The Relationship between Veterans’ Employment Program Component Use and Career Advancement Over Time
Abstract: Over the last 5 years or so, as veterans transitioned, they generally fared well in the civilian workforce. There are numerous programs designed to help veterans write a resume, translate their military skills, and practice interviewing. The goal of many of these programs is to aid veterans to find employment. However, many of the program components that are effective for job attainment may also lead to greater job success after initial employment. Participating in employment programs may lead to leaving a job for a better opportunity or receiving a promotion. This study examined the use of employment program components related to content (i.e., what is taught) and process (i.e., how the content is taught). For example, content such as interviewing skills and processes such as mentor/coach may be helpful among this sample of transitioning veterans. This study used an adapted common components approach (Morgan et al., 2018) to examine the degree to which participation in employment program components resulted in opportunities for better employment or promotion over the first 6 to 15 months after veterans transition to civilian life. Employment content components (i.e., resume writing, translating military to civilian work, and career planning) were associated with both leaving a job for a better opportunity and promotion. Mentor/coach was often a significant process component associated with the above content components. These findings can assist program developers, local program implementers, policymakers, and funders to promote the continued use of content and process program components that may further advance veterans’ careers after transition.
Abstract: Introduction: Persistent inequities exist in obstetric and neonatal outcomes in military families despite universal health care coverage. Though the exact underlying cause has not been identified, social determinants of health may uniquely impact military families. The purpose of this study was to qualitatively investigate the potential impact of social determinants of health and the lived experiences of military individuals seeking maternity care in the Military Health System. Materials and methods: This was an Institutional Review Board-approved protocol. Nine providers conducted 31 semi-structured interviews with individuals who delivered within the last 5 years in the direct or purchased care market. Participants were recruited through social media blasts and clinic flyers with both maximum variation and homogenous sampling to ensure participation of diverse individuals. Data were coded and themes were identified using inductive qualitative research methods. Results: Three main themes were identified: Requirements of Military Life (with subthemes of pregnancy notification and privacy during care, role of pregnancy instructions and policies, and role of command support), Sociocultural Aspects of the Military Experience (with subthemes of pregnancy as a burden on colleagues and a career detractor, postpartum adjustment, balancing personal and professional requirements, pregnancy timing and parenting challenges, and importance of friendship and camaraderie in pregnancy), and Navigating the Healthcare Experience (including subthemes of transfer between military and civilian care and TRICARE challenges, perception of military care as inferior to civilian, and remote duty stations and international care). Conclusions: The unique stressors of military life act synergistically with the existing health care challenges, presenting opportunities for improvements in care. Such opportunities may include increased consistency of policies across services and commands. Increased access to group prenatal care and support groups, and increased assistance with navigating the health care system to improve care transitions were frequently requested changes by participants.