Mixed methods study examining work reintegration experiences from perspectives of Veterans with mental health disorders

被引:28
作者
Kukla, Marina [1 ,2 ]
Rattray, Nicholas A. [1 ,3 ]
Salyers, Michelle P. [2 ,4 ]
机构
[1] Richard L Roudebush Vet Adm Med Ctr, Ctr Hlth Informat & Commun, Hlth Serv Res & Dev, Indianapolis, IN 46202 USA
[2] Purdue Univ, Indiana Univ, Dept Psychol, Indianapolis, IN USA
[3] Purdue Univ, Indiana Univ, Dept Anthropol, Indianapolis, IN USA
[4] ACT Ctr Indiana, Indianapolis, IN USA
关键词
combat; employment; mental health; posttraumatic stress disorder; reintegration; self-concept; severe mental illness; transition; Veterans; work; POSTTRAUMATIC-STRESS-DISORDER; NATIONAL-GUARD; SUPPORTED EMPLOYMENT; IRAQ; AFGHANISTAN; SCHIZOPHRENIA; CHALLENGES; COMMUNITY; SERVICE; IMPACT;
D O I
10.1682/JRRD.2014.11.0289
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Recent findings have demonstrated that reintegration for Veterans is often challenging. One difficult aspect of reintegration-transitioning into the civilian workplace-has not been fully explored in the literature. To address this gap and examine work reintegration, this mixed methods study examined the perspectives of Veterans with mental health disorders receiving Department of Veterans Affairs healthcare. Forty Veterans rated factors that affect work success; participants also provided narratives on their most and least successful work experiences. We used t-tests and qualitative analysis to compare participants who did and did not serve in combat. Several themes relevant to work reintegration emerged in the narratives, particularly for Veterans who served in combat. An array of work difficulties were reported in the months following military discharge. In addition, Veterans who served in combat reported significantly more work barriers than Veterans who did not serve in combat, particularly health-related barriers. In conclusion, Veterans with mental health disorders who served in combat experienced more work reintegration difficulty than their counterparts who did not serve in combat. The role of being a Veteran affected how combat Veterans formed their self-concept, which also shaped their work success and community reintegration, especially during the early transition period.
引用
收藏
页码:477 / 490
页数:14
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