Demographic Covariates, Vocational Rehabilitation Services, and Employment Outcomes of Working-Age Adults with Anxiety Disorders: A Multivariate Logistic Regression Analysis.
Cahit Kaya, Kanako Iwanaga, Sharon Hsu and 4 others
PMID 35579667WHAT IT FOUND
Only 38.4% of adults with anxiety disorders in U.S. vocational rehabilitation records achieved competitive employment.
Higher education, counseling, maintenance, or other services were linked to employment; supported employment and transportation were linked to lower employment.
Key findings
01Only 38.4% of adults with anxiety disorders achieved competitive integrated employment after vocational rehabilitation services.
02Other services (OR 1.48), maintenance (OR 1.42), and counseling and guidance (OR 1.17) were reported as associated with higher likelihood of competitive employment.
03Supported employment (OR 0.21) and transportation services (OR 0.62) were reported as associated with lower likelihood of competitive employment.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study is observational and ex post facto, so it shows associations between services and employment, not that any service caused employment. The records do not include functional disability or service intensity, so clients receiving certain services may have differed in ways the model could not adjust for. The outcome is only competitive integrated employment, not psychosocial or health outcomes. The final model explained a small share of variation and classified 59.3% of participants correctly. Many service categories were recorded, and clients often received more than one service, so the contribution of any single service cannot be separated.
The easy way to misread this
Do not read supported employment or transportation services as harmful. The study is observational, and these services may mark greater anxiety severity or need rather than cause lower employment.