Work Outcomes After Benefits Counseling Among Veterans Applying for Service Connection for a Psychiatric Condition

Objective: This study’s objective was to determine the efficacy of benefits counseling in a clinical trial. There has been concern that disability pay-ments for psychiatric disorders reduce incentives for employment and rehabilitation. Benefits counseling, with education about opportunities to work and the financial implications of work on receipt of disability benefits, may counter these disincentives.Methods: This single-blind, six-month randomized clinical trial enrolled 84 veterans who had applied for service-connected compensation for a psychiatric condition. Veterans were randomly assigned to either four sessions of benefits counseling or of a control condition involving orientation to the U.S Department of Veterans Affairs health care system and services. Days of paid work and work-related activities were assessed at follow-up visits by using a time-line follow-back calendar. Results: Veterans assigned to benefits coun-seling worked for pay for significantly more days than did veterans in the control group (effect size=.69, p<.05), reflecting an average of thre