애인의 회복과정에 관한 근거이론 접근", 한국정신보건사회복지학회 학술발표논문집, pp.283~322 (2014)
  6. 이미경, "자조집단에 참여하는 정신장애인의 회복경험", 한국 정신보건사회복지학회 춘계학술대회자료집, pp.165~213 (2011)
  7. 임경민, "정신과 환자를 위한 한국판 회복평가척도(Recovery Assessment Scale)의 신뢰도 및 타당도 연구", 한국콘텐츠학회 논문지, 14(10), pp.628~638 (2014), 한국콘텐츠학회[DOI]
  8. 하경희, "정신장애인의 동료지지활동 경험에 관한 연구", 정신건강과 사회복지, 40(3), pp.175~201 (2012), 한국정신건강사회복지학회
  9. "정신장애인 12명, 대학병원 「동료지원가」로 취업 성공:한국장애인고용공단, 정신장애인을 위한 「동료지원가」직무개발" (2014), 한국장애인고용공단[URL]
  10. Anthony, W. A., "Recovery from Mental Illness: The Guiding Vision of the Mental Health Service System in the 1990s", Psychosocial Rehabilitation Journal, 16(4), pp.11~23 (1993)
  11. Campbell, J., "Emerging New Practices in Organized Peer Support", NTAC’s National Experts Meeting on Emerging New Practices in Organized Peer Support March, pp.17~18 (2003)
  12. Francesca D. Coniglio, "Peer Support Within Clubhouse: A Grounded Theory Study", Community Mental Health Journal, 48(2), pp.153~160 (2012), Springer Science and Business Media LLC[DOI]
  13. Judith A. Cook, "Developing the evidence base for peer-led services: Changes among participants following Wellness Recovery Action Planning (WRAP) education in two statewide initiatives.", Psychiatric Rehabilitation Journal, 34(2), pp.113~120 (2010), American Psychological Association (APA)[DOI]
  14. Judith A. Cook, "A Randomized Controlled Trial of Effects of Wellness Recovery Action Planning on Depression, Anxiety, and Recovery", Psychiatric Services, 63(6), pp.541~547 (2012), American Psychiatric Association Publishing[DOI]
  15. Cook, J. A., "Initial Outcomes of a Mental Illness Self-Management Program Based on Wellness Recovery Action Planning", Psychiatric Services, 60(2), pp.246~249 (2009)
  16. Cook, J. A., "Results of a Randomized Controlled Trial of Mental Illness Self-management Using Wellness Recovery Action Planning", Schizophrenia Bulletin, 38(4), pp.881~891 (2011)[DOI]
  17. Copeland, M. E., "Wellness Recovery Action Plan: A System for Monitoring, Reducing and Eliminating Uncomfortable Or Dangerous Physical Symptoms and Emotional Feelings" (2000), Peach Press
  18. Copeland, M. E., "Wellness Recovery Action Plan: A System for Monitoring, Reducing and Eliminating Uncomfortable Or Dangerous Physical Symptoms and Emotional Feelings", Occupational Therapy in Mental Health, 17(3–4), pp.127~150 (2002)[DOI]
  19. Copeland, M. E., "Wellness Recovery Action Plan and Peer Support: Personal, Group and Program Development" (2004), Peach Press
  20. Copeland, M. E., "Facilitator Training Manual; Mental Health Recovery including WRAP Curriculum" (2012), Peach Press
  21. P. W. Corrigan, "Examining the Factor Structure of the Recovery Assessment Scale", Schizophrenia Bulletin, 30(4), pp.1035~1041 (2004), Oxford University Press (OUP)[DOI]
  22. Patrick W. Corrigan, "Some Recovery Processes in Mutual-Help Groups for Persons with Mental Illness; II: Qualitative Analysis of Participant Interviews", Community Mental Health Journal, 41(6), pp.721~735 (2005), Springer Science and Business Media LLC[DOI]
  23. Davidson, L., "Peer Support among Individuals with Severe Mental Illness : A Review of the Evidence", Clinical Psychology : Science and Practice, 6(2), pp.165~187 (1999)[DOI]
  24. Deegan, P. E., "Recovery : The Lived Experience of Rehabilitation", Psychosocial Rehabilitation Journal, 11(4), pp.11~19 (1998)
  25. Carolyn Doughty, "The Wellness Recovery Action Plan (WRAP): Workshop Evaluation", Australasian Psychiatry, 16(6), pp.450~456 (2008), SAGE Publications[DOI]
  26. Audrey J. Gartner, "Self-Help and Mental Health", Psychiatric Services, 33(8), pp.631~635 (1982), American Psychiatric Association Publishing[DOI]
  27. Construction of a Scale to Measure Consumer Recovery, "Giffort, D.", Illinois Office of Mental Health, ~ (1995)
  28. Higgins, A., "Evaluation of Mental Health Recovery and WRAP Education Programme", Irish Mental Health & Recovery Education Consortium (2010)
  29. Jacobs, E. E., "Group Counseling: Strategies and Skills" (2005), Cengage Learning
  30. Nora Jacobson, "What Is Recovery? A Conceptual Model and Explication", Psychiatric Services, 52(4), pp.482~485 (2001), American Psychiatric Association Publishing[DOI]
  31. Mead, S., "What Recovery Means to Us : Consumers'Perspectives", Community Mental Health Journal, 36(3), pp.315~328 (2000)
  32. Galia S. Moran, "Benefits and Mechanisms of Recovery Among Peer Providers With Psychiatric Illnesses", Qualitative Health Research, 22(3), pp.304~319 (2012), SAGE Publications[DOI]
  33. Mowbray, C. T., "Consumers as Community Support Providers:Issues Created by Role Innovation", Community Mental Health Journal, 32(1), pp.47~67 (1996)
  34. Moxley, D. P., "Consumers as Providers in Psychiatric Rehabilitation", pp.2~34 (1997)
  35. Nikkel, R. E., "A Consumer Operated Case Management Project", Hospital and Community Psychiatry, 43(6), pp.577~579 (1992)[DOI]
  36. Paulson, R. I., "Professional Training for Consumers and Family Members : One Road to Empowerment", Psychosocial Rehabilitation Journal, 14(3), pp.69~80 (1991)
  37. Pratt, C. W., "정신재활" (2013), 양성원
  38. Rebekah Pratt, "Wellness Recovery Action Planning (WRAP) in self-help and mutual support groups.", Psychiatric Rehabilitation Journal, 35(5), pp.403~405 (2012), American Psychological Association (APA)[DOI]
  39. Johnmarshall Reeve, "Testing models of the experience of self-determination in intrinsic motivation and the conundrum of choice.", Journal of Educational Psychology, 95(2), pp.375~392 (2003), American Psychological Association (APA)[DOI]
  40. Mark S. Salzer, "Identifying consumer-provider benefits in evaluations of consumer-delivered services.", Psychiatric Rehabilitation Journal, 25(3), pp.281~288 (2002), American Psychological Association (APA)[DOI]
  41. Spaniol, L., "The Process of Recovery from Schizophrenia", International Review of Psychiatry, 14(4), pp.327~336 (2002)[DOI]
  42. Vincent R. Starnino, "Outcomes of an illness self-management group using Wellness Recovery Action Planning.", Psychiatric Rehabilitation Journal, 34(1), pp.57~60 (2010), American Psychological Association (APA)[DOI]
  43. "Support Groups: A Powerful Wellness Tool" (2018)[URL]
  44. "Wellness Toolbox"[URL]
  45. Philip T. Yanos, "Consumer-Run Service Participation, Recovery of Social Functioning, and the Mediating Role of Psychological Factors", Psychiatric Services, 52(4), pp.493~500 (2001), American Psychiatric Association Publishing[DOI]
  46. Sharon L. Young, "Exploring recovery from the perspective of people with psychiatric disabilities.", Psychiatric Rehabilitation Journal, 22(3), pp.219~231 (1999), American Psychological Association (APA)[DOI]
  47. Wenli Zhang, "The Wellness Recovery Action Plan (WRAP): Effectiveness with Chinese consumers", Aotearoa New Zealand Social Work, 21(4), pp.94~ (2010), University of Otago Library[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (9건)