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Informal Caregiver Support Policies Change Use of Vocational Assistance Services for Individuals With Disabilities.

Publication ,  Journal Article
Shepherd-Banigan, M; Smith, VA; Stechuchak, KM; Van Houtven, CH
Published in: Med Care Res Rev
April 2022

Support policies for caregivers improves care-recipient access to care and effects may generalize to nonhealth services. Using administrative data from the U.S. Department of Veterans Affairs (VA) for veterans <55 years, we assessed the association between enrollment in a VA caregiver support program and veteran use of vocational assistance services: the post-9/11 GI Bill, VA vocational rehabilitation and employment (VR&E), and supported employment. We applied instrumental variables to Cox proportional hazards models. Caregiver enrollment in the program increased veteran supported employment use (hazard ratio = 1.35, 95% confidence interval [1.14, 1.53]), decreased VR&E use (hazard ratio = 0.84, 95% confidence interval [0.76, 0.92]), and had no effect on the post-9/11 GI Bill. Caregiver support policies could increase access to some vocational assistance for individuals with disabilities, particularly supported employment, which is integrated into health care. Limited coordination between health and employment sectors and misaligned incentives may have inhibited effects for the post-9/11 GI Bill and VR&E.

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Published In

Med Care Res Rev

DOI

EISSN

1552-6801

Publication Date

April 2022

Volume

79

Issue

2

Start / End Page

218 / 232

Location

United States

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Policy
  • Humans
  • Health Policy & Services
  • Employment, Supported
  • Disabled Persons
  • Caregivers
  • 4203 Health services and systems
 

Citation

APA
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ICMJE
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Shepherd-Banigan, M., Smith, V. A., Stechuchak, K. M., & Van Houtven, C. H. (2022). Informal Caregiver Support Policies Change Use of Vocational Assistance Services for Individuals With Disabilities. Med Care Res Rev, 79(2), 218–232. https://doi.org/10.1177/10775587211018548
Shepherd-Banigan, Megan, Valerie A. Smith, Karen M. Stechuchak, and Courtney H. Van Houtven. “Informal Caregiver Support Policies Change Use of Vocational Assistance Services for Individuals With Disabilities.Med Care Res Rev 79, no. 2 (April 2022): 218–32. https://doi.org/10.1177/10775587211018548.
Shepherd-Banigan M, Smith VA, Stechuchak KM, Van Houtven CH. Informal Caregiver Support Policies Change Use of Vocational Assistance Services for Individuals With Disabilities. Med Care Res Rev. 2022 Apr;79(2):218–32.
Shepherd-Banigan, Megan, et al. “Informal Caregiver Support Policies Change Use of Vocational Assistance Services for Individuals With Disabilities.Med Care Res Rev, vol. 79, no. 2, Apr. 2022, pp. 218–32. Pubmed, doi:10.1177/10775587211018548.
Shepherd-Banigan M, Smith VA, Stechuchak KM, Van Houtven CH. Informal Caregiver Support Policies Change Use of Vocational Assistance Services for Individuals With Disabilities. Med Care Res Rev. 2022 Apr;79(2):218–232.
Journal cover image

Published In

Med Care Res Rev

DOI

EISSN

1552-6801

Publication Date

April 2022

Volume

79

Issue

2

Start / End Page

218 / 232

Location

United States

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Policy
  • Humans
  • Health Policy & Services
  • Employment, Supported
  • Disabled Persons
  • Caregivers
  • 4203 Health services and systems