%0 Journal Article
%T Cognitive impairment as barrier to engagement in vocational services among veterans with severe mental illness
%A Maureen K. O¡¯Connor
%A PsyD
%A ABCN
%A Lisa Mueller
%A PhD
%A Alice Van Ormer
%A PhD
%A Robert Drake
%A PhD
%J Journal of Rehabilitation Research and Development
%D 2011
%I Rehabilitation Research and Development Service, Department of Veterans Affairs
%X Vocational services (VS), particularly supported employment models, have clear advantages for assisting adults with severe mental illness (SMI) in returning to the workplace, but a majority of eligible individuals with SMI do not receive any type of VS. The reasons for nonparticipation in VS remain poorly understood, and the potential contribution of cognitive impairment as a barrier to entry has not been explored. The present study uses a pathways-to-care design to examine the specific contribution of cognitive functioning to entry into VS among veterans with SMI. We examined 179 veterans with both SMI and un- or underemployment who completed a work history, the Pathways To Care Inventory, and the Trail-Making Test, Part B. Analysis revealed that veterans with SMI and moderate to severe cognitive impairment took significantly longer to progress through pathways-to-care than those with SMI and mild or no cognitive impairment. These results suggest that identifying veterans with SMI and cognitive impairment early and providing them with integrated and adjunct services may help them navigate VS.
%K cognitive functioning
%K cognitive impairment
%K integrated services
%K pathways-to-care
%K return to work
%K severe mental illness
%K supported employment
%K treatment entry
%K vocational disability
%K vocational services
%U http://www.rehab.research.va.gov/jour/11/485/pdf/doaj/oconnor485.pdf