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This study is a secondary analysis of data from the Therapeutic Employment Placement and Support (TEPS) demonstration, conducted from 2001 to 2005. The TEPS demonstration focused on veterans experiencing homelessness who (1) were not receiving Department of Veterans Affairs (VA) health services, (2) expressed a desire to participate in competitive employment, and (3) were diagnosed with a psychiatric disability or substance use disorder. Cohort 1 of TEPS included 308 veterans who were offered standard VA services. Cohort 2 of TEPS included 322 veterans who were offered IPS and standard VA services. The study uses data from 440 of the 630 veterans across the two cohorts. Veterans across both cohorts were assigned to five employment groups based on employment patterns in the six months after TEPS enrollment and included (1) 100 veterans not working at any time, (2) 96 veterans working only in TWE, (3) 30 veterans working in TWE followed by competitive employment (CE), (4) 58 veterans working in CE without IPS (Cohort 1 only), and (5) 156 veterans working in CE with IPS (Cohort 2 only). This study contrasts individuals who worked in CE and received an IPS referral (Group 5) with those who were not working (Group 1). Other study reviews examine the other contrasts.
Individuals enrolled in the study between 2001 and 2003. (The final enrollment date is not provided, but the two-year TEPS follow-up concluded in 2005.) The study examines outcomes for six months after enrollment.
The study was based on work supported by the Mental Health and Behavioral Sciences Service, located in the VA central office in Washington, DC.
The study included 440 veterans experiencing homelessness who (1) were not receiving VA health services; (2) expressed interest in seeking competitive employment; and (3) had been diagnosed with a psychiatric disability and/or substance use disorder. The study did not report the characteristics of the overall sample of 440 individuals. Within the group who worked in competitive employment and received an IPS referral, 91 percent were male, 41 percent were White, and 86 percent had received an honorable discharge.
U.S. Department of Veterans Affairs
The TWE had been offered by the VA before this study as a standard service. The IPS is an established program model but was not previously offered at the VA centers included in the evaluation.
The intervention group includes individuals recruited into the study during Cohort 2 who were employed during the six months after TEPS enrollment, received an IPS referral. As part of the VA’s IPS program, an employment specialist worked with a larger team of clinicians and support staff to integrate treatment of underlying mental and physical health issues into the employment services for veterans experiencing homelessness. The employment specialist assessed participants’ vocational abilities and helped tailor an accelerated job search based on their strengths and preferences. Employment specialists also cultivated relationships with local employers, developed leads on competitive employment opportunities, and helped participants access other services such as job training and health care available through the VA. Intervention group members could also access standard VA services, including in TWE.
The comparison group includes individuals recruited into the study who were not employed at any point during the six months after TEPS enrollment. They could access standard VA services, including TWE.
None.
The study does not specify how long veterans received services.
The program took place within nine Department of Veterans Affairs (VA) medical centers in the United States.