Stevenson Brian J, Reed Cheyenne, Falcón Amanda, Hunt Taylor, Kathawalla Ummul-Kiram, Mueller Lisa, McNary Kelley, Wilkins Sarah, Blustein David
VISN 1 New England Mental Illness Research, Education, and Clinical Center (MIRECC), VA Bedford Healthcare System, Bedford, MA.
Department of Psychiatry, UMass Chan Medical School, Worcester, MA.
J Career Dev. 2025 Apr;52(2):214-235. doi: 10.1177/08948453241313192. Epub 2025 Jan 8.
Veterans who are unemployed and living with mental health or substance use conditions are in need of integrative interventions that support their career development, mental wellness, and sobriety. However, career development interventions are often developed and implemented separate from mental health services. This paper introduces a novel intervention that supports career development of veterans with mental health and substance use concerns: Purposeful Pathways. This paper presents the results from three phases of intervention development: (1) retreats with clinical and vocational psychology experts (n=13) to develop the theoretical mechanisms of Purposeful Pathways, (2) focus groups with Veterans Health Affairs vocational counselors (n=6) who provide employment services to veterans with mental health conditions, and (3) an open trial in which veterans with mental health conditions (n=10) received Purposeful Pathways and provided feedback. Descriptions of the iterative processes of developing the Purposeful Pathways intervention are presented as a model for developing vocational interventions.
失业且患有心理健康问题或物质使用障碍的退伍军人需要综合干预措施来支持他们的职业发展、心理健康和保持清醒。然而，职业发展干预措施往往是独立于心理健康服务而制定和实施的。本文介绍了一种新颖的干预措施——“目标导向路径”，它支持有心理健康和物质使用问题的退伍军人的职业发展。本文展示了干预措施开发三个阶段的结果：（1）与临床和职业心理学专家（n = 13）进行务虚会，以构建“目标导向路径”的理论机制；（2）与退伍军人健康事务职业顾问（n = 6）进行焦点小组讨论，这些顾问为有心理健康问题的退伍军人提供就业服务；（3）一项开放试验，有心理健康问题的退伍军人（n = 10）接受“目标导向路径”并提供反馈。“目标导向路径”干预措施开发的迭代过程描述作为职业干预措施开发的一个模型呈现。
