The Impact of Vocational Rehabilitation on Mentally III Veterans
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Obtain Competitive Employment
研究概览
简要总结
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).
详细描述
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.
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
- 19 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male or Female
- •Age, greater than or equal to 19 and less than
- •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
排除标准
- •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.
结局指标
主要结局
Obtain Competitive Employment
时间窗: 1 calendar year
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.
次要结局
- Employment Outcomes (Weeks Competitively Employed)(one year)
- PTSD, Depression, Disability Outcomes(one-year)
- Employment Outcomes (Gross Income Competitive)(one year)
- Employment Outcomes (Days Competitively Employed(one year)
- Employment Outcomes (Total Gross Income From All Sources(one year)
- Employment Outcomes (Hours Competitively Employed)(one year)