Effect of Evidence-Based Supported Employment vs Transitional Work on Achieving Steady Work Among Veterans With Posttraumatic Stress Disorder

Davis, Lori L.; Kyriakides, Tassos C.; Surís, Alina; Ottomanelli, Lisa; Mueller, Lisa; Parker, Pamela; Resnick, Sandra G.; Toscano, Richard; Scrymgeour, Alexandra; Drake, Robert E.

doi:10.1001/jamapsychiatry.2017.4472

Cited by 65 publications

(56 citation statements)

References 29 publications

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“…Hoffmann et al and Howard et al and Heslin et al report the efficacy of IPS for the same patient population at two follow‐up periods, so we only included the latter study from both in our meta‐analysis. The meta‐analysis is based on 27 studies (Fig. ).…”

Section: Resultsmentioning

confidence: 99%

“…Two of the included studies have a majority of patients with moderate mental illnesses, mainly affective disorders , two studies included young patients with first‐episode psychosis , and two studies were for military veterans with PTSD . Three studies had requirements for inclusion beyond mental illness; one required that the patients had prior involvement with the criminal justice system , and two required patients to be receivers of some form of disability insurance .…”

Section: Resultsmentioning

confidence: 99%

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A meta‐regression of the impact of policy on the efficacy of individual placement and support

Brinchmann

Widding‐Havneraas

Modini

et al. 2019

Acta Psychiatr Scand

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Objective Individual placement and support (IPS) has shown consistently better outcomes on competitive employment for patients with severe mental illness than traditional vocational rehabilitation. The evidence for efficacy originates from few countries, and generalization to different countries has been questioned. This has delayed implementation of IPS and led to requests for country‐specific RCTs. This meta‐analysis examines if evidence for IPS efficacy can be generalized between rather different countries. Methods A systematic search was conducted according to PRISMA guidelines to identify RCTs. Overall efficacy was established by meta‐analysis. The generalizability of IPS efficacy between countries was analysed by random‐effects meta‐regression, employing country‐ and date‐specific contextual data obtained from the OECD and the World Bank. Results The systematic review identified 27 RCTs. Employment rates are more than doubled in IPS compared with standard vocational rehabilitation (RR 2.07 95% CI 1.82–2.35). The efficacy of IPS was marginally moderated by strong legal protection against dismissals. It was not moderated by regulation of temporary employment, generosity of disability benefits, type of integration policies, GDP, unemployment rate or employment rate for those with low education. Conclusions The evidence for efficacy of IPS is very strong. The efficacy of IPS can be generalized between countries.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A meta‐regression of the impact of policy on the efficacy of individual placement and support

Brinchmann

Widding‐Havneraas

Modini

et al. 2019

Acta Psychiatr Scand

View full text Add to dashboard Cite

show abstract

“…Information collected at baseline include demographics, military service history, employment history, status and type of housing, number of dependents, type of transportation, disability income status, and family care burden. Baseline assessments include the MINI International Neuropsychiatric Interview Version 7 (MINI) to assess concurrent mental disorders for DSM-5, 7 the Cumulative Illness Rating Scale (CIRS) 18,19 to asses general medical conditions and determine medical burden, and the Ohio State University Traumatic Brain Injury Identification Method-Short Form to assess lifetime history and severity of traumatic brain injury. 20 Repeated measures include: Rosenberg Self-Esteem Scale (RSES), 21 Quality of Life Inventory (QOLI), 22 Community Reintegration of Service Members (CRIS), 23 Symptom Checklist-90-Revised (SCL-90-R), 24 Client Satisfaction Questionnaire-8 (CSQ-8), 25 and Sheehan Suicidality Tracking Scale.…”

Section: Clinical Assessmentsmentioning

confidence: 99%

“…Recent studies have proven that IPS is effective in getting veterans with posttraumatic stress disorder (PTSD) back into competitive steady work. [5][6][7] In 2004, the Veterans Health Administration (VHA) rolled out IPS as a service for veterans with an SMI diagnosis. [8][9] However, transitioning service members and veterans struggling with unemployment have a broad spectrum of mental disorders that include anxiety, depression, and substance use.…”

mentioning

confidence: 99%

The Methods and Baseline Characteristics of a VA Randomized Controlled Study Evaluating Supported Employment Provided in Primary Care Patient Aligned Care Teams

Davis

Blansett

Mumba

et al. 2019

Preprint

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Background This article describes the design and baseline sample of a single-site trial comparing Individual Placement and Support (IPS) supported employment delivered within a Veterans Health Administration (VHA) primary care Patient Aligned Care Team (PACT) to treatment-as-usual (TAU) vocational rehabilitation that includes transitional work for U.S. military veterans. Methods Unemployed veterans who were receiving care in a PACT, eligible for vocational rehabilitation, and diagnosed with a mental health diagnosis other than a psychotic or bipolar I disorder were prospectively randomized to either IPS or TAU. Employment outcomes and measures of quality of life, self-esteem, and community reintegration are being collected for 12 months. Results The participant sample (n=119) is comprised of 18.5% female, 69.2% African-Americans, and 4.2% Hispanic. Average age is 38.2 (SD ± 8.41) years; 80.7% served in the military since 2001; 78% are receiving or applying for U.S. Department of Veterans Affairs (VA) service-connected disability; 26.9% have not held a competitive job in the past 3 years; and the average length of pre-randomization unemployment is 1.4 (SD ± 2.3) years. Conclusions Unique design features include evaluating the efficacy of an evidenced-based IPS within the primary care setting, having broad diagnostic eligibility, and defining the primary outcome criterion as “steady employment”, i.e. holding a competitive job for ≥26 weeks of the 12-month follow-up period. Feasibility of IPS delivery in PACT is discussed. The findings illustrate the characteristics of a primary care veteran sample in need of employment services.

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“…Recent studies have proven that IPS is effective for veterans with posttraumatic stress disorder (PTSD). [4][5][6] In 2004, the Veterans Health Administration (VHA) disseminated IPS as a service for veterans with an SMI diagnosis. [7][8] However, transitioning service members and veterans struggling with unemployment have a broad spectrum of mental disorders that include anxiety, depression, and substance use.…”

Section: Introductionmentioning

confidence: 99%

The Methods and Baseline Characteristics of a VA Randomized Controlled Study Evaluating Supported Employment Provided in Primary Care Patient Aligned Care Teams

Davis

Blansett

Mumba

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background This article describes the design and baseline sample of a single-site trial comparing Individual Placement and Support (IPS) supported employment delivered within a Veterans Health Administration (VHA) primary care Patient Aligned Care Team (PACT) to treatment-as-usual vocational rehabilitation (TAU-VR) that includes transitional work. Methods Unemployed U.S. military veterans receiving care in a VHA PACT who were seeking competitive work, otherwise eligible for vocational rehabilitation, and diagnosed with a mental health condition other than a psychotic or bipolar I disorder were prospectively randomized to receive either IPS or TAU-VR. Employment outcomes and measures of quality of life, self-esteem, and community reintegration are being collected for 12 months. Results The participant sample (n=119) is comprised of 18.5% female, 69.2% African-Americans, and 4.2% Hispanic. Average age is 38.2 (SD ± 8.41) years; 80.7% served in the military since 2001; 78% are receiving or applying for U.S. Department of Veterans Affairs (VA) service-connected disability; 26.9% have not held a competitive job in the past 3 years; and the average length of pre-randomization unemployment is 1.4 (SD ± 2.3) years. Conclusions Unique design features include evaluating the efficacy of evidenced-based IPS within the primary care setting, having broad diagnostic eligibility, and defining the primary outcome criterion as “steady employment”, i.e. holding a competitive job for ≥26 weeks of the 12-month follow-up period. The findings illustrate the characteristics of a primary care veteran sample in need of employment services.

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Effect of Evidence-Based Supported Employment vs Transitional Work on Achieving Steady Work Among Veterans With Posttraumatic Stress Disorder

Abstract: clinicaltrials.gov Identifier: NCT01817712.

Cited by 65 publications

References 29 publications

A meta‐regression of the impact of policy on the efficacy of individual placement and support

A meta‐regression of the impact of policy on the efficacy of individual placement and support

The Methods and Baseline Characteristics of a VA Randomized Controlled Study Evaluating Supported Employment Provided in Primary Care Patient Aligned Care Teams

The Methods and Baseline Characteristics of a VA Randomized Controlled Study Evaluating Supported Employment Provided in Primary Care Patient Aligned Care Teams

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