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首页> 外文期刊>Journal of Rehabilitation Research and Development >Veterans Health Administration vocational services for Operation Iraqi Freedom/Operation Enduring Freedom Veterans with mental health conditions
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Veterans Health Administration vocational services for Operation Iraqi Freedom/Operation Enduring Freedom Veterans with mental health conditions

机译:退伍军人卫生管理局为伊拉克自由行动/持久自由行动提供心理健康状况的退伍军人的职业服务

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摘要

High rates of mental health conditions and unemployment are significant problems facing Veterans of Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF). We examined two national Veterans Health Administration (VHA) databases from fiscal years 2008–2009 a larger database (n = 75,607) of OIF/OEF Veterans with posttraumatic stress disorder, depression, substance use disorder, or traumatic brain injury (TBI) and a smaller subset (n = 1,010) of those Veterans whose employment was tracked during their participation in VHA vocational services. Only 8.4% of Veterans in the larger database accessed any vocational services and retention was low, with most Veterans attending one or two appointments. Veterans with TBI and with more mental health conditions overall were more likely to access vocational services. Only 2.2% of Veterans received evidencebased supported employment. However, supported employment was effective, with 51% of those Veterans receiving it obtaining competitive work. Effect sizes quantifying the effect of supported employment provision on competitive work attainment, number of jobs, job tenure, and retention in vocational services were large. Given the high success rate of supported employment for these Veterans, additional supported employment specialists for this population would be expected to improve work outcomes for post9/11 Veterans who want assistance returning to work.
机译:较高的心理健康状况和失业率是“伊拉克自由行动/持久自由行动”(OIF / OEF)退伍军人面临的重大问题。我们审查了2008-2009财政年度的两个国家退伍军人卫生管理局(VHA)数据库,这是一个较大的OIF / OEF退伍军人数据库(n = 75,607),患有创伤后应激障碍,抑郁症,药物滥用障碍或脑外伤(TBI),在参加VHA职业服务期间被跟踪就业的那些退伍军人中的一小部分(n = 1,010)。大型数据库中只有8.4%的退伍军人访问过任何职业服务,并且保留率很低,大多数退伍军人都参加一两次任命。患有TBI且总体心理健康状况更佳的退伍军人更有可能获得职业服务。只有2.2%的退伍军人获得了有据可依的支持性就业。但是,支持性就业是有效的,有51%的退伍军人获得了竞争性工作。量化支持的就业提供对竞争性工作成就,工作数量,工作任期和职业服务保留率的影响的影响量很大。鉴于这些退伍军人的受支持就业成功率很高,预计该人群将需要更多受支持的就业专家,以改善希望获得帮助的9/11后退伍军人的工作成果。

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