Davis Lori L, Kyriakides Tassos C, Suris Alina, Ottomanelli Lisa, Drake Robert E, Parker Pamela E, Mueller Lisa, Resnick Sandra G, Toscano Richard, Blansett Catherine M, McCall Kimberly P, Huang Grant D
Tuscaloosa VA Medical Center.
VA Cooperative Studies Program Coordinating Center, VA Connecticut Healthcare System.
Psychiatr Rehabil J. 2018 Mar;41(1):55-66. doi: 10.1037/prj0000250. Epub 2017 Mar 30.
This article describes the methodology and the baseline characteristics of veterans with posttraumatic stress disorder (PTSD) enrolled in a multisite trial comparing supported employment individual placement and support (IPS) to a stepwise vocational transitional work program (TWP).
The Veterans Affairs Cooperative Studies Program randomized 541 veterans with PTSD across 12 Veterans Affairs Medical Centers to either IPS or TWP. Demographic and clinical characteristics were evaluated at baseline.
Participants averaged 42 (SD ± 11) years of age and had PTSD for 13 (SD ± 11) years. The group was comprised of 18% female, 42% African Americans, and 16% Latino participants. Approximately 60% of participants served in the military since 2001, 89% were receiving or applying for service-connected disability, 60% had PTSD from nonsexual combat-related trauma, and 17% had PTSD from military sexual trauma. One third had not held a competitive job in the past 3 years; the average length of unemployment was 2.8 (SD ± 4) years. Unique study features included the focus on veterans with PTSD, a comparison of a promising practice with a usual-care practice, and the outcome criterion of achieving steady competitive employment. Conclusions and Implication for Practice: This study is the first large-scale randomized trial of IPS in a PTSD population. These baseline findings illustrate the characteristics of the study sample, which are representative of a veteran population in need of vocational rehabilitation services and can be used to help guide the implementation of tailored veteran-centered programs. (PsycINFO Database Record
本文描述了参与一项多中心试验的创伤后应激障碍（PTSD）退伍军人的方法和基线特征，该试验比较了支持性就业个人安置与支持（IPS）和逐步职业过渡工作计划（TWP）。
退伍军人事务合作研究项目在12个退伍军人事务医疗中心将541名患有创伤后应激障碍的退伍军人随机分为IPS组或TWP组。在基线时评估人口统计学和临床特征。
参与者平均年龄为42岁（标准差±11），患有创伤后应激障碍13年（标准差±11）。该组由18%的女性、42%的非裔美国人和16%的拉丁裔参与者组成。自2001年以来，约60%的参与者曾在军队服役，89%的人正在接受或申请与服役相关的残疾评定，60%的人因非性战斗相关创伤患有创伤后应激障碍，17%的人因军事性创伤患有创伤后应激障碍。三分之一的人在过去3年中没有从事过竞争性工作；平均失业时间为2.8年（标准差±4）。独特的研究特点包括关注患有创伤后应激障碍的退伍军人、将一种有前景的做法与常规护理做法进行比较，以及以实现稳定的竞争性就业为结果标准。结论及对实践的启示：本研究是第一项针对创伤后应激障碍人群的IPS大规模随机试验。这些基线研究结果说明了研究样本的特征，该样本代表了需要职业康复服务的退伍军人人群，可用于帮助指导实施以退伍军人为中心的定制项目。（PsycINFO数据库记录）
