Status:
ACTIVE_NOT_RECRUITING
Improving Vocational Outcomes of Veterans With Psychiatric Disorders: Career Counseling & Development
Lead Sponsor:
VA Office of Research and Development
Conditions:
Unemployment
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The Veterans Health Administration (VHA) offers robust vocational programming that have helped countless Veterans obtain competitive employment; however, these services are not uniformly effective as ...
Detailed Description
AIM 1: Develop a career counseling and development treatment manual for Veterans with psychiatric disorders (i.e., Purposeful Pathways) along with a fidelity monitoring checklist based on veteran and ...
Eligibility Criteria
Inclusion
- 1\) eligibility for, and planning to enroll in TW, or within 16 weeks of having enrolled in TW, 2) the presence of a current psychiatric disorder of PTSD, Mood Disorders (e.g., Bipolar Disorders, Major Depression), Anxiety-Related Disorders (e.g., Generalized Anxiety Disorder, Panic Disorder, Agoraphobia, Obsessive Compulsive Disorder), Psychotic Disorders (e.g., Schizophrenia, Schizoaffective Disorder), Substance Use Disorders (e.g., Alcohol, Opioid, Cannabis, Cocaine, Sedative, Hypnotic, or Anxiolytic, Other Stimulants), which is indicated by an ICD-10 diagnosis encounter in the participants VA medical record within the last six months, inputted by a licensed mental health provider (psychiatrist, psychologist, licensed clinical social worker, psychiatric nurse practitioner), 3) self-identification as either unemployed, underemployed (self-report of falling into one of five categories: overeducated, job-education mismatch, skill underutilization, being involuntarily engaged in part-time, temporary, or intermittent employment \[i.e., hours underemployed\], or earning wages in a job that are 20% less compared to a previous job, or for recent college graduates, earning wages that are 20% less compared to graduating peers of similar education/training \[i.e., pay underemployment\]. \[13\]), or self-report that they are employed but functioning poorly at work as a result of mental illness or substance use, 4) self-identification as not being on leave from a job for which there are arrangements to return to their job following the completion of TW, 5) having plans to work for three years beyond the end of this study, and 6) competency to provide written informed consent.
Exclusion
- 1\) acute suicide/homicide risk requiring treatment focused on safety to self or others based on self-report of current and active thoughts of harm to self or others with intent and plan that requires crisis stabilization in an acute psychiatric unit, 2) being not otherwise eligible for TW services, 3) current enrollment in CWT's supported employment services, 4) Symptom Checklist-6 \[14\] score greater than 26, 5) Veterans RAND-12 (VR-12) physical component score \[15\] less than 12, and VR-12 mental composite score \[15\] less than 8, 6) improbability that participant will complete the study for the following reasons: expected deployment, expected incarceration, expected long-term hospitalization, or expected relocation from the vicinity of the participating VA during the study period, and 7) unwillingness to engage in a weekly career development intervention.
Key Trial Info
Start Date :
April 1 2021
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 31 2026
Estimated Enrollment :
67 Patients enrolled
Trial Details
Trial ID
NCT04698967
Start Date
April 1 2021
End Date
March 31 2026
Last Update
August 13 2025
Active Locations (1)
Enter a location and click search to find clinical trials sorted by distance.
1
VA Bedford HealthCare System, Bedford, MA
Bedford, Massachusetts, United States, 01730-1114