The Impact of Vocational Rehabilitation on Mentally III Veterans

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT00333801
First received: June 2, 2006
Last updated: August 14, 2013
Last verified: August 2013
  Purpose

To study the impact of supported employment (SE) compared to standard vocational rehabilitation program (VRP) for veterans with posttraumatic stress disorder (PTSD).


Condition Intervention
Mental Illness
Post-Traumatic Stress Disorder
Vocational Rehabilitation
Behavioral: Standard Vocational Rehabilitation
Behavioral: Supported Employment

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Official Title: The Impact of Vocational Rehabilitation on Mentally III Veterans

Resource links provided by NLM:


Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:
  • Occupational Outcomes of standard vocational rehabilitation when compared to supported employment [ Time Frame: 1 calendar year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • The impact of employment on PTSD symptomology, other psychiatric, and overall quality of life measures [ Time Frame: 1full calendar year ] [ Designated as safety issue: No ]

Enrollment: 100
Study Start Date: April 2006
Study Completion Date: July 2012
Primary Completion Date: April 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Arm 1
Veterans registered in VA Vocational Rehabilitation Program
Behavioral: Standard Vocational Rehabilitation
Vocational Rehabilitation method using traditional train-place approaches, such as prevocational work skills training , CWT, or transitional work experience, which consists of temporary employment in a brokered-job with time-limited support from the VRP specialist
Experimental: Arm 2
Supported Employment
Behavioral: Supported Employment
Vocational rehabilitation method that emphasizes rapid job search, early placement in a competitive job, on-the-job training, time-unlimited follow-along supports,

Detailed Description:

Objectives: to study the impact of supported employment (SE) compared to standard vocational rehabilitation program (VRP) for veterans with posttraumatic stress disorder (PTSD).

Research Design: This prospective randomized study evaluates the impact of SE compared to VRP on occupational, sobriety, psychiatric, and quality of life outcomes and health care costs for veterans with chronic posttraumatic stress disorder 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 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, health outcomes, PTSD symptoms, sobriety, and other health-related quality of life measures will be evaluated. This strategy uses all available data during the 1-year period.

  Eligibility

Ages Eligible for Study:   19 Years to 60 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Male or Female
  • Age, greater than or equal to 19 and less than 61.
  • 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

Exclusion Criteria:

  • 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.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00333801

Locations
United States, Alabama
Tuscaloosa VAMC
Tuscaloosa, Alabama, United States, 35405
Sponsors and Collaborators
Investigators
Principal Investigator: Lori Lynne Davis, MD AB Tuscaloosa VAMC
  More Information

No publications provided by Department of Veterans Affairs

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT00333801     History of Changes
Other Study ID Numbers: D4092-I, Promis Number 0052, MIRB 00033, TVAMC 03-19
Study First Received: June 2, 2006
Last Updated: August 14, 2013
Health Authority: United States: Federal Government

Keywords provided by Department of Veterans Affairs:
Mental Illness
Post Traumatic Stress Disorder
Veterans
Vocational Rehabilitation
Supported Employment

Additional relevant MeSH terms:
Mental Disorders
Stress Disorders, Post-Traumatic
Stress Disorders, Traumatic
Anxiety Disorders

ClinicalTrials.gov processed this record on July 22, 2014