Incorporating individualized placement and support principles into vocational rehabilitation for formerly incarcerated veterans

James P. LePage, Avery A. Lewis, April M. Crawford, Julie A. Parish, Lisa Ottomanelli, Edward L. Washington, Daisha J. Cipher

Research output: Contribution to journalArticle

8 Scopus citations


Objective: This study evaluated the six-month outcomes of incorporating the principles of supported employment, specifically Individual Placement and Support (IPS), into the About Face program, an existing standardized group-based vocational program for previously incarcerated veterans. Methods: Participants (N=84) with a history of at least one felony conviction and a substance use disorder (88%) or mental illness or combination (59%) were recruited from a large urban veterans hospital. Veterans were randomly assigned to either the About Face program (AF) or to that program plus a modification of IPS (AF+IPS). Veterans were followed for six months. Employment outcomes, including timetoemployment, hoursworked, and incomeearned,were evaluated with survival analyses and nonparametric tests. Results: Rates of employment over the follow-up period were significantly higher for those receiving AF+IPS, with 21 of 46 (46%) finding employment, compared with only eight of 38 (21%) who received AF alone. As a group, those receiving AF+IPS worked more hours and earned more wages than those receiving AF alone. Conclusions: Incorporating many of the principles and techniques of IPS into an existing vocational program was associated with improved employment outcomes over the six-month follow-up period and should be considered a viable rehabilitation option when working with this vulnerable population.

Original languageEnglish (US)
Pages (from-to)735-742
Number of pages8
JournalPsychiatric Services
Issue number7
StatePublished - Jul 1 2016


ASJC Scopus subject areas

  • Psychiatry and Mental health

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