The Impact of Vocational Rehabilitation on Mentally III Veterans

NCT ID: NCT00333801

Last Updated: 2024-02-20

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 100 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2006-04-01
• Study Completion Date: 2012-07-26

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).

Detailed Description

Objectives: 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).

Research Design: This prospective randomized study evaluates the impact of IPS-SE compared to VRP on occupational, sobriety, psychiatric, and quality of life outcomes and health care costs for veterans with chronic PTSD who enter the Tuscaloosa VA Medical Center's (TVAMC) vocational rehabilitation program.

Methodology: Occupational functioning is determined primarily by whether the veteran can obtain and maintain competitive employment, and, secondarily, by time worked and wages earned for those employed. Veterans who meet inclusion criteria will be randomized to either IPS-SE or VRP. Outcomes will be assessed over a fixed 12-month observation period (beginning at randomization and computed for the entire 12-month observation period) as percent subjects employed at least one week (employed rate), and monthly employment rates (maintained employed rate). In addition, PTSD symptoms and other health-related quality of life measures will be evaluated. This strategy uses all available data during the 1-year period.

Conditions

Posttraumatic Stress Disorder (PTSD)

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Vocational Rehabilitation Program (VRP)

Vocational 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

Group Type: ACTIVE_COMPARATOR

Vocational Rehabilitation Program (VRP)

Intervention Type: BEHAVIORAL

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)

Inidividual 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.

Group Type: EXPERIMENTAL

Individual Placement and Support (IPS)

Intervention Type: BEHAVIORAL

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.

Interventions

Vocational Rehabilitation Program (VRP)

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

Intervention Type: BEHAVIORAL

Individual Placement and Support (IPS)

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.

Intervention Type: BEHAVIORAL

Other Intervention Names

Transition work program (TWP); Supported emplooyment

Eligibility Criteria

Inclusion Criteria

• 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

Exclusion Criteria

• 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.

• Minimum Eligible Age: 19 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

VA Office of Research and Development

FED

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Lori Lynne Davis, MD AB

Role: PRINCIPAL_INVESTIGATOR

Tuscaloosa VA Medical Center, Tuscaloosa, AL

Locations

Tuscaloosa VA Medical Center, Tuscaloosa, AL

Tuscaloosa, Alabama, United States

Countries

United States

References

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.

Reference Type: RESULT

PMID: 22307881 (View on PubMed)

Davis 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.

Reference Type: RESULT

PMID: 24708195 (View on PubMed)

Other Identifiers

Promis Number 0052

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

MIRB 00033

Identifier Type: OTHER

Identifier Source: secondary_id

TVAMC 03-19

Identifier Type: OTHER

Identifier Source: secondary_id

D4092-I

Identifier Type: -

Identifier Source: org_study_id

NCT00260507

Identifier Type: -

Identifier Source: nct_alias