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University of Texas at Austin

DMIE: Texas Demonstration to Maintain Independence and Employment

The Texas DMIE project is an evaluation study designed to examine the effects of behavioral health services, case management, and vocational services on economic and health outcomes for working individuals with potentially disabling behavioral health disorders. The intent of this study is to examine the hypothesis that a coordinated program of employment and health supports can prevent the loss of employment and independence for workers with potentially disabling health conditions. Intervention participants will have access to an expansion on existing Medicaid-comparable coverage to include enhanced physical and behavioral health services, direct and indirect employment supports, and case management. Adding these enhancements is intended to improve health status, quality of life and employment success, and reduce health care costs. Additionally, Positive health and employment outcomes for participants who receive the enhanced services are expected to lead to reduced rates of needing and seeking disability status.

This three-year intervention is designed to assist participants in maintaining employment and avoid future disability arising from complications of mental illness and/or substance use disorders. The DMIE project will be implemented in the Harris County Health District, a public healthcare system that provides approximately 1.1 million healthcare visits yearly to Harris County, Texas residents. The sample participants for this study will be drawn from people receiving HCHD medical services and who meet administrative and clinical eligibility.

DMIE services for intervention participants include:

The partners and Collaborators in DMIE:

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Addiction Research Institute

Center for Social Work Research
School of Social Work
University of Texas at Austin
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Austin, TX 78703
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