Experiences of VA Vocational and Education Training and Assistance Services: Facilitators and Barriers Reported by Veterans with Disabilities

Overview

Journal Psychiatr Rehabil J

Publisher American Psychological Association

Specialty Psychiatry

Date 2020 Jun 30

PMID 32597666

Authors

Megan Shepherd-Banigan

Terri K Pogoda

Kevin McKenna

Nina Sperber

Courtney H Van Houtven

Affiliations

Soon will be listed here.

Abstract

Objective: To understand the experiences of veterans with disabilities and caregiving needs who use Department of Veterans Affairs (VA) vocational and education services, including Supported Employment, the Post-9/11 GI Bill, and Vocational Rehabilitation and Employment.

Method: We conducted 26 joint semistructured interviews with post-9/11 veterans who had used at least one of three vocational and education services, and their family members who were enrolled in a VA Caregiver Support Program.

Results: VA vocational and education services helped veterans with disabilities transition from the military into civilian life by providing skills and incremental exposure to engaging in everyday life tasks. Veteran motivation, caregiver support, and engaged staff at VA and academic institutions were key drivers of veteran success. Veterans who experienced challenges cited the following barriers: health problems, concerns about benefits loss if they became employed, and VA and academic programs that did not accommodate the needs of nontraditional veteran learners.

Conclusions And Implications For Practice: There is a need to bolster VA vocational and educational services for veterans with disabilities in several domains, including modifying the roles of frontline staff and increasing communication between vocational counselors and health care teams to better accommodate the veteran's health-related limitations. Providing a vocational rehabilitation navigator to help veterans identify opportunities within VA and work/educational settings that are a good match for the veteran's goals and abilities could also be beneficial across vocational and educational services. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Citing Articles

Employment Barriers Experienced at Different Job Acquisition Stages by People With and Without Disabilities.

Jablonski E, Phillips K, Henly M J Vocat Rehabil. 2025; 61(2):235-252.

PMID: 40026416 PMC: 11872234. DOI: 10.3233/jvr-240034.

References

Meshberg-Cohen S, Reid-Quinones K, Black A, Rosen M . Veterans' attitudes toward work and disability compensation: associations with substance abuse. Addict Behav. 2013; 39(2):445-8. PMC: 4744469. DOI: 10.1016/j.addbeh.2013.09.005. View

Twamley E, Baker D, Norman S, Pittman J, Lohr J, Resnick S . Veterans Health Administration vocational services for Operation Iraqi Freedom/Operation Enduring Freedom Veterans with mental health conditions. J Rehabil Res Dev. 2013; 50(5):663-70. DOI: 10.1682/jrrd.2012.08.0137. View

Davis L, Leon A, Toscano R, Drebing C, Ward L, Parker P . A randomized controlled trial of supported employment among veterans with posttraumatic stress disorder. Psychiatr Serv. 2012; 63(5):464-70. DOI: 10.1176/appi.ps.201100340. View

Cotner B, Ottomanelli L, OConnor D, Njoh E, Barnett S, Miech E . Quality of Life Outcomes for Veterans With Spinal Cord Injury Receiving Individual Placement and Support (IPS). Top Spinal Cord Inj Rehabil. 2018; 24(4):325-335. PMC: 6241224. DOI: 10.1310/sci17-00046. View

Kukla M, McGuire A, Strasburger A, Belanger E, Bakken S . Helping veterans achieve work: A Veterans Health Administration nationwide survey examining effective job development practices in the community. Psychiatr Rehabil J. 2018; 41(2):103-108. DOI: 10.1037/prj0000297. View

Elbogen E, Molloy K, Wagner H, Kimbrel N, Beckham J, Van Male L . Psychosocial protective factors and suicidal ideation: Results from a national longitudinal study of veterans. J Affect Disord. 2019; 260:703-709. PMC: 6878990. DOI: 10.1016/j.jad.2019.09.062. View

Ruderman L, Ehrlich D, Roy A, Pietrzak R, Harpaz-Rotem I, Levy I . POSTTRAUMATIC STRESS SYMPTOMS AND AVERSION TO AMBIGUOUS LOSSES IN COMBAT VETERANS. Depress Anxiety. 2016; 33(7):606-613. PMC: 5247796. DOI: 10.1002/da.22494. View

Waszak D, Holmes A . The Unique Health Needs of Post-9/11 U.S. Veterans. Workplace Health Saf. 2017; 65(9):430-444. DOI: 10.1177/2165079916682524. View

Cifu D, Taylor B, Carne W, Bidelspach D, Sayer N, Scholten J . Traumatic brain injury, posttraumatic stress disorder, and pain diagnoses in OIF/OEF/OND Veterans. J Rehabil Res Dev. 2014; 50(9):1169-76. DOI: 10.1682/JRRD.2013.01.0006. View

10.

Wyse J, Pogoda T, Mastarone G, Gilbert T, Carlson K . Employment and vocational rehabilitation experiences among veterans with polytrauma/traumatic brain injury history. Psychol Serv. 2018; 17(1):65-74. PMC: 6437006. DOI: 10.1037/ser0000283. View

11.

van der Noordt M, IJzelenberg H, Droomers M, Proper K . Health effects of employment: a systematic review of prospective studies. Occup Environ Med. 2014; 71(10):730-6. DOI: 10.1136/oemed-2013-101891. View

12.

Erbes C, Kaler M, Schult T, Polusny M, Arbisi P . Mental health diagnosis and occupational functioning in National Guard/Reserve veterans returning from Iraq. J Rehabil Res Dev. 2012; 48(10):1159-70. DOI: 10.1682/jrrd.2010.11.0212. View

13.

Carlson K, Kehle S, Meis L, Greer N, MacDonald R, Rutks I . Prevalence, assessment, and treatment of mild traumatic brain injury and posttraumatic stress disorder: a systematic review of the evidence. J Head Trauma Rehabil. 2010; 26(2):103-15. DOI: 10.1097/HTR.0b013e3181e50ef1. View

14.

Resnick S, Rosenheck R . Dissemination of supported employment in Department of Veterans Affairs. J Rehabil Res Dev. 2007; 44(6):867-77. DOI: 10.1682/jrrd.2007.02.0043. View

15.

Sayer N, Noorbaloochi S, Frazier P, Carlson K, Gravely A, Murdoch M . Reintegration problems and treatment interests among Iraq and Afghanistan combat veterans receiving VA medical care. Psychiatr Serv. 2010; 61(6):589-97. DOI: 10.1176/ps.2010.61.6.589. View

16.

Van Houtven C, Smith V, Stechuchak K, Shepherd-Banigan M, Hastings S, Maciejewski M . Comprehensive Support for Family Caregivers: Impact on Veteran Health Care Utilization and Costs. Med Care Res Rev. 2017; 76(1):89-114. PMC: 5726944. DOI: 10.1177/1077558717697015. View

17.

Drew D, Drebing C, Van Ormer A, Losardo M, Krebs C, Penk W . Effects of disability compensation on participation in and outcomes of vocational rehabilitation. Psychiatr Serv. 2001; 52(11):1479-84. DOI: 10.1176/appi.ps.52.11.1479. View

18.

Reddy L, Kern R . Supported employment among veterans with serious mental illness: the role of cognition and social cognition on work outcome. Schizophr Res Cogn. 2018; 1(3):144-148. PMC: 5779091. DOI: 10.1016/j.scog.2014.09.004. View

19.

Shepherd-Banigan M, Sperber N, McKenna K, Pogoda T, Van Houtven C . Leveraging institutional support for family caregivers to meet the health and vocational needs of persons with disabilities. Nurs Outlook. 2019; 68(2):184-193. PMC: 7500826. DOI: 10.1016/j.outlook.2019.08.006. View

20.

Carlson K, Pogoda T, Gilbert T, Resnick S, Twamley E, ONeil M . Supported Employment for Veterans With Traumatic Brain Injury: Patient Perspectives. Arch Phys Med Rehabil. 2017; 99(2S):S4-S13.e1. DOI: 10.1016/j.apmr.2017.06.027. View