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Receipt of employment services among Veterans Health Administration users with psychiatric diagnoses.
J Rehabil Res Dev. 2014; 51(3):401-14.JR

Abstract

This study examined the population-based reach of Veterans Health Administration (VHA) employment services to VHA patients with psychiatric diagnoses. Reach of services includes the percentage and characteristics of people who accessed services compared with those who did not. Using clinical administrative data, we identified patients with a psychiatric diagnosis among a random sample of all patients who received VHA services in 1 yr. Among VHA patients with psychiatric diagnoses, we examined their likelihood of receiving any VHA employment services and specific types of employment services, including supported employment, transitional work, incentive therapy, and vocational assistance. We identified clinical and demographic characteristics associated with receiving employment services. Results indicated that 4.2% of VHA patients with a psychiatric diagnosis received employment services. After adjusting for clinical and demographic characteristics, VHA patients with schizophrenia and bipolar disorder were more likely to receive any employment services and to receive supported employment than were patients with depression, PTSD, or other anxiety disorders. VHA patients with depression and PTSD were more likely to receive transitional work and vocational assistance than patients with schizophrenia. Future studies should examine system-level barriers to receiving employment services and identify types of employment services most appropriate for Veterans with different psychiatric diagnoses.

Authors+Show Affiliations

University of Detroit Mercy, Department of Psychology, 4001 W McNichols Rd, Detroit, MI 48221-0445. abrahakm@udmercy.edu,Kristen.abraham2@va.gov.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

25019663

Citation

Abraham, Kristen M., et al. "Receipt of Employment Services Among Veterans Health Administration Users With Psychiatric Diagnoses." Journal of Rehabilitation Research and Development, vol. 51, no. 3, 2014, pp. 401-14.
Abraham KM, Ganoczy D, Yosef M, et al. Receipt of employment services among Veterans Health Administration users with psychiatric diagnoses. J Rehabil Res Dev. 2014;51(3):401-14.
Abraham, K. M., Ganoczy, D., Yosef, M., Resnick, S. G., & Zivin, K. (2014). Receipt of employment services among Veterans Health Administration users with psychiatric diagnoses. Journal of Rehabilitation Research and Development, 51(3), 401-14. https://doi.org/10.1682/JRRD.2013.05.0114
Abraham KM, et al. Receipt of Employment Services Among Veterans Health Administration Users With Psychiatric Diagnoses. J Rehabil Res Dev. 2014;51(3):401-14. PubMed PMID: 25019663.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Receipt of employment services among Veterans Health Administration users with psychiatric diagnoses. AU - Abraham,Kristen M, AU - Ganoczy,Dara, AU - Yosef,Matheos, AU - Resnick,Sandra G, AU - Zivin,Kara, PY - 2013/05/08/received PY - 2013/10/21/revised PY - 2014/7/15/entrez PY - 2014/7/16/pubmed PY - 2015/4/8/medline KW - PTSD KW - access KW - anxiety disorders KW - bipolar disorder employment services KW - depression KW - mental illness KW - psychiatric diagnosis KW - schizophrenia KW - supported employment KW - transitional work KW - veterans KW - vocational rehabilitation SP - 401 EP - 14 JF - Journal of rehabilitation research and development JO - J Rehabil Res Dev VL - 51 IS - 3 N2 - This study examined the population-based reach of Veterans Health Administration (VHA) employment services to VHA patients with psychiatric diagnoses. Reach of services includes the percentage and characteristics of people who accessed services compared with those who did not. Using clinical administrative data, we identified patients with a psychiatric diagnosis among a random sample of all patients who received VHA services in 1 yr. Among VHA patients with psychiatric diagnoses, we examined their likelihood of receiving any VHA employment services and specific types of employment services, including supported employment, transitional work, incentive therapy, and vocational assistance. We identified clinical and demographic characteristics associated with receiving employment services. Results indicated that 4.2% of VHA patients with a psychiatric diagnosis received employment services. After adjusting for clinical and demographic characteristics, VHA patients with schizophrenia and bipolar disorder were more likely to receive any employment services and to receive supported employment than were patients with depression, PTSD, or other anxiety disorders. VHA patients with depression and PTSD were more likely to receive transitional work and vocational assistance than patients with schizophrenia. Future studies should examine system-level barriers to receiving employment services and identify types of employment services most appropriate for Veterans with different psychiatric diagnoses. SN - 1938-1352 UR - https://www.unboundmedicine.com/medline/citation/25019663/Receipt_of_employment_services_among_Veterans_Health_Administration_users_with_psychiatric_diagnoses_ L2 - https://www.rehab.research.va.gov/jour/2014/513/pdf/page401.pdf DB - PRIME DP - Unbound Medicine ER -