Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 3, 2014
   Pages 401 — 414

Abstract — Receipt of employment services among Veterans Health Administration users with psychiatric diagnoses

Kristen M. Abraham, PhD;1–3* Dara Ganoczy, MPH;4 Matheos Yosef, PhD;2 Sandra G. Resnick, PhD;5–6 Kara Zivin, PhD2,4,7

1Department of Psychology, University of Detroit Mercy, Detroit, MI; 2Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI; 3Department of Veterans Affairs (VA) Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, MI; 4VA Center for Clinical Management Research, Ann Arbor, MI; 5Department of Psychiatry, Yale University School of Medicine, New Haven, CT; 6VA New England Mental Illness Research, Education, and Clinical Center, West Haven, CT; 7Department of Health Management and Policy, School of Public Health; and Institute for Social Research, University of Michigan, Ann Arbor, MI

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.

Key words: access, anxiety disorders, bipolar disorder employment services, depression, mental illness, psychiatric diagnosis, PTSD, schizophrenia, supported employment, transitional work, veterans, vocational rehabilitation.


View HTML ¦ View PDF ¦ Contents Vol. 51, No.3
This article and any supplementary material should be cited as follows:
Abraham KM, Ganoczy D, Yosef M, Resnick SG, Zivin K. Receipt of employment services among Veterans Health Administration users with psychiatric diagnoses. J Rehabil Res Dev. 2014;51(3):401–14.
http://dx.doi.org/10.1682/JRRD.2013.05.0114
ResearcherID/ORCID: Sandra G. Resnick, PhD: F-3883-2014
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