Psychiatric Status and Work Performance of Veterans of Operations Enduring Freedom and Iraqi Freedom

Adler, David A.; Possemato, Kyle; Mavandadi, Shahrzad; Lerner, Debra; Chen, Hong; Klaus, Johanna; Tew, James D.; Barrett, David M.; Ingram, Erin; Oslin, David W.

doi:10.1176/ps.60.7.pss6201_0039

Cited by 12 publications

(11 citation statements)

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“…Studies have almost exclusively considered non-Veterans with SMI, such as psychotic disorders and bipolar disorders. Veterans with other mental health disorders, most notably, post-traumatic stress disorder (PTSD), are increasingly in need of individualized vocational services (10); these Veterans often have complex comorbidities, such as physical health ailments, cognitive problems, and substance use disorders (11) that further complicate their vocational pursuits (12).…”

Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators Related to Work Success for Veterans in Supported Employment: A Nationwide Provider Survey

Kukla¹,

McGuire²,

Salyers³

2016

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Qualitative findings revealed additional areas impacting work success, notably, a lack of resources, the capacity of frontline staff to form strong relationships with Veterans and employers, the ability of staff to adapt and meet the multi-faceted demands of the SE job, and the need for additional staff and supervisor training. The impact of employer stigma was also emphasized. Conclusions: An array of elements influencing work success at the level of the Veteran, staff, SE program, and the employer were recognized, suggesting several implications for VA services.

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Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators Related to Work Success for Veterans in Supported Employment: A Nationwide Provider Survey

Kukla¹,

McGuire²,

Salyers³

2016

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“…The few studies examining employment functioning in Veterans of OEF/OIF with PTSD have evidenced that these Veterans have significantly lower work productivity and suffer on other key work-related outcomes (e.g., absenteeism) compared to Veterans without PTSD [41]. In addition, Adler et al [1] found that in Veterans of OEF/OIF, having a psychiatric disorder, including PTSD, major depressive disorder, and/or an anxiety disorder was associated with poor work performance across multiple domains (e.g., time management, mentalinterpersonal aspects of the job).…”

Section: Introductionmentioning

confidence: 99%

Factors impacting work success in Veterans with mental health disorders: A Veteran-focused mixed methods pilot study

Kukla

Bonfils

Salyers

2015

JVR

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BACKGROUND: Veterans with mental illness often have poor employment outcomes. OBJECTIVE: This mixed-methods study sought to understand and describe Veteran perspectives of factors that impact their work success. METHODS: A sample of 40 employed and unemployed Veterans with post-traumatic stress disorder (PTSD) or other severe mental illness (SMI) completed a survey of factors that impact vocational functioning and provided narrative accounts of their most successful and challenging work experiences. RESULTS: Personal motivation, self-efficacy, work skills, interpersonal issues, health, and cognitive problems were rated as most impactful on work. There were no significant differences on ratings of work factors based on employment status. Veterans with PTSD reported significantly more barriers to work success compared with Veterans with SMI, notably, cognitive problems, physical health, and psychological stress. Veterans with SMI were more likely to receive VA vocational services and rated this assistance as beneficial to work success. Narrative findings corroborated the survey results, and yielded additional factors, including economic factors, person/job fit, and Veteran-specific issues. CONCLUSIONS: Several factors substantially impact work success in Veterans with mental illness. Veterans with PTSD and SMI experience a distinct set of barriers and facilitators, suggesting the need for tailoring clinical and rehabilitative services.

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“…The PTSD independently enhances the posttraumatic functional disabilities and reduces the "quality of life" owing to the effects of trauma intensity and therapeutic circumstances (21,22). The PTSD imposes a financial burden on the country by increasing the healthcare costs (23,24).The PTSD is identified as the risk factor for the functional difficulties in the majority of the investigations (17,(25)(26)(27). One of the main domains of functioning is physical aspect including the selfcare and activities of daily living (ADL) (e.g., hygiene, sleep, nutrition, sexual functioning, following the medical treatment, use of various services, and leisure activities) (28).…”

Section: Introductionmentioning

confidence: 99%

Self-care status of veterans with combat-related post traumatic stress disorder: A review article

Khalili

Nir

Fallahi-Khoshknab

et al. 2017

J Nurs Midwifery Sci

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Background and Purpose: Post-traumatic stress disorder (PTSD) is identified as the risk factor for functional difficulties in most of the survivors. The aim of this study was to investigate the current evidence-based literature on the area of self-care and ADL status in the veterans with combat-related PTSD. Methods:This review was conducted on the studies published within 2005-2015. The search was performed using such databases as SID, Iran Medex, Magiran, Science Direct, ProQuest, and PubMed. The searches were initially carried out using single keywords, and then continued with using OR/AND for combining words such as "self-care activity, instrumental activities of daily living, physical functioning, post-traumatic stress disorder in war veterans, etc". Finally, a total of 783 papers were retrieved, out of which only 15 publications were considered relevant to the subject under discussion and investigated in-depth.Results: According to the findings of the reviewed articles, there is a relationship between the self-care status and PTSD severity; as a result, greater PTSD symptoms are accompanied by poorer self-care practices and ADLs. Furthermore, in all the studies, the physical functioning (self-care or ADLs) was lower in the PTSD population in comparison to the non-PTSD population. Conclusion:As the findings of the retrieved articles indicated, it can be conclude that the self-care practices and ADLs were poor among the veterans suffering from PTSD. Therefore, it is necessary that nurses develop a comprehensive care planning for this population to facilitate their achievement of independence in ADLs.

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Psychiatric Status and Work Performance of Veterans of Operations Enduring Freedom and Iraqi Freedom

Cited by 12 publications

References 0 publications

Barriers and Facilitators Related to Work Success for Veterans in Supported Employment: A Nationwide Provider Survey

Barriers and Facilitators Related to Work Success for Veterans in Supported Employment: A Nationwide Provider Survey

Factors impacting work success in Veterans with mental health disorders: A Veteran-focused mixed methods pilot study

Self-care status of veterans with combat-related post traumatic stress disorder: A review article

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