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临床试验/NCT00648115
NCT00648115已完成不适用

Evaluating Vocational Materials for Incarcerated Veterans With Mental Illness

VA Office of Research and Development2 个研究点 分布在 1 个国家目标入组 111 人开始时间: 2009年6月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
111
试验地点
2
主要终点
Time Till Employment in Days

研究概览

简要总结

The purpose of this research is to test the usefulness of a vocational rehabilitation program for veterans with a history of felonies who also have a mental illness or have substance dependency.

详细描述

The Department of Justice's Bureau of Justice Statistics (BOJS, 2000) reported in 2000 over 225,000 veterans were incarcerated in the nations' criminal facilities; 1 in 5 of these veterans saw combat during service. Approximately 78,000 veterans annually will be released from incarceration with 30% of those released from incarceration are re-arrested within 3 months, 44.1% re-arrested at one year, and 67.5% within 3 years. These numbers are higher with those with serious mental illnesses: 54.3% re-arrest rates at one year and 72% at 3 years.

The living status that many of these veterans with felonies return to is dire. In a survey of dually diagnosed and mentally ill offenders, 22% of mentally ill offenders and 43% of mentally ill offenders with substance addiction believed they would be homeless upon release. Ex-felons often return to more disadvantaged communities where employment is scarce (La Vigne, Mamalian, Travis, & Visher, 2003). Employers are reluctant to hire those with a history of incarceration due to biases against ex-offenders or due to legal liability (Connerley, Arvey, & Bernardy, 2001) or other biases (Holzer, 1996). Overall, employers have been shown to be less likely to hire ex-convicts than those with little work experience or those who are receiving welfare benefits (Holtzer, 1996).

The goal of this study is to identify successful vocational re-integration modalities for mental health and/or substance dependent veterans recently released from incarceration and those with felony histories. Specific Goals are 1) test time to employment between manual conditions; 2) test total time employed over the 12 months following training period; and 3) test economic impact between manual conditions The study will be a controlled 3 group randomized design. The independent variable will be the amount of vocational services received. Veterans will be randomly assigned to one of three conditions: 1) Basic vocational services but no manualized vocational program; 2) self-study of the manualized program; and 3) a full program consisting of the manualized program with vocational staff and peer vocational support specialists. All veterans enrolled in the study will have access to a Veteran's Employment Resource Center to provide infrastructure for job search.

Three primary dependent variables will be used. The first is the time till employment. The second is the total time employed during the 12 months following training. The third will be the economic impact of the training through differences in services required (e.g. emergency room visits, food stamps, cost of shelters, costs of rearrests) and income earned. Type of job skills, job history, and time incarcerated are some of the variables that potentially will be statistically controlled.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • underemployed or unemployed
  • has a mental health or substance dependence diagnosis
  • desires to enter the workforce through competitive employment.
  • History of at least one felony conviction
  • Emphasis will be placed on returning OEF/OIF veterans, combat veterans, and women veterans. Veterans entering the study can be recruited regardless of living situation.

排除标准

  • pursuing disability benefits due to unemployability
  • diagnosis of dementia or evidence of severe cognitive impairment
  • impaired reality testing due to psychosis
  • actively suicidal or homicidal.

研究组 & 干预措施

Basic Vocational Services

Other

Veteran receives basic vocational services

干预措施: Basic Vocational Services (Other)

Self-Study

Active Comparator

Veteran participates in self-study vocational program

干预措施: Self-Study (Other)

Group program

Active Comparator

Group based vocational program

干预措施: Group Program (Other)

结局指标

主要结局

Time Till Employment in Days

时间窗: 12 months

Number of days until first day of competitive employment

次要结局

  • Test Economic Impact Between Manual Conditions (e.g., Cost-benefit Ratio)(12 months)

研究者

申办方类型
Fed
责任方
Sponsor

研究点 (2)

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