Table 1: Levels of integration of WRAP into daily life.

Level of integrationActivitiesExample

The concept and ideas
(i) WRAP training as an introduction to the concept of recovery.
(ii) Thinking about recovery in relation to own experience of mental illness and mental well-being.
(iii) Increased awareness of self and challenging stigma.
“I always vow never to go back up there (acute inpatient ward), but I end up being back there, and I think I actually have to try and take the control more into my own hands, and I think obviously WRAP is one way that I can take back that control, and.. so it is definitely something that I will get round to doing, because I'm determined that the only way I can feel better is.. with mental illness.. is definitely you really need to take the control because there is no.. there's no answers.” (Follow up interview)

The WRAP process itself
(i) Process of self-reflection and benefits of mutual support environment.
(ii) Mostly using the WRAP itself in the group meetings only.
(iii) Increased insight into own mental well-being, including identification of triggers and wellness strategies.
“I think that the only person can do it is yourself. I think it's got to be in.. from the inside out. I don’t see how it can be done from the outside in. D'you understand what I mean?” (Focus group)

Integrating WRAP into daily life
(i) Continuing to refer to WRAP and using it in daily activities.
(ii) Drawing on the learning of WRAP to self-monitor behaviour and thinking.
(iii) Using WRAP to guide changes in behaviour to promote well-being.
“I found it really useful for…like…like if I am…very stressed or whatever, I find it very good. Because when I refer to it, it sort of cheers me up because I think to myself oh well I don’t want to end up in hospital again. I want to keep myself well and I refer to it as like I have got to focus on everyday and get up in the morning, and listen to music, do things that make me feel good. So I look at it in a positive light.” (Follow up interview)

Fully integrated WRAP(i) Using WRAP regularly.
(ii) WRAP becoming integrated to a point where it feels it becomes an intuitive way of looking at your life.
(iii) Telling others about WRAP as a concept.
Sharing own WRAP with others.
“But for me, it's given me.. it's given me a better understanding of my own mental health and my mental health state. But no’ only that, it's given me confidence in myself, you know,.. you know, that I've gained throughout the group and the Support Workers. The.. there is light at the end o' the tunnel. But it's also given that same confidence to my family because they’ve had the benefit from the WRAP as well. It's not just me that’s, you know, that’s getting the benefit from it. My family's getting that as well because they can see the difference. It's like, you know, my eldest daughter said, “My dad's back”, and that’s how she explains it.” (Focus group)