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Transforming the Perception of Mental Health Community Services
A Behavioral Science of Human Activation and Resiliency
Table of Contents
Prelude ........................................................................................................................................ 3 Introduction .............................................................................................................................. 4 Day Program Becomes Activated Lifestyle Program .............................................. 5 Overview .................................................................................................................................... 6 Case Study .................................................................................................................................. 7 Introducing EDM ..................................................................................................................... 8 First Year Results .................................................................................................................... 9 Redefining Participants as “Members” ....................................................................... 10 Converting from a Day Program to a Lifestyle Program .................................... 12 Integrating Scientific Technology and Community ............................................... 13 Bi-directional “Action/Response” Care Messages ................................................. 14 Enabling Members To Influence Their Care Plans ................................................. 15 Increasing Joy In Practice ................................................................................................. 16 Analysis and ROI Data ....................................................................................................... 18 Future Applications ............................................................................................................. 19 About the Investigators ..................................................................................................... 20
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TRANSFORMING THE PERCEPTION OF MENTAL HEALTH COMMUNITY SERVICES
Prelude
As members successfully navigated their behavioral health journey, they agreed to share their success to influence and motivate others.
Before reading this paper, please watch one of these two short videos featuring members of the Every Day Matters program to help with an initial, actualized understanding of the application and impact of BehavioralRx ® .
To watch the videos, click on one of the thumbnails below or visit gomohealth.com/bridgeway
A Story of Courage (4 minutes)
Finding Peace (5 minutes)
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TRANSFORMING THE PERCEPTION OF MENTAL HEALTH COMMUNITY SERVICES
Introduction: A New Approach to Delivering and Extending Precision Healthcare
In cognitive neuroscience, an AHA Moment is a sudden comprehension — or a coming together of neurons — that allows someone to solve a problem, reinterpret a situation or resolve an ambiguous percept. Stimulating an AHA Moment makes a person 3-5 times more likely to take an immediate action. How do we establish a relationship with an individual via their healthcare delivery so that they are inspired to take action and become active in their own care? To switch their mindset? To feel capable of setting and meeting goals? To want to change habits? This white paper provides an overview of a method and protocol of treatment, BehavioralRx ® , that has produced dramatic outcomes by combining and integrating evidence-based scientific principles in behavioral psychology and cognitive neuroscience with a new form of technology delivery that includes, amongst many factors, the stimulation of AHA Moments to get people to take action or alter a mindset. Bridgeway Rehabilitation Services, in partnership with GoMo Health, revised their system of care model to increase retention, participation and improve the experience of persons served in a mental health rehabilitation day program. Over that period, retention in the program increased 40.9% (a clear indication of resiliency) with a yearly revenue increase (per 100 members) of $162,528. Moreover, participants reported increased feelings of positivity and empowerment in times of struggle, including moments of suicidal ideation.
You will learn how we:
Converted the program from a day program to a lifestyle program Redefined persons served as "members" and created a membership model program that has never been done in this setting Enabled the “members” to directly and continuously influence their care plan Integrated science and technology using a new form of two-way “action/ response” care messages that provide immediate reciprocity, fostering changed outlooks and increased resiliency
Increased Joy in Practice for the care team
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Day Program Becomes Activated Lifestyle Program
Day Program In Session Behavioral Learings Positive Reinforcement Motivation Inclusion/Peer Support Resources 6hrs
Day Program In Recess Isolation/Boredom Negative Thoughts Substance Abuse Discouragement Hopelessness
Identification of the Problem
16hrs
Solution: The Every Day Matters Program
Bridgeway Rehabilitation Services
BehavioralRx ®
Engagement Approach
PRA’s 12 Core Principles & Values
6 I’s of Community & Belonging
Iconic Speakers
Launch Event
Cultural Relevance
Identity
Membership Kit
Exercise Rights Of Citizenship Within The Community
Influence
Member Enrollment Form
Response Analysis
Welcome Message
Peer/Self Support Initiatives
Interaction
Health & Wellness
Involvement
Risk Assessment Low Probability of Not Attending High Probability of Not Attending Engagement Tone Light Tone Encouraging, Upbeat, Less Serious Real Tone Motivating, Disciplinary, Realistic
Engagement Frequency 7AM
Personal Recovery
Investment
5PM Every Day; 7 Days a Week
Mornings Scheduled to Attend
Self-Determination & Empowerment
Introduction
Behavioral Technologies
Hope, Respect, Capacity For Learning & Growth
Conditioning Technology: Reinforcing Target Behaviors
Build On Strengths & Capabilities
Influence Technology: Persuasion Through Shared Decision Making
Care Messaging
Bidirectional Messaging Member Initiated Keywords SMILE: Joke, Game, Reward MOOD: “Feel Good” Content PEER: Excerpt of Peer Story FENCE: Motivation to Attend
Shared Decision Making
7am & 5pm Messaging
Social, Occupational, Educational, Residential, Intellectual, & Financial Skills
Nurturing Technology: Guided Persuasion
Motivational Content
Inspirational Quotes
Lifestyle/ Activities
Life/Skills Reflection
Suggestion Technology: Intervening At The Right Time
Easily Accessible Support & Resources
Program Notifications
Tailoring Technology: Persuasion Through Customization
Closing/ Delays
Events/ Activities
Person-Centered Practices
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TRANSFORMING THE PERCEPTION OF MENTAL HEALTH COMMUNITY SERVICES
Overview
Each year, approximately one-fifth 1 of adults enrolled in mental health treatment programs drop out before completing their recommended course.
This is an issue faced by all mental health care programs. How can a program keep persons served motivated, accountable and supported 24-hours-a-day for as long as they need in order to improve their lives? At their core, successful programs are those that provide the support necessary for someone to become an active participant in their own health and well-being. Because politics, economics and federal regulations all keep the relationship between health care providers and patients in a constant state of flux, increasing staff is often not viable. Programs cannot rely on government funding and shifts in reimbursement models require that we address patient populations with complex or chronic conditions in a new way. BehavioralRx ® is a science that considers the behavioral/cognitive triggers that motivate individuals to take action through remote, round-the-clock support that is personalized and responsive. A year after its introduction, this new “lifestyle” system of care resulted in higher patient retention, improved patient experience and increased revenue.
12-MONTH PILOT RESULTS
40.9%
16.7%
11.9%
Increase in Patient Retention
Increase in Weekly Attendance
Increase in Yearly Attendance
BehavioralRx care plans combine the science of human behavior with cognitive learning, memory retention and a delivery via interactive mobile “smart” technology — a combination that has the potential to revolutionize the way we provide health care.
1 Olfson, M., Mojtabai, R., Sampson, N. A., Hwang, I., & Kessler, R. C. (2009, July). Dropout from Outpatient Mental Health Care in the United States. Retrieved June 29, 2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2774713/
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Case Study
Bridgeway’s Partial Care Program is a day program that provides psychiatric rehabilitation services in a free-standing, community-based setting. Partial Care offers clinical and support services that allow participants to work on personal, social, vocational, educational and wellness goals. The aim is to help participants to feel valued and valuable, live independently in their community and prevent the need for more acute psychiatric services.
BRIDGEWAY Rehabilitation Services
Although Bridgeway’s partial care program was considered successful by industry standards, it shared the same challenge as any other treatment option: participants needed to remain motivated to attend, and they needed to incorporate learnings into their everyday lives.
Studies confirm that therapeutic interventions are most effective when the participant has community support. However, even with highly innovative face-to-face protocols and methodologies, there are times when patients are without access to their treatment and support. Being alone at times is a normal part of life, but for someone in treatment, it is often accompanied by feelings of isolation. They may wake up in the middle of the night and start ruminating, trying to justify why it’s a good idea to skip their next meeting, or they may pine for old, familiar, unhealthy behaviors that only made their lives unmanageable in the first place. If they do show up to their program again, they have often regressed.
Recovery or rehabilitation programs that can serve participants day and night, whenever the patient needs support, in whatever way the patient needs it, are likely to be the most effective.
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Introducing EDM
The Every Day Matters (EDM) program was created as an added support solution for Bridgeway’s Partial Care participants using an interactive combination of on- and off-site methodology that optimizes human activation and resiliency by focusing on three key components.
Individual, in the Moment Support: A tailored program that address each person’s individual needs as they arise.
Relational Support: A feeling of membership and reciprocity; the person is not a passive recipient of information but rather part of a community that has the ability to shape and affect the precise type of support that’s offered.
Continuous and Ongoing Support: Available whenever it is needed, for as long as it is needed.
EDM was designed to better activate a spirit and feeling of community by redefining a participant’s role from “patient” to “member,” and allowing members to play an active role in the components of the lifestyle care plan while enabling them to provide peer-to-peer motivational messaging and support. Implementing the evidence-based engagement capabilities of BehavioralRx provided a fully-personalized, interactive experience that could be initiated by both the participant and the day program any time of the day or night. In other words, members were now able ask for specific types of support 24 hours a day, and Bridgeway could provide additional support remotely, during off-site times, when they were likely to feel vulnerable.
This Personal Concierge™ system of patient-empowered care serves as a model for increasing the efficacy and improving the qualitative experience of patients in any healthcare environment.
The EDM program uses the GoMo cloud-based platform to receive and deliver ongoing support developed from the mental health care community’s best practices in behavioral and cognitive science. In essence, it is a fully responsive, reciprocal intelligence model that can easily and effectively accommodate every participant.
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First Year Results
Every Day Matters was launched in October 2017 to help increase attendance to Bridgeway’s Partial Care day program (which met either 3 or 4 days per week), improve the participants’ ability to reach their goals and increase the program’s positive positioning to garner state and/or federal funding. 12-Month Increases: Comparisons between those enrolled in the EDM program and the non- EDM group over the course of a 12-month period: • Weekly attendance increased by 16.7% — from 60.5% to 71% • Retention increased 40.9% — from 61.5% to 86.7% • The yearly revenue increase, per 100 members, based on increased retention and attendance was $162,528 — an 11.9% higher revenue rate per member compared to non-EDM. Most notably, the qualitative feedback from participants has been overwhelmingly positive. Members have shown more vested activation in the program and have reported making better choices about their own self-management, attributing those choices directly to EDM methodology. In addition to increased feelings of empowerment and motivation, since its instatement, the EDM program has reportedly diverted two people from consideration of suicide.
The 5 Guiding Principles of BehavioralRx:
Ensure persons served are perceived as active partners in the care process
Allow people to guide their care process
Help people stay engaged even when they are alone
Give people a way to be active in their care process, not passive recipients
Help people increase self-management with skills, confidence and practice
The positive impact from EDM became evident almost immediately and has affected everyone involved in the care process: those providing care, those receiving care and those providing care coverage.
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TRANSFORMING THE PERCEPTION OF MENTAL HEALTH COMMUNITY SERVICES
Redefining Participants As “Members”
Beginning in October 2017, participants in Bridgeway’s Partial Care day program were invited to become members of the Every Day Matters program.
The EDM program was introduced on-site and was based on a best-practice format that fostered participants’ feelings of membership, such as feelings of belonging, of being wanted and needed, and of being expected to attend.
Its technology component was built upon a patient-engagement model that incorporated principles of several well-respected, community-oriented behavioral paradigms:
1. The Clubhouse Model of Rehabilitation — An integrative program focusing on members’ strengths rather than their illness.
2. The 6 I’s of Community Development — The academic model used for understanding community- building. These six concepts, as seen below, are widely recognized as the essential factors needed for a person to become and remain committed to their community:
Introduction
Members of the community must receive a welcome and orientation. They must learn the norms, values and rules of the community.
Interaction
The community must provide opportunities for its members to form a bond.
Involvement
The members must be encouraged to participate. The community should provide expectations of involvement and communicate rewards for participation.
Influence
The members must have the opportunity to influence the community, making them feel important and showing them that their perspectives and opinions are valued.
Investment
Investment is the reflection of psychological ownership that flows from involvement and influence. The members must feel invested in their community.
Identity
The members must share a common purpose and identity. Collectively referring to the group as “we” and “us” establishes rituals and standards with which all members can identify.
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3. The Psychiatric Rehabilitation Association’s 12 Core Principles and Values (PRA-12) — The premiere industry guidelines for all rehabilitation facilities serving persons suffering from mental illness.
At the launch event, Bridgeway CEO Cory Storch, GoMo Health Chief Behavioral Technologist and Founder Bob Gold, and Partial Care Team Leader Ron Allen all spoke to the community about how Every Day Matters would work to support them in their recovery. In addition to welcome kits, members were provided information about their privileges, influence and how they would be able to become more active in the formulation of their own care plan as well as the program itself.
The Six I’s of Community and Belonging
The Psychiatric Rehabilitation Association’s 12 Core Principles and Values
Principle 1: Psychiatric rehabilitation practitioners convey hope and respect and believe that all individuals have the capacity for learning and growth.
Principle 2: Psychiatric rehabilitation practitioners recognize that culture is central to recovery and strive to ensure that all services are culturally relevant to individuals receiving services.
Principle 3: Psychiatric rehabilitation practitioners engage in the processes of informed and shared decision-making and facilitate partnerships with other persons identified by the individual receiving services.
Influence, Investment
Involvement
Principle 4: Psychiatric rehabilitation practices build on the strengths and capabilities of individuals.
Principle 5: Psychiatric rehabilitation practices are person-centered; they are designed to address the unique needs of individuals, consistent with their values, hopes, and aspirations.
Introduction
Introduction, Interaction, Involvement
Principle 6: Psychiatric rehabilitation practices support full integration of people in recovery into their communities where they can exercise their rights of citizenship, as well as to accept the responsibilities and explore the opportunities that come with being a member of a community and a larger society. Principle 7: Psychiatric rehabilitation practices promote self-determination and empowerment. All individuals have the right to make their own decisions, including decisions about the types of services and supports they receive. Principle 8: Psychiatric rehabilitation practices facilitate the development of personal support networks by utilizing natural supports within communities, peer support initiatives, and self- and mutual-help groups. Principle 9: Psychiatric rehabilitation practices strive to help individuals improve the quality of all aspects of their lives, including social, occupational, educational, residential, intellectual, spiritual, and financial.
Influence, Investment
Interaction, Involvement
Principle 10: Psychiatric rehabilitation practices promote health and wellness, encouraging individuals to develop and use individualized wellness plans.
Principle 11: Psychiatric rehabilitation services emphasize evidence-based, promising, and emerging best practices that produce outcomes congruent with personal recovery. Programs include structured program evaluation and quality improvement mechanisms that actively involve persons receiving services. Principle 12: Psychiatric rehabilitation services must be readily accessible to all individuals whenever they need them. These services also should be well coordinated and integrated with other psychiatric, medical and holistic treatments and practices.
Introduction
Identity
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TRANSFORMING THE PERCEPTION OF MENTAL HEALTH COMMUNITY SERVICES
Converting from a Day Program to a Lifestyle Program
The first step in stimulating AHA moments was to create a support system that allowed the member to feel continuously “known and supported.”
After completing a personal risk assessment survey during EDM enrollment, each member was given access to care messaging through the Personal Concierge system — a cloud-based, patient-activated solution through which supportive and motivational messages could be sent to a member at any time of day, either based on the member’s perceived needs, or based on actual requests from the member. In other words, a “smart” interactive system that could be initiated by either the member or the program provider.
The following 6 BehavioralRx engagement methods are used in EDM :
Anchoring Technology
The over-arching technology that allows participants to cognitively connect a desired action with an existing everyday action.
Conditioning Technology
To reinforce target behaviors.
Influence Technology
To persuade through shared decision making.
Nurturing Technology
To provide guided persuasion.
Suggestion Technology
To provide intervention at the “right” time.
Tailoring Technology
To persuade through customization.
These technologies were used to develop a system of interactive Care Messages™ to address a participant’s needs.
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Integrating Scientific Technology and Community
Care Messages were developed based on three ideals:
Short and always accessible
Able to engender a feeling of reciprocity (knowing someone is responding)
Able to be used to interrupt a mindset that is not supporting the member’s well-being
The following chart maps some of the ways BehavioralRx was applied to the EDM Program:
BehavioralRx Technique
Every Day Matters Application
When a person joins EDM , they become a member of the EDM community. They can then collaborate with other community members to provide input and dictate the structure and concepts incorporated into the program.
Influence Technology: To persuade through shared decision making.
Themed regimens are planned and timed according to each member’s daily/weekly schedule, and to provide intervention when weaknesses/high risk behaviors are likely to occur.
Suggestion Technology: To provide intervention at the “right” time.
Tailoring Technology: To persuade through customization.
Care Messages are designed to promote the motivational concepts that are most relevant to their specific conditions, lifestyle, beliefs, values and physical/emotional surroundings.
The EDM program uses keywords that members can text in to receive motivational messaging at any time in an effort to provide them with the support they need in the moment, making best teaching and practices available at all times. Members are motivated to attend program through Care Messages that relate to their need and desire to learn, grow and improve. Members are motivated to continue learned practices even when they are not at program through Care Messages. Care Messages sent during the evening promote social interaction and activity engagement. They incorporate best practices learned at program and include small writing exercises that allow members to reflect on their learnings and set individual goals and milestones towards improvement.
Nurturing Technology: To provide guided persuasion.
Conditioning Technology: To reinforce target behaviors.
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Bi-directional “Action/Response” Care Messages
Personal Concierge technology allowed for messaging to be initiated in both directions: Provider to Member and Member to Provider
Provider-Initiated Care Messaging Provider-initiated messaging included reinforcing concepts that were introduced in the day program setting or promoting social interaction during non-program hours.
Member-Initiated Care Messaging BehavioralRx technologies also included a system of Care Messages that were sent to the participant on an as-needed basis. For example, if a member was experiencing a challenging situation at any time, they could text in a specific word to receive support content tailored to their particular need. This Care Messaging provided in-the-moment support when a participant needed it most, but members also reported relying on them at later times as well, re-reading specific messages in the middle of the night rather than perseverating about negative experiences. Based on their survey, members were assigned a different Care Message regimen, each with a specific tone, content, frequency and overall positioning determined to best support their personal journey to recovery. For example, motivational messages were sent to all members at 7:00 AM and 5:00 PM, before and after attending the program. However, additional messages were planned and tailored to each member’s individual challenges, values and personal schedule, providing intervention during the times that members perceived themselves as most isolated and, therefore, more likely to engage in high-risk behaviors.
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Enabling Members To Influence Their Care Plans
Bi-directional Care Messages allowed members to identify what they needed, and the system would provide it. These member-initiated support messages were sorted into categories, so a member was able to call for anything from a motivational push that would get them to a meeting to a joke to lift their spirits. This was a critical aspect of the program, as it allowed members the experience of altering their mind-set and changing their habits in real time.
Messages could be generated through a simple keyword that allowed members to quickly identify the type of support or challenge they were facing. The initial categories were:
FENCE Provided motivational messages if someone was "on the fence" about attending a meeting.
MOOD Provided “feel good” motivational messaging.
PEER Provided a peer story about someone successfully managing a similar challenge or experience.
SMILE Provided members with a joke, quick game or small surprise reward.
Bi-directional messaging allowed members to feel a sense of ownership over their own mental health treatment, one of the foundations for a successful recovery journey. This was proven in two separate instances, where members came to the day program and asked for additional support categories and even supplied content suggestions. These member contributions to the program are examples of the BehavioralRx principle of Influence Technology, which is shared decision making that makes the person served an active participant in their care plan. As a result, four more were added:
HALT Coping strategies to manage feelings of being hungry, angry, lonely and tired.
SPIRIT Faith-based advice, quotes and words of wisdom.
RELAX Reassuring and comforting words as they relate to dealing with mental health stigma.
SONG Links to uplifting songs.
The reciprocity of the Personal Concierge program and Care Messaging reportedly enhanced a sense of belonging, fostered change in outlooks and increased resiliency.
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TRANSFORMING THE PERCEPTION OF MENTAL HEALTH COMMUNITY SERVICES
Increasing Joy in Practice
Joy in Practice is often difficult to measure. There are systemic indicators that can lead to conclusions, such as increased or decreased turnover, however, the measure that appears to be most important in healthcare is the observations reported by team leaders, supervisors and the caregivers themselves.
Among the most prevalent barriers to Joy in Practice are compassion, fatigue and burnout. Clinicians and support staff can easily feel emotionally drained from the complex issues and challenges faced by persons served, with which practitioners can over-empathize and at times, over-personalize. Supervisory tasks include monitoring and addressing these barriers that detract from feeling productive and helpful. Additionally, clinicians must work within an often compassion-challenged care system, impacting the ability to feel effective. Learned helplessness is a real risk for both persons served and practitioners. These factors can affect the perception of quality of care, sense of efficacy and feelings of competence. Joy in Practice becomes a casualty. The EDM program offers a way for Bridgeway Partial Care staff to feel effective beyond face-to-face interaction; bolstering care delivery to participants even when not physically present. In this way, everyone involved in the program feels a strong collaboration, working together towards the shared, attainable goal of success in the community – post live interaction and regardless of the location of person served. This keeps the principle motivation - the vision of recovery - in sight, even as smaller individualized goals are highlighted. Although application of skills and utilization of resources in the environment of need have always been the theoretical mindset, in practice, persons served struggle to apply learned skills outside of direct interaction with and direction from providers. It is easy for persons served to lose sight of “why” and “when” to use skills and resources. As a result, application and utilization in the needed environment – home, with family or friends and in the community, fall off. In turn, providers often feel as if work with persons served loses effectiveness and at times, stops after the interventions are provided. The EDM program helps to actively engage persons served in the overall rehabilitation process and often unexpectedly, empowers them to use skills independently. EDM’s application of the Clubhouse “membership” model, designed as a continual communication loop, allows for more regular and frequent support to participants as well as a more regular and frequent stream of feedback to care providers regarding what participants need and find useful. Membership fosters feeling of community, connection and having a voice – both for persons served and for staff.
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The membership model works in tandem with the principles of being wanted, needed and expected; as well as promotes a feeling of belonging, reinforcing a change in the mindset of (Bridgeway) program participants who face stigma, isolation and ostracizing as a result of their illness. It offers providers another channel through which to reinforce and maintain the all-important rehabilitation relationship, essential in motivating a desire to change. Participants feeling supported, valued and empowered is essential to Bridgeway’s success as a psychiatric rehabilitation provider. According to Diane Piagesi-Zett, Director of the Sussex Community Support Teams at Bridgeway, seeing the increased engagement and response to messaging made her staff feel that their work was more meaningful, and that their impact didn’t end at the completion of the program day. Says Piagesi- Zett, “Staff are not with members all day, every day, to support, reinforce or remind them of the tools available, of their resilience, of natural supports and resources, or of their strengths. EDM has offered a way to actualize the rehabilitation process when we are not with persons served. There is so much riding on our effectiveness as rehabilitation practitioners. Extending our impact increases our staff’s feeling of being helpful and making a real difference. This renews the sense of joy in the work that we do.” “We know of two occasions in which the messaging interfered with suicidal ideation,” Piagesi- Zett continues. “Persons served not only felt lifted by the regularly scheduled message, they were able to scroll through previous messaging for reminders, and actively access messaging related to mood. Members reported that they successfully changed their thinking in the moment, sustained it overnight and shared it in program the next day. Obviously, this is a win for those struggling to utilize skills independently to manage symptoms, but I have to say, it affected the staff at least as much. When counselors see persons served successfully intervening in their own lives, having their own ‘AHA Moments’ and feeling empowered to take responsibility for their recovery – well, there is no better feeling. It’s exactly why we got into a helping field.” Every Day Matters messaging extends the impact of direct engagement during the on-site Bridgeway Partial Care program day. Staff share, teach, instruct and give feedback in tandem with persons served. The basic messaging in EDM was developed from the curricula, methods, information and resources used during live interventions. The members review, approve, edit and add content based on what they have found helpful and motivating in their own recovery journeys. The collaboration on messaging reinforces the information and interventions, making them accessible and useful in a text format. In addition, it connects staff and persons served in a shared belief and confidence in the value and effectiveness of what is being provided in the live program. Creating messaging is empowering for staff as well as persons served, reinforcing that what is being taught, shared and offered makes a difference to persons served. In addition to applying the behavioral principle of influence via having an active role in developing the messaging, members are able to initiate specific support by texting a keyword in their moment of need. The opportunity to take action offered members more self-activation in their own care, applying skills independently and not as a passive “recipients” of rehabilitation. Members reported they felt more empowered and able to better self-manage, enabling them to return to program with a more positive attitude, stronger belief in their ability to change and the power to exercise that positivity to influence other members.
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Analysis and ROI Data
Member testimonials have confirmed that the EDM program helped create a sense of belonging as well as helped influence members to show up and remain in the program.
Statistical data over a 12-month period supported member reports, with the EDM group boasting a retention rate of 86.7%, a 40.9% improvement over the non- EDM group.
Retention Rate
12 Month Attendance Rate
12 Month Revenue Per Member
86.7%
71.0%
$10,855
EDM
61.5%
60.5%
$9,682
Non- EDM
Over twelve months, the EDM group generated an 11.9% higher rate of revenue per member than the non-EDM group.
Over the same 12-month period, the non-EDM group experienced a revenue leakage of $45,741 compared to the EDM group.
Coordinating Science and Care Based on a 100-member program, with the average member scheduled for 15 days per month, the increased revenue generated by implementing the EDM program is projected to save nearly $11K monthly, or $162,500 annually. This type of savings can not only help keep a program alive, it can also allow for budget models designed to continually help advance and improve the program.
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Future Applications
GoMo Health Concierge Care is currently in use in a variety of health care sectors, including applications tailored to patient care, provider administration and insurers. This technology-based support has been used to reduce readmissions, collect valuable ePROs (electronic patient-reported outcomes), and take advantage of opportunities for CMS MACRA value-based and bundled payment reimbursements. BehavioralRx technologies allow a proven, evidence-based interactive platform to be mapped to other mental health care providers as well as to any other provider whose patients could benefit from additional, personalized support. These systems are particularly well-suited for patients requiring long- term care, as in the case of pre- and post-natal care, as well as for complex chronic conditions such as diabetes, cardiological care, oncological care, and difficult-to-manage comorbidities. BehavioralRx and Concierge Care can reduce cost of care, provide extended and inexpensive support, increase revenue and improve patient experience and outcomes. Additionally, doctors and nurses currently using GoMo Health technology report being able to spend more time on clinical care delivery, which has led to increased job satisfaction, retention and Joy in Practice.
The Every Day Matters pilot allows us to see some of the many ways that the health care sector can harness technological solutions to provide meaningful, personalized care that greatly benefits both patient and provider.
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GoMo Health
GoMo Health® is a leader in population health management and patient engagement solutions that support the continuum of care, improved patient satisfaction and MACRA value-based reimbursements. GoMo Health Concierge Care® personalizes patient interactions using our proprietary science, BehavioralRx®, The Science of Precision Health, building trust and credibility to motivate higher levels of activation and resiliency. In partnership with health care organizations worldwide, GoMo Health delivers a highly scalable and cost-effective solution for the management of high-risk, chronic, and complex conditions, enabling better self-management, healthy decision making and improved outcomes.
Bob Gold, Chief Behavioral Technologist and Founder, GoMo Health
Bob Gold is one of the world's leading behavioral technologists with more than 20 years applied research and development in the behavioral and cognitive science of human motivation, activation, and resiliency; with a specialty in the human factors of precision health and care coordination leading to increased activation of patients and clinicians.
Bob focuses his energy on recrafting clinical care plans into behaviorally-based remote care coordination, transitions of care, and telehealth patient engagement protocols to achieve a sustainable Population Health business model for health systems, health plans, pharmaceutical companies, and governments; reducing readmissions, collecting valuable ePROs (electronic patient-reported outcomes) and taking advantage of opportunities for CMS MACRA value-based reimbursements associated with the implementation of these programs. Bob's proven evidence-based methods provide a more personalized, disciplined, and nurturing experience within the framework of a person's lifestyle and typical day while improving satisfaction and adherence; especially for complex and chronic conditions that include co-morbidities and difficult to navigate patient health journeys.
Bob's BehavioralRx ® and Concierge Care ® system has also shown to bring back Joy in Practice for doctors and nurses enabling them to spend more time on high impact clinical work.
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TRANSFORMING THE PERCEPTION OF MENTAL HEALTH COMMUNITY SERVICES
Bridgeway Rehabilitation Services
Bridgeway Rehabilitation Services has been assisting individuals to recover from mental health conditions since 1968. Now serving over 4,000 people annually, Bridgeway combines a multi-disciplinary, wrap-around approach with supportive housing and social network enhancement to serve those who are frequent service users and who are at the most risk of hospitalization and homelessness. We inspire and support individuals to become productive citizens who are fully engaged in their communities by creating opportunities for wellness, independent living, learning, working, and social inclusion.
Diane Piagesi-Zett, Director of the Sussex Community Support Teams, Bridgeway Rehabilitation Services
Diane Piagesi-Zett, MA, LRC, CRC, has dedicated her life to the field of psychiatric rehabilitation for over 40 years.
She has worked at Earth House and Sussex House at Newton Memorial Hospital where she served as a clinician for mental health. She has been at Bridgeway Rehabilitation Services since 2010; her
current position is Director of the Sussex Community Support Teams where she oversees Partial Care, Integrated Case Management, Program to Assist with Transition from Homelessness, Community Support Services, and Supported Employment. Piagesi-Zett has published works with Bill Anthony in the Psychiatric Rehabilitation Journal, contributed a chapter in the first edition of Psychiatric Rehabilitation Programs, and has presented at national, state, and local conferences and trainings. She has also served intermittently on the board of the New Jersey Psychiatric Rehabilitation Association (NJPRA) since 1982, including twice as Secretary and most recently as Vice President. Additionally, she is the 2010 recipient of NJPRA’s prestigious Mort Gati Award.
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TRANSFORMING THE PERCEPTION OF MENTAL HEALTH COMMUNITY SERVICES
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