Vignette #2 A case randomized to non-IPS vocational rehabilitation control arm

Six years ago, the veteran relocated to the area to reunite with his family. He has been unable to secure employment for the past 6 years. The veteran is in recovery from OUD and learned about the study from a family member. He enrolled in the study and was randomized to non-IPS vocational rehabilitation (i.e. treatment as usual) through the VA’s Compensated Work Therapy program. He was placed in transitional work assignment in Environmental Management Services. Although he expressed that he does not particularly enjoy his present position, he is grateful to be making tax-free minimum wage, working 30 h a week. He is hoping to save enough money to start a lawn maintenance business.