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Pathways to Vocational Rehabilitation: Enhancing Entry and Retention

This study has been completed.
Information provided by:
VA Office of Research and Development Identifier:
First received: September 14, 2005
Last updated: March 11, 2008
Last verified: March 2008
This study will examine the barriers and supports for entering and receiving work-related services for veterans with a serious mental illness. It will also determine the effectiveness of a brief motivational interviewing intervention designed to help veterans receive these services.

Condition Intervention
Behavioral: single session of Motivational Interviewing

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Pathways to Vocational Rehabilitation: Enhancing Entry and Retention

Resource links provided by NLM:

Further study details as provided by VA Office of Research and Development:

Primary Outcome Measures:
  • Entry and Retention in Vocational Rehabilitation [ Time Frame: 18 months post intervention ]

Estimated Enrollment: 200
Study Start Date: March 2005
Study Completion Date: September 2007
Primary Completion Date: January 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Single session orientation to available services
Behavioral: single session of Motivational Interviewing

Detailed Description:

Randomized clinical trials and naturalistic studies show that among patients meeting criteria for chronic mental illness, those participating in vocational rehabilitation (VR) have significantly reduced days of inpatient hospitalization. Unfortunately, the majority of eligible adults fail to enter VR and almost half of those who do, drop out or are involuntarily discharged. The reasons for nonparticipation and drop out and their impact on rehabilitation outcomes are poorly understood.

The study will provide needed naturalistic data documenting:

  1. the way in which barriers function to reduce entry to services and contribute to the high rate of dropout,
  2. the outcomes associated with different patterns of participation, and
  3. relative rates of entry and retention in a non-VHA VR exemplar of the Intensive Placement and Support (IPS) model at the Manchester Mental Health Center in Manchester, New Hampshire.

While we need to know more about these "barriers" in order to develop the range of appropriate interventions, the enhancement of client motivation for work and rehabilitation is likely to have a positive impact both on entry and sustained compliance. We are proposing a random assignment single blind trial of a brief Motivational Interviewing (MI) intervention designed to address the low entry and retention rates of veterans with Serious Mental Illness (SMI) in Veterans Health Administration's (VHA) VR services.


Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Current diagnosis of serious mental illness, present for at least 2 years
  • Is unemployed or underemployed
  • Current episode of un/underemployment is at least 3 months
  • Enrolled to receive services at study site

Exclusion Criteria:

  • Over the age of 55
  • Non-English speaker
  • Mini-Mental score of less than 20
  • Planning to move more than 30 miles from study site in the next 18 months
  • Previously screened for this study
  • Currently or previously involved in other research studies which may impact variables relevant to this study
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00223834

United States, Massachusetts
Edith Nourse Rogers Memorial Veterans Hospital, Bedford
Bedford, Massachusetts, United States, 01730
Sponsors and Collaborators
VA Office of Research and Development
Principal Investigator: Charles Drebing, PhD Edith Nourse Rogers Memorial Veterans Hospital, Bedford
  More Information

Responsible Party: Drebing, Charles - Principal Investigator, Department of Veterans Affairs Identifier: NCT00223834     History of Changes
Other Study ID Numbers: E3436R
Study First Received: September 14, 2005
Last Updated: March 11, 2008

Keywords provided by VA Office of Research and Development:
Psychotherapy, brief processed this record on May 25, 2017