title: Individual placement and support (IPS) in physical rehabilitation and medicine: the VA spinal cord injury experience.
abstract: OBJECTIVE
  This report summarizes the first studies on individual placement and support (IPS) in the field of physical medicine and rehabilitation (PM&R) and discusses adaptation of the model.
  
  
  OBJECTIVE
  Research related to the implementation and evaluation of the use of IPS in the VA System of Spinal Cord Injury Care is reviewed. Results suggest that IPS was more effective than traditional vocational rehabilitation. With physical disabilities, the model needs adaptation with respect to integration, disclosure, and job development while following the core principles. Special consideration is needed with respect to caseload size and transportation issues.
  
  
  METHODS
  Published results from the Spinal Cord Injury Vocational Integration Program (SCI-VIP) study and clinical field observations.
  
  
  CONCLUSIONS
  IPS can be successfully adapted to physical medicine and rehabilitation.
authors.affiliation: HSR&D/RR&D Center of Innovation on Disability and Rehabilitation Research (CINDRR), James A. Haley Veterans' Hospital.
authors.forename: Lisa
authors.initials: L
authors.lastname: Ottomanelli
authors.affiliation: HSR&D/RR&D Center of Innovation on Disability and Rehabilitation Research (CINDRR), James A. Haley Veterans' Hospital.
authors.forename: Scott D
authors.initials: SD
authors.lastname: Barnett
authors.affiliation: National Program Evaluation Specialist, Office of Mental Health Operations, Veterans Health Administration.
authors.forename: Rich
authors.initials: R
authors.lastname: Toscano
mesh_terms: D016832:Employment, Supported / Q000379:methods* / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010810:Physical and Rehabilitation Medicine / Q000379:methods; D012050:Rehabilitation, Vocational / Q000379:methods; D013119:Spinal Cord Injuries / Q000534:rehabilitation*; D014186:Transportation; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration*; D014728:Veterans