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VA Cooperative Studies Program (CSP)

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CSP #589: Veterans Individual Placement and Support Towards Advancing Recovery (VIP-STAR)


Investigator Access

What's Available



Limited datasets may be available to other investigators through a Data Use Agreement (DUA) with CSP after all planned objectives and manuscripts are completed. VA CSP is the custodian of study data. Data must be requested through the study’s Executive Committee (CSP #589) and the CSP Director. Cost-effectiveness data maintained by Health Economic Resources Center (HERC) and are available through Cooperative Studies Program Coordinating Centers (CSPCCs).

Available Documentation

Dates Data are Available

Access Criteria

Study Characteristics


To determine whether individual placement and support (IPS) supported employment is more effective than stepwise vocational rehabilitation involving transitional work assignments at helping Veterans with posttraumatic stress disorder (PTSD) attain steady, competitive employment. 

Era of Service



Unemployed Veterans under the age of 65 who have been diagnosed with PTSD and are eligible for VA Transitional Work Program (TWP) services (81.7% male, 19.3% female)

Study Design

Prospective, multisite, randomized clinical trial

Time Period

December 2013 – February 2017


National (12 VA Medical Centers)


541 participants

Response Rate


Recruitment Method

Participants were recruited from:

  • The community
  • VA outpatient clinics
  • VA vocational rehabilitation programs 
  • VA domiciliary or residential programs

Veterans were pre-screened using VA medical records and were mailed IRB approved letters or flyers.


  • $50 for the baseline study assessment visit
  • $40 for follow-up visits that occur at month 1, 2, 3, and every 3 months thereafter 
  • $5 for the telephone calls made during the months in between the face-to-face visits 

Note: participants received a maximum of $420.

Data Collected

  • Demographics
  • Military service history
  • Life status (housing status, household status, transportation status, family care burden status, VA and non-VA disability status, and PTSD history)
  • Medical history
  • Work history
  • Domains of recovery (gross income, PTSD symptoms, self-esteem, quality of life, and PTSD-related functioning)
  • Employment information

Data Collection Methods

  • Self, clinician, and interviewer-administered questionnaires
  • Patient medical records

Funding Source

VA Cooperative Studies Program (CSP)


Elizabeth Jobes,

Selected Publications

Davis LL, Kyriakides TC, Suris AM, Ottomanelli LA, Mueller L, Parker PE, Resnick SG, Toscano R, Scrymgeour AA, Drake RE; VA CSP #589 Veterans Individual Placement and Support Toward Advancing Recovery Investigators. Effect of Evidence-Based Supported Employment vs Transitional Work on Achieving Steady Work Among Veterans With Posttraumatic Stress Disorder: A Randomized Clinical Trial. JAMA Psychiatry. 2018 Apr 1;75(4):316-324.

More Information

Study site Identifier: NCT01817712