Accession Number:

ADA609603

Title:

The Impact of Supported Employment Versus Standard Vocational Rehabilitation in Veterans with PTSD

Descriptive Note:

Final rept. 12 May 2008 11 May 2014

Corporate Author:

TUSCALOOSA RESEARCH AND EDUCATION ADVANCEMENT CORP AL

Report Date:

2014-08-01

Pagination or Media Count:

29.0

Abstract:

Unemployed Veterans with posttraumatic stress disorder PTSD were prospectively randomized into a multi-site study comparing Individual Placement and Support IPS, an evidenced-based model of supported employment, to VA vocational rehabilitation treatment-as-usual VRP-TAU. Over the course of the 52-week follow-up, 25 of the 48 IPS participants 52 gained competitive employment, compared with 15 of the 46 VRP-TAU participants 33 2 3.64, df1, p.056. That is, Veterans with PTSD who participated in IPS were 1.7 times more likely to gain competitive employment than those who received VRP-TAU. The number-needed-to-treat NNT was 5.26. The IPS and VRP-TAU participants worked in a competitive job an average of 23 and 13 of the eligible weeks, respectively Mann-Whitney z test, p0.10. There were no statistically significant between-group differences in terms of number of weeks, days, or hours worked, or the amount of income earned. The IPS group achieved competitive employment significantly more quickly than VRP-TAU log-rank 2 4.25, p0.04. Most job acquisition in IPS group occurred within the first 25 weeks. There were no significant differences between groups in terms of PTSD, depression, or quality of life rating scales. A large-scale randomized controlled study of IPS has been launched by the VA Cooperative Studies Program to further evaluate the effectiveness of IPS in Veterans with PTSD.

Subject Categories:

  • Psychology
  • Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE