2023-09-28 14:46:10 +00:00
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abstract: 'IntroductionThe purpose of the study was to investigate factors that
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influence vocational rehabilitation program enrollment and employment at
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discharge of veterans with psychiatric and co-occurring alcohol and
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other substance use disorders enrolled at a veteran health
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administration (VHA) medical center. MethodsA sample of 2,550 veteran
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patients referred for VHA vocational rehabilitation between 2016 and
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2021 were examined for the current study. The current study was
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classified as quality improvement/assurance, thus resulting in exempt
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research by the U.S. Department of Veteran Affairs Institutional Review
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Board. ResultsVeterans with active alcohol use disorders (AUDs) and
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co-occurring depression, anxiety, post-traumatic stress disorder, or
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bipolar disorders were less likely to be enrolled for vocational
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rehabilitation program services compared to those without these
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co-occurring diagnoses. Veterans with AUD (active \& in-remission status
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combined into one category) and a diagnosis of anxiety were less likely
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to be employed at discharge compared to veterans with AUDs and no
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anxiety diagnosis (anxiety diagnosis - 3.5\% vs. no anxiety diagnosis -
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5.8\%). DiscussionVHA vocational rehabilitation can be an effective
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intervention to assist veterans in reintegrating back into the
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community. Yet, there appears to be some disparities in the program
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enrollment and employment at discharge, depending on the nature of the
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psychiatric diagnosis. Investigating the factors contributing (mediating
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or moderating) to these discrepancies are needed. Although it appears
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access is not the issue in being referred for vocational rehabilitation
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services, other factors are likely contributing to program entry.'
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affiliation: 'Sprong, ME (Corresponding Author), Edward Hines Jr VA Med Ctr, Hines,
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IL 60141 USA.
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Sprong, ME (Corresponding Author), Univ Illinois, Sch Publ Management \& Policy,
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Springfield, IL 62703 USA.
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Sprong, Matthew E., Edward Hines Jr VA Med Ctr, Hines, IL 60141 USA.
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Sprong, Matthew E., Univ Illinois, Sch Publ Management \& Policy, Springfield, IL
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62703 USA.
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Hollender, Heaven, Indiana Univ Purdue Univ, Dept Hlth Sci, Indianapolis, IN USA.
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Lee, Yu-Sheng, Univ Illinois, Sch Integrated Sci Sustainabil \& Publ Hlth, Springfield,
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IL USA.
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Williams, Lee Ann Rawlins, Univ North Dakota, Coll Educ \& Human Dev, Rehabil \&
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Human Serv, Grand Forks, ND USA.
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Sneed, Zach, Texas Tech Univ, Hlth Sci Ctr, Sch Hlth Profess, Lubbock, TX USA.
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Garakani, Amir, Greenwich Hosp, Dept Psychiat \& Behav Hlth, Greenwich, CT USA.
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Garakani, Amir; Buono, Frank D., Yale Univ, Sch Med, Dept Psychiat, New Haven, CT
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USA.'
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article-number: '1200450'
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author: Sprong, Matthew E. and Hollender, Heaven and Lee, Yu-Sheng and Williams, Lee
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Ann Rawlins and Sneed, Zach and Garakani, Amir and Buono, Frank D.
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author-email: mspro2@uis.edu
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author_list:
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- family: Sprong
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given: Matthew E.
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- family: Hollender
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given: Heaven
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- family: Lee
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given: Yu-Sheng
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- family: Williams
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given: Lee Ann Rawlins
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- family: Sneed
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given: Zach
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- family: Garakani
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given: Amir
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- family: Buono
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given: Frank D.
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da: '2023-09-28'
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doi: 10.3389/fpsyt.2023.1200450
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files: []
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issn: 1664-0640
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journal: FRONTIERS IN PSYCHIATRY
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keywords: 'employment; substance use disorders; veterans; vocational
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rehabilitation; mental health; co-occurring disorders; psychiatric
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disorders; Department of Veteran Affairs'
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keywords-plus: 'MENTAL-DISORDERS; WORK; MILITARY; ABUSE; HEALTH; COMPENSATION; ILLNESS;
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STRESS; PEOPLE'
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language: English
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month: JUL 13
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number-of-cited-references: '46'
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papis_id: 2ef1d541846b3e435a278131c598977c
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ref: Sprong2023disparitiesprogram
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times-cited: '0'
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title: Disparities in program enrollment and employment outcomes for veterans with
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psychiatric and co-occurring substance use disorders referred or enrolled for VHA
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vocational rehabilitation
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:001037081800001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '14'
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web-of-science-categories: Psychiatry
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year: '2023'
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