2040 Participants Needed

Vermont RETAIN for Disability

CT
AO
Overseen ByAmaka Osuoha, MPH
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Mathematica Policy Research, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

Trial Summary

What is the purpose of this trial?

The Retaining Employment and Talent after Injury/Illness Network (RETAIN) demonstration is a collaborative effort between the U.S. Department of Labor (DOL) and the Social Security Administration (SSA) to improve employment outcomes for individuals who experience injuries or illnesses that put them at risk of exiting the labor force and relying on disability programs and other public supports in the long term. RETAIN projects include a combination of medical provider services, stay-at-work/return-to-work (SAW/RTW) coordination services, and other SAW/RTW services. This evaluation will focus on the Vermont Department of Labor's implementation of "Vermont RETAIN" statewide. The evaluation will document how the project is implemented, describe enrollees, estimate the project's impacts on enrollees' outcomes, and assess whether the benefits outweigh the costs.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the Vermont RETAIN treatment for disability?

The RETAIN Kentucky program, similar to Vermont RETAIN, has shown promise in helping people with disabilities stay employed by using strategies to return to work and stay at work. This approach, which involves coordinators assisting individuals with non-work-related injuries or illnesses, has informed further interventions and suggests potential benefits for similar programs like Vermont RETAIN.12345

How does the Vermont RETAIN treatment for disability differ from other treatments?

The Vermont RETAIN treatment is unique because it focuses on helping people with disabilities stay in or return to work by using strategies tailored to their employment status, rather than focusing solely on medical or therapeutic interventions. This approach is different from traditional treatments that may not address the employment aspect of living with a disability.16789

Research Team

JB

Jill Berk, PhD

Principal Investigator

Mathematica Policy Research, Inc.

Eligibility Criteria

This trial is for adults over 18 in Vermont who have had a recent injury or illness that may affect their work. They must be currently employed or job-seeking and not out of work for more than 12 weeks. People already receiving disability benefits or those with untreated substance use disorders cannot participate.

Inclusion Criteria

My condition started or got worse in the last 6 months.
I have an injury or illness that may stop me from working.
Live or work in Vermont (or if out of work, lives in a border state and plan to work in Vermont)
See 1 more

Exclusion Criteria

I have been unable to work for over 12 weeks due to my condition.
Has received care of coordination services from RETAIN before
Has an active SUD that is currently untreated
See 1 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive RETAIN intervention activities, including medical provider services and SAW/RTW coordination services

12 months

Follow-up

Participants are monitored for employment outcomes and application for SSDI or SSI

12 months

Treatment Details

Interventions

  • Vermont RETAIN
Trial Overview The 'Vermont RETAIN' program is being tested to see if it helps people stay in the workforce after an injury or illness. It includes medical services, coordination to help participants keep working or return to work, and other related support services.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: RETAIN ProgrammingExperimental Treatment1 Intervention
The experimental group receives the full set of RETAIN intervention activities.
Group II: ControlActive Control1 Intervention
This arm receives information about American Job Center services and assistance with opening a JobLink account if an individual doesn't have one. Medical providers at all practices will receive training on how to identify early and then manage the risk of work disability to help prevent long-term unemployment

Find a Clinic Near You

Who Is Running the Clinical Trial?

Mathematica Policy Research, Inc.

Lead Sponsor

Trials
68
Recruited
31,130,000+

Social Security Administration

Collaborator

Trials
3
Recruited
8,400+

Findings from Research

The RETAIN Kentucky program, funded by the U.S. Department of Labor, aims to help individuals with non-work-related injuries and illnesses return to work or stay employed, utilizing RTW Coordinators for support.
After nearly 3 years of Phase 1, the program is transitioning to Phase 2, which will last 30 months and build on the insights gained to improve employment retention strategies.
RETAIN Kentucky: A return-to-work and stay-at-work program for people with disabilities grounded in the conservation of resources theory.Rumrill, P., Sheppard-Jones, K., Collett, JW., et al.[2022]
A systematic review of 88 studies revealed that 74% of employment interventions in healthcare settings successfully helped individuals, primarily those with mental illness, gain employment.
Successful interventions shared five key features: a multidisciplinary team approach, a comprehensive package of services, tailored one-on-one support, a holistic view of health needs, and proactive engagement with employers.
Employment Interventions in Health Settings: A Systematic Review and Synthesis.Pinto, AD., Hassen, N., Craig-Neil, A.[2019]
The study presents a new framework for analyzing how health service spending and utilization in work disability management varies across different regions and settings, emphasizing the importance of high-quality healthcare access for effective disability management.
By identifying predisposing, enabling, workplace environment, and need-based factors, the framework aims to help researchers and policymakers understand and improve health care delivery within work disability management systems, particularly in Canada.
A Framework for Understanding How Variation in Health Care Service Delivery Affects Work Disability Management.Sharpe, K., McGrail, K., Mustard, C., et al.[2022]

References

RETAIN Kentucky: A return-to-work and stay-at-work program for people with disabilities grounded in the conservation of resources theory. [2022]
Employment Interventions in Health Settings: A Systematic Review and Synthesis. [2019]
A Framework for Understanding How Variation in Health Care Service Delivery Affects Work Disability Management. [2022]
Opportunities for Early Intervention to Avoid Prolonged Work Disability: Introduction to the Special Section. [2019]
The methods and baseline characteristics of a VA randomized controlled study evaluating supported employment provided in primary care patient aligned care teams. [2022]
The impact of behavioral deficits on employment retention: an illustration from supported employment. [2014]
Determining Unmet Needs Among Workers' Compensation Stakeholders to Prevent Work Disability in the State of Vermont. [2023]
Effect of benefits counseling services on employment outcomes for people with psychiatric disabilities. [2020]
[Severely disabled employees and their experiences with corporate policies concerning job retention. Selected results of an empirical study]. [2006]
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