64,000 veterans are released annually from jails and prisons. These Veterans have a weekly unemployment rate of up to 40-55%. However, many are unable to access traditional vocational rehabilitation, not to mention specialized vocational rehabilitation for those with felony histories. Distance learning may be effective in improving access to rehabilitation as well as improving employment outcomes. The Compass system was developed to incorporate both synchronous and asynchronous distance learning to provide effective services. This study will evaluate 150 Veterans with histories of legal convictions and mental illness and/or a substance use disorder. Veterans will be randomly assigned to either a basic vocational resources condition or the Compass condition. In the basic condition, Veterans will be provided with basic information about where they can access vocational services and a paper version of a vocational reintegration manual, specifically the About Face Vocational Manual. Veterans assigned to the Compass condition will be given access to the online instruction through Videos, live chat features, and tele-health practice interviews with feedback. Veterans will be followed for 6 months. The primary outcomes are employment and interview skills.

Public Health Relevance

This study is relevant to VHA broadly due to its focus on vulnerable populations and Rehabilitation Research and Development specifically as it focuses on social reintegration. It targets several priority areas including access, rural veterans, and veterans experiencing homelessness. The population targeted, veterans with histories of legal convictions and mental illness/substance dependence, is very vulnerable to difficulty with social integration and vocational integration. The novel use of distance learning may be relevant to these veterans with poor access to traditional vocational rehabilitation services including rural veterans and homeless veterans. It is important to evaluate the efficacy of distance learning and using tele-services to improving employment rates for these vulnerable Veterans.

Agency
National Institute of Health (NIH)
Institute
Veterans Affairs (VA)
Type
Non-HHS Research Projects (I01)
Project #
5I01RX002451-02
Application #
9649082
Study Section
Behavioral Health & Social Reintegration (RRD4)
Project Start
2018-06-01
Project End
2022-05-31
Budget Start
2019-06-01
Budget End
2020-05-31
Support Year
2
Fiscal Year
2019
Total Cost
Indirect Cost
Name
VA North Texas Health Care System
Department
Type
DUNS #
007369325
City
Dallas
State
TX
Country
United States
Zip Code
75216