Positive Impact of IPS Supported Employment on PTSD-Related Occupational-Psychosocial Functional Outcomes: Results From a VA Randomized-Controlled Trial

dc.contributor.authorVA CSP 589 VIP-STAR Investigators
dc.contributor.otherUS Department of Veterans Affairs
dc.contributor.otherVeterans Health Administration (VHA)
dc.contributor.otherSan Francisco VA Medical Center
dc.contributor.otherUniversity of California San Francisco
dc.contributor.otherVA Palo Alto Health Care System
dc.contributor.otherJames J. Peters VA Medical Center
dc.contributor.otherVA Connecticut Healthcare System
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherVeterans Affairs Medical Center - Birmingham
dc.contributor.otherVA North Texas Health Care System
dc.date.accessioned2023-09-28T20:40:10Z
dc.date.available2023-09-28T20:40:10Z
dc.date.issued2019
dc.description.abstractObjective: Posttraumatic stress disorder (PTSD) has significant negative effects on occupational, interpersonal, and social functioning. Supported employment is highly effective in helping people with a diagnosis of PTSD obtain and maintain competitive employment. However, less is known about the impact of supported employment on functioning in work or school, social, and interpersonal areas as specifically related to the symptoms of PTSD. Method: The Veterans Individual Placement and Support Toward Advancing Recovery study was a prospective, multisite, randomized, controlled trial that compared Individual Placement and Support (IPS) supported employment with a stepwise vocational rehabilitation involving transitional work (TW) assignments with unemployed veterans with PTSD diagnoses (a = 541) at 12 Veterans Administration (VA) medical centers. This analysis focuses on the PTSD-related functional outcomes over the 18-month follow-up period. Results: Compared with those randomized to TW, the PTSD Related Functioning Inventory (PRFI) total score significantly improved for participants randomized to IPS (ISMeans difference = -3.92, 95% CI [-7.49, -.36]; p = .03) over 18 months. When the Work/School subscale of the PRFI was removed from the analysis, the IPS group continued to show significant improvements compared with the TW group on the PRFI relationship and lifestyle domains (LSMeans difference = -2.37, 95% CI [-4.74_00]; p = .05), suggesting a positive impact of IPS beyond work/school functioning. Conclusion: Compared with the usual-care VA vocational services for veterans with PTSD, IPS supported employment is associated with greater improvement in overall PTSD-related functioning, including occupational, interpersonal, and lifestyle domains. In addition to superior employment outcomes. IPS has a positive impact on occupational-psychosocial functioning outcomes.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationMueller, L., Wolfe, W. R., Neylan, T. C., McCaslin, S. E., Yehuda, R., Flory, J. D., Kyriakides, T. C., Toscano, R., & Davis, L. L. (2019). Positive impact of IPS supported employment on PTSD-related occupational-psychosocial functional outcomes: Results from a VA randomized-controlled trial. In Psychiatric Rehabilitation Journal (Vol. 42, Issue 3, pp. 246–256). American Psychological Association (APA). https://doi.org/10.1037/prj0000345
dc.identifier.doi10.1037/prj0000345
dc.identifier.orcidhttps://orcid.org/0000-0001-8913-108X
dc.identifier.orcidhttps://orcid.org/0000-0003-2061-5320
dc.identifier.urihttps://ir.ua.edu/handle/123456789/11748
dc.languageEnglish
dc.language.isoen_US
dc.publisherAmerican Psychological Association
dc.subjectpsychosocial functioning
dc.subjectposttraumatic stress disorder
dc.subjectsupported employment
dc.subjecttransitional work
dc.subjectveterans
dc.subjectPOSTTRAUMATIC-STRESS-DISORDER
dc.subjectQUALITY-OF-LIFE
dc.subjectNONVOCATIONAL OUTCOMES
dc.subjectINDIVIDUAL PLACEMENT
dc.subjectVETERANS
dc.subjectRECOVERY
dc.subjectPEOPLE
dc.subjectWORK
dc.subjectAFGHANISTAN
dc.subjectFEMALE
dc.subjectPsychiatry
dc.subjectRehabilitation
dc.titlePositive Impact of IPS Supported Employment on PTSD-Related Occupational-Psychosocial Functional Outcomes: Results From a VA Randomized-Controlled Trialen_US
dc.typeArticle
dc.typetext
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
10.1037prj0000345.pdf
Size:
565.29 KB
Format:
Adobe Portable Document Format