RETAIN Kentucky Impact Evaluation

One-Year Impact Evaluation of Retaining Employment and Talent After Injury/Illness Network (RETAIN) Kentucky

The Retaining Employment and Talent after Injury/Illness Network (RETAIN) demonstration is a collaborative effort between the U.S. Department of Labor (DOL) and the Social Security Administration (SSA) to improve employment outcomes for individuals who experience injuries or illnesses that put them at risk of exiting the labor force and relying on disability programs and other public supports in the long term. RETAIN projects include a combination of medical provider services, stay-at-work/return-to-work (SAW/RTW) coordination services, and other SAW/RTW services. This evaluation will focus on The Kentucky Education and Workforce Development Cabinet's implementation of "RETAIN KY" statewide. The evaluation will document how the project is implemented, describe enrollees, estimate the project's impacts on enrollees' outcomes, and assess whether the benefits outweigh the costs.

Study Overview

• Status: Enrolling by invitation
• Conditions: Disability
• Intervention / Treatment: Other: RETAIN KY; Other: Active Comparator

Detailed Description

SSA contracted with Mathematica to conduct an independent evaluation of RETAIN Kentucky. Under the RETAIN model medical providers receive training and incentives to use occupational health best practices. The state agency also coordinates SAW/RTW services for the enrollee, fosters communication among RETAIN stakeholders about the treatment enrollee returning to work, and monitors the enrollee's medical and employment progress. RETAIN Kentucky also provides individualized intensive vocational services from RETAIN RTW Coordinators, with an emphasis on assistive technology, universal design, and peer support.

Kentucky uses a multi-method approach toward recruitment that includes referrals from medical providers, employers, Office of Vocational Rehabilitation, workforce and disability management organizations, community partners, and word of mouth. A return-to-work (RTW) coordinator conducts intake, determines enrollees' eligibility, and randomly assigns each enrollee to either a treatment group that is eligible to receive the full set of RETAIN intervention activities or a control group that is not. The evaluation team then compares the outcomes of the two groups and gathers evidence on how each RETAIN project shaped the outcomes of enrollees who were eligible for its services, regardless of whether they participated in those services. Data sources include enrollment data, surveys, administrative records, program data, and qualitative data.

• Study Type: Interventional
• Enrollment (Anticipated): 3200
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Kentucky
    • Lexington, Kentucky, United States, 40506
      • Human Development Institute, University of Kentucky

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Individuals who are at risk of exiting the workforce due to non-work-related illness of injury
• Individuals who are employed or have been employed within the last 12 months and made at least $1,000 in one of those months
• Individuals who reside in the Kentucky
• Individuals must not have applied for or be receiving federal disability benefits including SSDI and SSI within the last 5 years

Exclusion Criteria:

• Individuals who are do not have a non-work-related illness or injury that puts them at risk of exiting the workforce
• Individuals who unemployed or have not been employed within the last 12 months
• Individuals who have not made at least $1,000 in the past 12 months
• Individuals who do not reside in the Kentucky
• Individuals who have applied for or be receiving federal disability benefits including SSDI and SSI within the last 5 years

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: RETAIN Programming; The experimental group receives the full set of RETAIN intervention activities.	Other: RETAIN KY; The experimental group receives a combination of medical provider services, stay-at-work (SAW)/return-to-work (RTW) coordination services, and other SAW/RTW services. Services offered by the project include individualized intensive vocational services from RETAIN RTW Coordinators, with an emphasis on assistive technology, universal design, and peer support. The project provides training on SAW/RTW best practices and RETAIN, as well as financial incentives to health care professionals. The treatment group is eligible to receive the full set of RETAIN intervention activities.
Active Comparator: Active Comparator; The active comparator group does not receive the full set of RETAIN intervention activities.	Other: Active Comparator; Those in the active comparator arm continue to receive medical services. A RTW coordinator creates a RTW plan with the enrollee and refers them to existing resources. The RTW coordinator works with enrollees for 2.5 hours total.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Share of enrollees that applied for SSDI or SSI during the 12 months after enrollment	Share of enrollees that applied for SSDI or SSI during any of the 12 months after enrollment obtained from SSA program data. These files include detailed information about Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) applications SSDI and SSI awards, SSDI and SSI benefit amounts and enrollee characteristics (for enrollees who have ever applied for SSA program benefits)	Measured in the 12 months after enrollment
Share of enrollees employed in the fourth quarter after enrollment	Share of enrollees employed in the fourth quarter after enrollment obtained from state unemployment insurance wage records. These files include individual-level wage records for six quarters surrounding enrollment in the study, including the quarter prior to enrollment, the quarter of enrollment, and four post-enrollment quarters.	Measured over the three months in the fourth quarter after enrollment
Enrollee earnings in the fourth quarter after enrollment	Sum of enrollee earnings in the fourth quarter after enrollment obtained from state unemployment insurance wage records. These files include individual-level wage records for six quarters surrounding enrollment in the study, including the quarter prior to enrollment, the quarter of enrollment, and four post-enrollment quarters.	Measured over the three months in the fourth quarter after enrollment

Collaborators and Investigators

• Sponsor: Mathematica Policy Research, Inc.
• Collaborators: Social Security Administration, The United States

Study record dates

Study Major Dates

• Study Start (Actual): October 18, 2021
• Primary Completion (Anticipated): June 1, 2025
• Study Completion (Anticipated): February 28, 2026

Study Registration Dates

• First Submitted: November 5, 2021
• First Submitted That Met QC Criteria: December 20, 2021
• First Posted (Actual): December 29, 2021

Study Record Updates

• Last Update Posted (Actual): January 24, 2022
• Last Update Submitted That Met QC Criteria: January 7, 2022
• Last Verified: November 1, 2021

More Information

Terms related to this study

• Keywords: disability; employment; unemployment
• Other Study ID Numbers: RTN-KY; OD-36364-21-75-4-21 (Other Grant/Funding Number: SSA)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No