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Work outcomes after benefits counseling among veterans applying for service connection for a psychiatric condition

Date Added to Library: 
Thursday, December 21, 2017 - 15:41
Digital Object Identifier (DOI): 
10.1176/appi.ps.201300478
Priority: 
normal
Individual Author: 
Rosen, Marc I.
Ablondi, Karen
Black, Anne C.
Mueller, Lisa
Serowik, Kristin L.
Martino, Steve
Hur Mobo, Ben
Rosenheck, Robert A.
Reference Type: 
Research Methodology: 
Published Date: 
12/01/2014
Published Date (Date): 
Monday, December 1, 2014
Publication: 
Psychiatric Services
Volume: 
65
Issue Number: 
12
Page Range: 
1426-1432
Year: 
2014
Language(s): 
Abstract: 

Objective:

This study's objective was to determine the efficacy of benefits counseling in a clinical trial. There has been concern that disability payments for psychiatric disorders reduce incentives for employment and rehabilitation. Benefits counseling, with education about opportunities to work and the financial implications of work on receipt of disability benefits, may counter these disincentives.

Methods:

This single-blind, six-month randomized clinical trial enrolled 84 veterans who had applied for service-connected compensation for a psychiatric condition. Veterans were randomly assigned to either four sessions of benefits counseling or of a control condition involving orientation to the U.S Department of Veterans Affairs health care system and services. Days of paid work and work-related activities were assessed at follow-up visits by using a timeline follow-back calendar.

Results:

Veterans assigned to benefits counseling worked for pay for significantly more days than did veterans in the control group (effect size=.69, p<.05), reflecting an average of three more days of paid employment during the 28 days preceding the six-month follow-up. Benefits counseling was associated with increased use of mental health services, but this correlation did not mediate the effect of benefits counseling on working.

Conclusions:

Barriers to employment associated with disability payments are remediable with basic counseling. More research is needed to understand the active ingredient of this counseling and to strengthen the intervention. (Author abstract)

Target Populations: 
Geographic Focus: 
Page Count: 
7
Topical Area: 
Keyword: 
Topical Area: 
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