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A Hybrid Effectiveness-implementation Trial of Wellness Self-management Program for Patients with Severe Mental Illness in an Italian Day Hospital Setting

Published online by Cambridge University Press:  23 March 2020

D. Palumbo ,
S. Landi ,
P. Margolies ,
A.-J. Salerno ,
A. Cleek ,
E. Castaldo  and
A. Mucci
D. Palumbo
Affiliation:
University of Naples SUN, Department of Psychiatry, Naples, Italy
S. Landi
Affiliation:
University of Naples SUN, Department of Psychiatry, Naples, Italy
P. Margolies
Affiliation:
Columbia University and New York State Psychiatric Insitute, Department of Psychiatry, New York City, USA
A.-J. Salerno
Affiliation:
Institute for Poverty Policy and Research NYU Silver School of Social Work, Department of Psychiatry, New York City, USA
A. Cleek
Affiliation:
McSilver Institute for Poverty Policy and Research NYU Silver School of Social Work, Department of Psychiatry, New York City, USA
E. Castaldo
Affiliation:
University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Department of Psychiatry, Salerno, Italy
A. Mucci
Affiliation:
University of Naples SUN, Department of Psychiatry, Naples, Italy

Abstract

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Introduction

Wellness self-management is an adaptation and expansion of the illness management and recovery, an internationally recognized best practice. WSM is a recovery-oriented, curriculum-based practice designed to help adults with severe mental health problems make decisions and take action to manage symptoms and improve their quality of life.

Objectives

In the present study, the Italian translation of the WSM was implemented and validated. Moreover, the impact of its application in a day hospital setting on cognitive functions, psychopathology, personal resources and real-life functioning with respect to treatment as usual (TAU) was investigated.

Aims

The study was aimed at assessing the effectiveness of a semi-structured version of WSM in a day hospital setting in patients with severe mental illness.

Methods

Fourteen patients with a diagnosis of severe mental illness were recruited and randomly assigned to either WSM or TAU. WSM participants attended four 2-hour sessions per week for 1 month, including lessons selected on the basis of the goals of participants. Both groups received weekly planned treatment in the day-hospital setting and continued their pharmacotherapy.

Results

The two groups of patients were comparable for age, education, cognitive functioning and psychopathological severity. WSM produced a significantly greater improvement in neurocognition, psychopathology, personal resources and real-life functioning with respect to TAU.

Conclusions

Our results offer promising preliminary evidence that the use of WSM provides an effective complement to current mental health treatment.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
Oral communications: Genetics & molecular neurobiology; neuroimaging; psychosurgery & stimulation methods (ECT, TMS, VNS, DBS) and others
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S96
Copyright
Copyright © European Psychiatric Association 2017
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