Exploring U.S. Veterans’ post-service employment experiences
Abstract: Although most U.S. veterans transition to civilian life successfully, securing employment and reintegrating into civilian communities, some veterans face transition challenges that can lead to or exacerbate mental and physical health problems. Emerging research from a survey conducted by Prudential indicates that difficulty transitioning to civilian life is largely attributable to employment (Prudential, 2012). This study sought to understand veterans’ employment experiences. Four focus groups (n = 33) with pre- and post-9/11 veterans who at the time were accessing housing and employment support services were conducted. Thematic analysis of focus group transcripts led to the emergence of 2 master themes: (a) organizational and societal barriers, such as limited availability of transition programs, discharge type, negative experiences of support services, and perceived discrimination; and (b) personal barriers, such as lack of initiative to plan and difficulty adjusting to working with civilians. Since data was collected for this study, updates to TAP have been implemented; this may have alleviated some of the reported barriers. The role of veterans’ personal characteristics in employment requires attention in the context of agency, initiative, identity, and cultural adjustment. Policy, programmatic, practice, and future research recommendations are made.
Abstract: Disordered eating is a prevalent and relevant health concern that remains understudied among U.S. military veterans. Avoidant/restrictive food intake disorder (ARFID) is a newly recognized feeding and eating disorder characterized by overly restrictive eating due to (a) picky eating, (b) lack of appetite, and (c) fear of aversive consequences related to eating. The Nine-Item ARFID Screen (NIAS) is a recently developed ARFID screening tool with initial validation studies demonstrating psychometric support. However, the psychometric properties of the NIAS have not been investigated in a veteran sample. To advance our understanding of ARFID screening tools that may be appropriate for use in veterans, the present study examined the factor structure of the NIAS using survey data from a large national sample of recently separated veterans (N = 1,486). Measurement invariance across key subgroups was tested in addition to exploring differential associations between the NIAS and related constructs. Results suggested that a three-factor model provided an excellent fit of the data and demonstrated scalar invariance across self-identified men and women, race and ethnicity, and sexual and gender minority (SGM) identity. Some subgroups had higher latent means on the picky eating (women, SGM, non-Hispanic Black), appetite (women, SGM), and fear (women) factors. The NIAS had some overlap with another measure of disordered eating and was moderately correlated with psychosocial impairment and mental health. Overall, the NIAS may be a useful screening tool for ARFID in veterans, given support for the three proposed subscales and equivalence across diverse identities.