Pathways to vocational services: Factors affecting entry by veterans enrolled in Veterans Health Administration mental health services

Charles E. Drebing, Lisa Mueller, E. Alice Van Ormer, Patricia Duffy, James LePage, Robert Rosenheck, Robert Drake, Gary S. Rose, Kendra King, Walter Penk

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

The current study provides naturalistic data documenting the pathways-to-care to vocational services for 155 veterans who were receiving some form of mental health care from the Veterans Health Administration and had a vocational need but were not currently enrolled in vocational services. Of the participants, 94.2% had recognized their vocational need, 80.6% reported that they or someone else had sought help to alleviate the need, and 77.4% had previously received some form of vocational services. The median length of the participants' vocational need was more than 4.2 years. Delays associated with recognition, help-seeking, and treatment entry all contributed to the overall delay in entering appropriate care. Filtering factors associated with quicker recognition, seeking help, and receiving services included diagnosis, level of disability, type of vocational need, and support from primary providers, family, and friends. The results provide information for designing interventions to improve service entry by adults with mental health problems and vocational needs.

Original languageEnglish (US)
Pages (from-to)49-63
Number of pages15
JournalPsychological Services
Volume9
Issue number1
DOIs
StatePublished - Dec 1 2012

Keywords

  • Access
  • Employment
  • Mental health
  • Service utilization
  • Vocational rehabilitation

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology

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