[acb-hsp] FW: PTSD and efficacy of EBSE

[Baracco, Andrew W]

This is interesting!

 

 

Subject: PTSD and efficacy of EBSE

 

While EBSE is limited to a focus on SMI with a qualifying diagnosis, hopefully the future will hold an emphasis on PTSD dx as well as new studies reveal the efficacy of utilizing EBSE for the recovery of PTSD Veterans, abstract below:

A randomized controlled trial of supported employment among veterans with posttraumatic stress disorder.

Authors: 

Davis LL ; Leon AC ; Toscano R ; Drebing CE ; Ward LC ; Parker PE ; Kashner TM ; Drake RE

Source: 

Psychiatric Services (PSYCHIATR SERV), 2012 May 1; 63 (5): 464-70. 

Publication Type: 

journal article - randomized controlled trial, research

Language: 

Major Subjects: 

Employment, Supported
Outcome Assessment -- Statistics and Numerical Data
Rehabilitation, Vocational -- Methods
Stress Disorders, Post-Traumatic -- Rehabilitation

Minor Subjects: 

Adult ; Female ; Human ; Kaplan-Meier Estimator ; Male ; Middle Age ; Randomized Controlled Trials ; Social Adjustment ; United States ; United States Department of Veterans Affairs ; Veterans -- Psychosocial Factors ; Young Adult

Abstract: 

OBJECTIVE: Posttraumatic stress disorder (PTSD) is a potentially disabling mental illness that can cause occupational dysfunction. Although vocational rehabilitation is often prescribed for patients with PTSD, standard vocational services are far from adequate in helping them obtain and maintain competitive employment. This study is the first to examine the outcome of evidence-based supported employment for veterans with PTSD. METHODS: Unemployed veterans with PTSD were randomly assigned to either individual placement and support (IPS) supported employment (N=42) or a Veterans Health Administration Vocational Rehabilitation Program (VRP) treatment as usual (N=43). Employment rates and occupational outcomes were followed for 12 months. RESULTS: During the 12-month study, 76% of the IPS participants gained competitive employment, compared with 28% of the VRP participants (number needed to treat=2.07; [chi]2=19.84, df=1, p.001). Veterans assigned to IPS also worked substantially more weeks than those assigned to VRP (42% versus 16% of the eligible weeks, respectively; Mann-Whitney z test p.001) and earned higher 12-month income (mean±SD income of $9,264±$13,294 for IPS versus $2,601±$6,009 for VRP; Mann-Whitney z test p.001) during the 12-month period. CONCLUSIONS: Veterans with PTSD who received IPS were 2.7 times more likely to gain competitive employment than those who received VRP. Because work is central to recovery, these results should assist stakeholders in planning improved services for veterans with PTSD. (Psychiatric Services 63:464-470, 2012; doi:10.1176/appi.ps.201100340).

Journal Subset: 

Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Online; Peer Reviewed; USA

Special Interest: 

Psychiatry/Psychology

ISSN: 

1075-2730

MEDLINE Info: 

PMID: 22307881 NLM UID: 9502838

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