Evaluation of the Texas Wellness Incentives and Navigation (WIN) Project
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 21 - 55 |
| Updated: | 10/5/2017 |
| Start Date: | June 2012 |
| End Date: | December 2016 |
The Wellness Incentives and Navigation (WIN) project is designed to help improve health
self-management and reduce the incidence and consequences of chronic disease among
non-elderly adult Medicaid Supplemental Security Income (SSI) beneficiaries. WIN targets SSI
beneficiaries with behavioral health (mental health and substance abuse) diagnoses. Research
demonstrates that these individuals are more likely to suffer chronic physical
co-morbidities, experience debilitating chronic illnesses earlier in life and have elevated
healthcare costs.
WIN uses person-centered wellness planning and navigation facilitated by trained,
professional health Navigators, dedicated specifically to the WIN project, who use
Motivational Interviewing (MI) techniques, and a personal wellness account. Participants with
more serious mental illnesses will be offered additional support in the form of Wellness
Recovery Action Planning (WRAP) to enable them to take full advantage of person-centered
wellness planning.
self-management and reduce the incidence and consequences of chronic disease among
non-elderly adult Medicaid Supplemental Security Income (SSI) beneficiaries. WIN targets SSI
beneficiaries with behavioral health (mental health and substance abuse) diagnoses. Research
demonstrates that these individuals are more likely to suffer chronic physical
co-morbidities, experience debilitating chronic illnesses earlier in life and have elevated
healthcare costs.
WIN uses person-centered wellness planning and navigation facilitated by trained,
professional health Navigators, dedicated specifically to the WIN project, who use
Motivational Interviewing (MI) techniques, and a personal wellness account. Participants with
more serious mental illnesses will be offered additional support in the form of Wellness
Recovery Action Planning (WRAP) to enable them to take full advantage of person-centered
wellness planning.
The Texas based Wellness Incentives and Navigation (WIN) project uses a continuum of
evidence-based "whole person" interventions that take into account clinical, environmental,
and social risk factors and co-morbidities. Unlike more traditional didactic approaches to
health management, WIN addresses individual behavioral, social, and economic barriers to
health and wellness, and promotes continued engagement in achieving, internalizing, and
maintaining healthy behaviors.
The study is focused on non-dual eligible adult STAR+PLUS (a Texas Medicaid managed care
program for people with chronic illnesses) members (ages 21-55) with a behavioral health
disorder including serious mental illness (SMI - e.g., schizophrenia, bipolar disorder or
major depressive disorder) or other behavioral health conditions (e.g., anxiety disorder or
substance abuse). Key features of the program include the use of professional health
navigators, working in collaboration with the three STAR+PLUS plans in the Harris Service
Area (SA) (United-Evercare, Amerigroup, and Molina), the use of motivational interviewing
(MI) techniques to help members develop and meet personal wellness goals, and a flexible
wellness account for the participant to use in meeting his/her goals.
evidence-based "whole person" interventions that take into account clinical, environmental,
and social risk factors and co-morbidities. Unlike more traditional didactic approaches to
health management, WIN addresses individual behavioral, social, and economic barriers to
health and wellness, and promotes continued engagement in achieving, internalizing, and
maintaining healthy behaviors.
The study is focused on non-dual eligible adult STAR+PLUS (a Texas Medicaid managed care
program for people with chronic illnesses) members (ages 21-55) with a behavioral health
disorder including serious mental illness (SMI - e.g., schizophrenia, bipolar disorder or
major depressive disorder) or other behavioral health conditions (e.g., anxiety disorder or
substance abuse). Key features of the program include the use of professional health
navigators, working in collaboration with the three STAR+PLUS plans in the Harris Service
Area (SA) (United-Evercare, Amerigroup, and Molina), the use of motivational interviewing
(MI) techniques to help members develop and meet personal wellness goals, and a flexible
wellness account for the participant to use in meeting his/her goals.
Inclusion Criteria:
- Be a resident of the Harris service area
- Be a non-dual eligible member of STAR+PLUS;
- Be 21 to 55 years of age; and
- Have an SMI Diagnosis (schizophrenia, bi-polar disorder, major depressive disorder);
or
- Other behavioral health diagnoses (e.g., anxiety, depression, substance use disorder)
coupled with a chronic health diagnosis (physical health condition).
Exclusion Criteria:
- Intellectual or cognitive diagnoses indicative of severe cognitive impairment. These
could include diagnoses such as 290.X (dementia) and 318-319 (moderate to severe
mental retardation).
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