The Veteran Supported Education Service Treatment Manual: VetSEd

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to 23% of those with no participation (Collins, Bybee, & Mowbray, 1998). Supported education may also lead to improved employment outcomes down the road. In prior research among non-Veterans with these disabilities, education is one the most consistent predictors of later employment achievements (Ellison et al., 2008; Tsang et al., 2000; Burke-Miller et al., 2006; Cook et al., 2005; Rogers et al., 2006). It is our contention achievement of educational goals, via supported education, will lead to increased income, higher socio-economic and occupational status, and career stimulation. Three types of SEd have been described (Carlson, Eichler, Huff, & Rapp, 2003; Mowbray, Collins et al., 2005; Mowbray, Moxley, & Brown, 1993). 1) In self-contained classrooms students with psychiatric disabilities participate in a structured curriculum devised solely for them that addresses career goals and basic academic skills. This approach is typically time limited and leads to participation in more integrated courses in the college curriculum. 2) On-site support refers to support provided to help the person enroll in and complete courses. The source of support is from the in-house campus disabilities services office that offers help to people across disabilities in the pursuit of educational goals. 3) In Mobile support models, interpersonal support is provided by rehabilitation providers who are independent of and work across educational settings. This typically means that ―mobile‖ support is provided in a variety of community locations, as needed. VetSEd is modeled after the mobile support type of SEd. III. TARGET POPULATION FOR THE VetSEd APPROACH We have deliberately decided to develop a manual to assist Veterans with general mental health, substance abuse and trauma related issues as opposed to focusing on a particular diagnostic group. This decision was based on the fact that OIF/OEF/OND Veterans often do not fit into a particular diagnostic category and given that we wanted the approach to be useful for a broad audience. Furthermore, VetSEd is meant to be a support service that fits into a recovery framework as opposed to a transitional clinical intervention that might require participants to be in a particular diagnostic group. We include in eligibility criteria the presence of impairments that lead to functional limitations; i.e., difficulties in obtaining and sustaining education. There are many Veterans who may have a mental health diagnosis, but who are able to successfully navigate school without the fairly intensive support provided by VetSEd, and so they are not included in the service. Thus, the target population includes the following: 151 | P a g e
VetSEd Eligibility Criteria Veterans who are eligible for VHA benefits including Post 9/11 GI Bill benefits Veterans with a mental health diagnosis (including depression, anxiety, bipolar disorder), co-occurring substance use disorder (alcohol/drug abuse or dependences), and/or trauma history (Post Traumatic Stress Disorder) Veterans with a functional impairment resulting from a mental health condition that impairs the ability to succeed in the school setting (e.g., difficulties in concentration, memory, decision making, controlling impulses, or staying on task) Veterans who have a goal to return to school VetSEd is not designed to assist Veterans with active psychosis or those Veterans who require hospitalization for acute symptoms or detoxification. We have narrowed our scope to Post 9/11 Veterans at this time given the influx of returning Veterans from the OIF/OEF/OND conflicts. Implementing VetSEd initially among this population will allow us to identify additional areas of programmatic concern, modify the approach and pilot test among Veterans from other service eras who also have educational goals in addition to the presence of mental illness/functional limitation. IV. A VETERAN’S HEALTH ADMINISTRATION SERVICE While education supports can be provided by colleges and by the community, we believe that VetSEd is optimally located in one of the clinical services of the Veterans Health Administration. Specifically, this population needs support services that are directly integrated with a clinical mental health team. This is best met by the Veterans Health Administration. Also, the VHA has experience with supported employment, the ―sister‖ service of supported education. Although we choose to place VetSEd within the VHA broadly, there can be overlap with the mission of other VHA and VBA services and initiatives and so the consideration for a ―home‖ for VetSEd is complex. Refer to Appendix J for a discussion of the options for the location of VetSEd. 152 | P a g e
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The Veteran Supported Education Ser
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For more information about the manu
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TABLE OF CONTENTS ACKNOWLEDGEMENTS
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VI. D. Engaging Key People/The Vete
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VII. SUPERVISION AND FIDELITY MEASU
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FOREWORD By Walter Penk, PhD, ABPP
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INTRODUCTION TO THE VETERAN SUPPORT
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designers on topics such as staffin
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Veterans with a mental health diagn
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IV. CORE COMPETENCIES OF THE PEER V
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C. Variable Service Intensity, Cont
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VI. FOUNDATIONS OF THE VetSEd SERVI
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administrators having knowledge abo
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PART TWO: TRAINING MANUAL FOR PEER
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foundation for this collaboration.
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ainstorm together all the resources
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the postsecondary school of their c
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Identify schools with a wide variet
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iii. Considerations in Preparing an
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Veteran has liked and disliked abou
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Four-year Colleges or Universities.
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As a general rule, it is better to
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How to Identify Potential Barriers
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or hardship may qualify for the GI
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we provide basic information about
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vi. Using VR&E and Post-9/11 GI Bil
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Exercise Using Worksheet #8: Educat
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Financial Aid Packages Some Veteran
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which experiences may be useful to
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ii. How to Register for Classes Onc
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After registration, but before clas
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Arriving at School (adapted from Be
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i. Time Management for Large Projec
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Limited time spent on areas outside
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To obtain an accommodation there ar
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mental illness so I must be weak. T
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Some will be openly skeptical of th
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B. Engaging Schools The VetSEd mobi
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with enrollment brochures and other
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The following is a list of question
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Covered in this section are the fol
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his/her educational successes. Acco
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Exercise The Veteran you are meetin
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Key Elements of Sharing Recovery an
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Minimal encouragement - Short phras
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iii. Increasing Motivation The goal
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Worksheet # 9a/b: Ups and Downs for
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locating and maintaining an educati
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More efficient is consideration of
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solving attitude. ―I am hopeful t
Page 101 and 102: health coach or the like. Although
Page 103 and 104: In either event, depending on the l
Page 105 and 106: Maintain close contact with your cl
Page 107 and 108: not simply mean agreeing with every
Page 109 and 110: Social Skills Training (SST) SST wa
Page 111 and 112: Worksheet #1a: Intake: Academic His
Page 113 and 114: If you took college classes or had
Page 115 and 116: Worksheet #1b: Intake: Employment W
Page 117 and 118: Worksheet #1d: Intake: Support Netw
Page 119 and 120: In what ways have your experiences
Page 121 and 122: Worksheet #2: Educational Road Map
Page 123 and 124: Worksheet #3: Questions to Help Det
Page 125 and 126: Worksheet #5: My Personal Criteria
Page 127 and 128: Worksheet #7: School Schedule Fall
Page 129 and 130: Worksheet #9a: Ups and Downs for Go
Page 131 and 132: Worksheet #10: Current Resources/Ex
Page 133 and 134: Worksheet #11: Veteran’s Current
Page 135 and 136: Worksheet #13: Task List for Applyi
Page 137 and 138: Worksheet #15: Stopping Self-Stigma
Page 139 and 140: Person aware of my education goal?
Page 141 and 142: Worksheet #19: Ready, Able, Willing
Page 143 and 144: increase your sense of pride?......
Page 145 and 146: Worksheet #21: Education Change The
Page 147 and 148: Pick a Solution and Plan It - Who -
Page 149 and 150: The challenges posed by mental heal
Page 151: At present, educational supports to
Page 155 and 156: VI. SETTING UP YOUR VetSEd SERIVCE:
Page 157 and 158: D. Competencies of the Peer Support
Page 159 and 160: F. Caseload This model posits a ser
Page 161 and 162: Example 1 During supervision, Sarah
Page 163 and 164: Stage of Supervisory Relationship.
Page 165 and 166: unique role in recovery-oriented sy
Page 167 and 168: Manual (U.S. Department of Veterans
Page 169 and 170: Managing Crisis and Emergency Situa
Page 171 and 172: and the Veteran will review the ind
Page 173 and 174: Bond, G. R., Becker, D. R., Drake,
Page 175 and 176: Haynes, R., Corey, G., & Moulton, P
Page 177 and 178: Sareen, J., Cox, B., Stein, M., Afi
Page 179 and 180: Volk, R. (1968). Alternative method
Page 181 and 182: Target date for Overall Goal: 3 to
Page 183 and 184: Situation including the benefits I
Page 185 and 186: What will I do to achieve this goal
Page 187 and 188: Who can help me with this goal, and
Page 189 and 190: Appendix B Type of Degrees Offered
Page 191 and 192: Appendix C Sample School Schedule 7
Page 193 and 194: Appendix D Sample Task List for App
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Page 197 and 198: Appendix F Sample VA Release of Inf
Page 199 and 200: Appendix G Supported Education Powe
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Appendix I Essential Practices for
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Appendix J 206 | P a g e A “Home
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E. Supported Education as a VA Reco
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Telling your personal recovery stor
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17) Did the Veteran complete Worksh
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