Abstract
In 1996 Congress terminated Supplemental Security Income (SSI) benefits to individuals disabled by substance abuse. Although most were expected to continue benefits under another disability category, 64% were not reclassified. This article examines data from a longitudinal study of individuals in Los Angeles County affected by the legislation. While poor physical health predicted both continued SSI benefits and receipt of public income assistance, many individuals reporting significant mental and physical health problems were not reclassified and did not receive public income assistance, raising concern for their welfare. Local safety nets may become increasingly important for this population.
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References
McKay JR, McLellan AT, Durrel J, et al. Characteristics of recipients of Supplemental Security Income (SSI) benefits for drug addicts and alcoholics.Journal of Nervous & Mental Disease. 1998;186:290–298.
Solomon-Fears CD.Drug Addicts and Alcoholics Are No Longer Eligible for Supplemental Security Income (SSI). Washington, DC: Congressional Research Service; 1997. Report for Congress 97–321.
The Lewin Group, Inc and Westat, Inc.Policy Evaluation of the Effect of Legislation Prohibiting the Payment of Disability Benefits to Individuals Whose Disability Is Based on Drug Addiction and Alcoholism: Interim Report. Unpublished report submitted to the Social Security Administration; 1998.
Watkins KE, Wells KB, McLellan AT. Termination of social security benefits among Los Angeles recipients disabled by substance abuse.Psychiatric Services. 1999;50:914–925.
McLellan AT, Cacciola J, Kusher H, et al. The fifth edition of the Addiction Severity Index: cautions, additions, and normative data.Journal of Substance Abuse Treatment. 1992;9:461–480.
McGee DL, Liao Y, Cao G, et al. Self-reported health status and mortality in a multi-ethnic U.S. cohort.American Journal of Epidemiology. 1999;149:41–46.
Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies.Journal of Health & Social Behavior. 1997;38:21–37.
McLellan AT, Luborsky L, Caccios J. New data from the Addiction Severity Index: reliability and validity in three centers.Journal of Nervous and Mental Disease. 1985;168:26–33.
Gresenz CR, Watkins K, Podus D. Supplemental Security Income (SSI), Disability Insurance (DI), and substance abusers.Community Mental Health Journal. 1998;34:337–350.
Dickey B, Azeni H. Persons with dual diagnoses of substance abuse and major mental illness: their excess costs of psychiatric care.American Journal of Public Health. 1996;86:973–977.
Drake R, Wallach M, Hoffman J. Housing instability and homelessness among aftercare patients of an urban state hospital.Hospital and Community Psychiatry. 1989;40:46–51.
Drake R, Wallach M, Teague G, et al. Housing instability and homelessness among rural schizophrenic patients.American Journal of Psychiatry. 1991;148:330–336.
Okpaku SO, Sibulkin AE, Schenzler C. Disability determinations for adults with mental disorders: Social Security Administration vs Independent judgments.American Journal of Public Health. 1994;84:1791–1795.
Lurie N, Ward NB, Shapiro MF, et al. Termination of Medical benefits: a follow-up study one year later.The New England Journal of Medicine. 1986;314:1266–1268.
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Watkins, K.E., Podus, D. & Lombardi, E. The health and mental health of disabled substance abusers. The Journal of Behavioral Health Services & Research 28, 205–211 (2001). https://doi.org/10.1007/BF02287462
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DOI: https://doi.org/10.1007/BF02287462