The Impact of Vocational Rehabilitation on Mentally III Veterans
4 other identifiers
interventional
100
1 country
1
Brief Summary
To study the impact of Individual Placement and Support (IPS) supported employment (SE) compared to treatment-as-usual vocational rehabilitation program (VRP) for veterans with posttraumatic stress disorder (PTSD).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Apr 2006
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2006
CompletedFirst Submitted
Initial submission to the registry
June 2, 2006
CompletedFirst Posted
Study publicly available on registry
June 6, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 24, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
July 26, 2012
CompletedResults Posted
Study results publicly available
March 19, 2015
CompletedFebruary 20, 2024
January 1, 2024
4.1 years
June 2, 2006
November 25, 2014
January 24, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Obtain Competitive Employment
The primary outcome: competitive employment (Yes or No). Competitive employment was defined as a job for regular wages in a setting that was not set aside, or sheltered, that is, the job could be held by people without a mental illness or disability and was not a set-aside job in the VRP. Day labor (babysitting, manual labor by the day, drill, temporary work for family or friends) was not considered competitive employment.
1 calendar year
Secondary Outcomes (6)
PTSD, Depression, Disability Outcomes
one-year
Employment Outcomes (Weeks Competitively Employed)
one year
Employment Outcomes (Days Competitively Employed
one year
Employment Outcomes (Hours Competitively Employed)
one year
Employment Outcomes (Gross Income Competitive)
one year
- +1 more secondary outcomes
Study Arms (2)
Vocational Rehabilitation Program (VRP)
ACTIVE COMPARATORVocational Rehabilitation Program (VRP). VRP is the treatment as usual, which mostly consisted of transitional work program (TWP) in which client is placed in a set-aside noncompetitive job for time-limited period and then pursues competitive employment at time of discharge from VRP. Limited integration with treatment team and limited follow-along supports that are time-limited
Individual Placement and Support (IPS)
EXPERIMENTALInidividual Placement and Support (IPS). IPS Supported Employment involves an IPS specialists working with client to identify job preferences, rapidly begin community-based job search, engage in competitive employment, sustain employment via open-ended IPS follow-along supports, and integrate IPS within the PTSD treatment team.
Interventions
Vocational Rehabilitation Program (VRP) is a treatment-as-usual method using traditional train-place approaches, such as prevocational work skills training , compensated work therapy, or transitional work experience, which consists of temporary employment in a brokered-job with time-limited support from the VRP specialist
Individual Placement and Support (IPS) is an evidence--based model of supported employment that emphasizes rapid job search within client preferences, community job development, placement in a competitive job, on-the-job training, time-unlimited follow-along supports, and integration of the IPS specialist within the treatment team.
Eligibility Criteria
You may qualify if:
- Male or Female
- Age, greater than or equal to 19 and less than 61.
- Enrollment in the TVAMC VRP
- Signed informed consent
- Chronic post-traumatic stress disorder
- Any race or ethnic origin
- Anticipation of remaining in the catchment area for the 12-month study duration
You may not qualify if:
- Lifetime history of severe traumatic brain injury that has resulted in severe cognitive impairment
- History of schizophrenia, schizoaffective, disorder, or bipolar I disorder
- Pending litigation
- In need of immediate detoxification.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Tuscaloosa VA Medical Center, Tuscaloosa, AL
Tuscaloosa, Alabama, 35404-5015, United States
Related Publications (2)
Davis LL, Leon AC, Toscano R, Drebing CE, Ward LC, Parker PE, Kashner TM, Drake RE. A randomized controlled trial of supported employment among veterans with posttraumatic stress disorder. Psychiatr Serv. 2012;63(5):464-70. doi: 10.1176/appi.ps.201100340.
PMID: 22307881RESULTDavis LL, Pilkinton P, Poddar S, Blansett C, Toscano R, Parker PE. Impact of social challenges on gaining employment for veterans with posttraumatic stress disorder: an exploratory moderator analysis. Psychiatr Rehabil J. 2014 Jun;37(2):107-9. doi: 10.1037/prj0000058. Epub 2014 Apr 7.
PMID: 24708195RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
The elements of the study that limit generalizability include the single-site design, the small number of IPS interventionists, low number of women in the sample, and the exclusion of nonveterans.
Results Point of Contact
- Title
- Lori Davis, MD
- Organization
- Tuscaloosa VA Medical Center
Study Officials
- PRINCIPAL INVESTIGATOR
Lori Lynne Davis, MD AB
Tuscaloosa VA Medical Center, Tuscaloosa, AL
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 2, 2006
First Posted
June 6, 2006
Study Start
April 1, 2006
Primary Completion
April 24, 2010
Study Completion
July 26, 2012
Last Updated
February 20, 2024
Results First Posted
March 19, 2015
Record last verified: 2024-01
Data Sharing
- IPD Sharing
- Will not share