This article explores trials of two types of intervention, individual placement and support (IPS) and a transitional work program (TWP), used with veterans with posttraumatic stress disorder (PTSD). The article describes the methodology and baseline characteristics of veterans with PTSD and looks at veterans achieving steady competitive employment as a result of participating in the intervention.
This article describes the methodology and the baseline characteristics of veterans with posttraumatic stress disorder (PTSD) enrolled in a multisite trial comparing supported employment individual placement and support (IPS) to a stepwise vocational transitional work program (TWP). Participants averaged 42 (SD 11) years of age and had PTSD for 13 (SD 11) years. The group was comprised of 18% female, 42% African Americans, and 16% Latino participants. Approximately 60% of participants served in the military since 2001, 89% were receiving or applying for service-connected disability, 60% had PTSD from nonsexual combat-related trauma, and 17% had PTSD from military sexual trauma. One third had not held a competitive job in the past 3 years; the average length of unemployment was 2.8 (SD 4) years. Unique study features included the focus on veterans with PTSD, a comparison of a promising practice with a usual-care practice, and the outcome criterion of achieving steady competitive employment. Conclusions and Implication for Practice: This study is the first large-scale randomized trial of IPS in a PTSD population. These baseline findings illustrate the characteristics of the study sample, which are representative of a veteran population in need of vocational rehabilitation services and can be used to help guide the implementation of tailored veteran-centered programs.
Davis, L. L., Kyriakides, T. C., Suris, A., Ottomanelli, L., Drake, R. E., Parker, P. E., . . . Huang, G. D., 2018. Veterans individual placement and support towards advancing recovery: Methods and baseline clinical characteristics of a multisite study. Psychiatric Rehabilitation Journal, 41(1), 55-66.