Table 5.
Multivariable Logistic Regression Results for Prior Mental Health or Substance Use Treatment Before Consult (60 Days Prior) on Program Enrollment for VA Vocational Rehabilitation with Effect Modification
| SUD | Mental Health | SUD + Mental Health | ||||
|---|---|---|---|---|---|---|
| OR | 95% CI | OR | 95% CI | OR | 95% CI | |
| Interaction term** | ||||||
| Race (AIAN)$* SUD Tx (prior) yes | -- | -- | 3.523 | 0.005–999.99 | -- | -- |
| Race (Asian)* SUD Tx (prior) yes | -- | -- | 3.730 | 0.054–255.753 | -- | -- |
| Race (Black)* SUD Tx (prior) yes | 0.000 | 0.000–999.99 | 0.986 | 0.059–16.459 | 2.417 | 0.725–8.056 |
| Race (Not reported)* SUD Tx (prior) yes | -- | -- | 0.311 | 0.008–12.232 | 2.867 | 0.141–58.339 |
| Race (Hispanic)* SUD Tx (prior) yes | -- | -- | 0.000 | 0.000–999.99 | 0.000 | 0.000–999.99 |
| Race (Unknown)* SUD Tx (prior) yes | -- | -- | 0.000 | 0.000–999.99 | 0.594 | 0.000–999.99 |
| Race (AIAN)$* MENTAL HEALTH Tx (prior) yes | -- | -- | 0.000 | 0.000–999.99 | -- | -- |
| Race (Asian)* MENTAL HEALTH Tx (prior) yes | -- | -- | 0.000 | 0.000–999.99 | -- | -- |
| Race (Black)* MENTAL HEALTH Tx (prior) yes | 0.000 | 0.000–999.99 | 0.358 | 0.086–1.497 | 1.368 | 0.574–3.260 |
| Race (Not reported)* MENTAL HEALTH Tx (prior) yes | -- | -- | 0.000 | 0.000–999.99 | 1.148 | 0.087–15.099 |
| Race (Hispanic)* MENTAL HEALTH Tx (prior) yes | -- | -- | 0.000 | 0.000–999.99 | 1.030 | 0.056–18.907 |
| Race (Unknown)* MENTAL HEALTH Tx (prior) yes | -- | -- | 0.000 | 0.000–999.99 | 0.000 | 0.000–999.99 |
| Race (AIAN)$* SUD Tx (# sess. 60 days prior, mean) | -- | -- | 1.346 | 0.068–26.820 | -- | -- |
| Race (Asian)$* SUD Tx (# sess. 60 days prior, mean) | -- | -- | 2.343 | 0.122–45.083 | -- | -- |
| Race (Black)$* SUD Tx (# sess. 60 days prior, mean) | 0.000 | 0.000–999.99 | 0.713 | 0.275–1.848 | 1.147 | 0.538–2.445 |
| Race (Not reported)$* SUD Tx (# sess. 60 days prior, mean) | -- | -- | 0.211 | 0.022–1.984 | 0.000 | 0.000–999.99 |
| Race (Hispanic)$* SUD Tx (# sess. 60 days prior, mean) | -- | -- | 0.000 | 0.000–999.99 | 1.286 | 0.000–999.99 |
| Race (Unknown)$* SUD Tx (# sess. 60 days prior, mean) | -- | -- | 0.000 | 0.000–999.99 | 0.009 | 0.000–999.99 |
| Race (AIAN)$* MENTAL HEALTH Tx (# sess. 60 days prior, mean) | -- | -- | 0.000 | 0.000–999.99 | -- | -- |
| Race (Asian)$* MENTAL HEALTH Tx (# sess. 60 days prior, mean) | -- | -- | 0.000 | 0.000–999.99 | -- | -- |
| Race (Black)$* MENTAL HEALTH Tx (# sess. 60 days prior, mean) | 9.519 | 0.000–999.99 | 0.000 | 0.000–0.011 | 1.026 | 0.478–2.204 |
| Race (Not reported)$* MENTAL HEALTH Tx (# sess. 60 days prior, mean) | -- | -- | 0.000 | 0.000–999.99 | 0.395 | 0.037–4.209 |
| Race (Hispanic)$* MENTAL HEALTH Tx (# sess. 60 days prior, mean) | -- | -- | 0.000 | 0.000–999.99 | 0.003 | 0.000–999.99 |
| Race (Unknown)$* MENTAL HEALTH Tx (# sess. 60 days prior, mean) | -- | -- | 0.000 | 0.000–999.99 | 0.009 | 0.000–999.99 |
Notes: *is used as an indicator of an statistical interaction between two variables. **Models included age, MENTAL HEALTH diagnosis, homeless status, ERS score, EHS score, and PEBS score. $White was the reference.
Abbreviations: AIAN, American Indian or Alaskan Native; AA, African American; SUD, Substance Use Disorder; MENTAL HEALTH, Mental health; Tx, Treatment; ERS, Employment Readiness Scale; EHS, Employment Hope Scale; PEBS, Perceived Employment Barriers Scale.