Balance of Powers: Social Security and the Mentally Disabled, 1980-1985

Goldman, Howard H.; Gattozzi, Antoinette A.

doi:10.2307/3349967

Cited by 11 publications

(4 citation statements)

References 6 publications

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“…Whether describing oneself as having a work disability is primarily a cause of application or a consequence of it cannot be conclusively determined in a cross‐sectional study like this. The complex and drawn‐out nature of the disability determination process (see Goldman and Gattozzi 1988; Mashaw 1983), however, is a likely deterrent to persons not already faced with some disability.…”

Section: Discussionmentioning

confidence: 99%

Navigating the Disability Process: Persons with Mental Disorders Applying for and Receiving Disability Benefits

Bilder

Mechanic

2003

Milbank Quarterly

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The Social Security Disability benefit programs (SSDI and SSI) constitute an essential safety net for individuals unable to work because of disability. Eligibility for SSDI is based on work history and is viewed as an entitlement for individuals who meet disability criteria. SSI eligibility, however, depends on means testing and, although it is administered as a Social Security program, is seen more as income support for persons with disabilities who have not worked and cannot work. Ideally, such programs seek to provide assistance to those who most need it without encouraging those who can work to leave the workforce or to stop looking for work. The search for balance among meeting need, encouraging work, and containing public expenditures is a source of underlying tension that typifies such safety net programs. Outcomes depend on both the administration of the eligibility process and the processes by which persons and their associates become aware of the disability program, decide to apply, negotiate the application process, and succeed or fail in their attempts. Persons with mental disorders are less likely to be working and more likely to apply for and receive SSDI and/or SSI benefits than are those without such disorders. Data from the National Health Interview Survey on Disability (NHIS‐D) were examined to identify the predictors of SSDI/SSI application and receipt among persons with self‐reported mental disorders. Compared with nonapplicants, applicants had higher levels of disability, fewer financial and interpersonal resources, and better access to information about the disability programs. Among applicants, similar factors distinguished recipients from those who did not receive benefits. Navigating the disability process is associated with the extent of impairment, economic and social disadvantage, and linkage to the disability determination process.

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Section: Discussionmentioning

confidence: 99%

Navigating the Disability Process: Persons with Mental Disorders Applying for and Receiving Disability Benefits

Bilder

Mechanic

2003

Milbank Quarterly

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“…Alcohol and drug programs are now profitable enterprises in general hospitals, and like mental health units, they may exclude the indigent, unmotivated, or complicated client in order to protect the homogeneity or profit margin of the program (Ridgely et al, 1990). In the recent past, people with severe mental illness have had difficulty obtaining entitlements (Goldman & Gattozzi, 1988). Those with alcohol and drug problems now face similar barriers to obtaining benefits.…”

Section: Barriers To Carementioning

confidence: 99%

Homelessness and dual diagnosis.

Drake¹,

Osher²,

Wallach³

1991

American Psychologist

222

119

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People who are dually diagnosed with severe mental illness and substance use disorders constitute 10%-20% of homeless persons. They are a heterogeneous and extremely vulnerable subgroup with complex, poorly understood needs. In this article recent research on the epidemiology, subject characteristics, and service needs of the dually diagnosed homeless population is reviewed. Also, the range of evolving approaches to providing social services, housing, and mental health and substance-abuse treatments; the relevant system issues and legal issues; and problems with current research, as well as future research directions, are discussed. The importance of the distinction between providing appropriate living environments and mental health treatments emerges throughout.

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“…In recent years individuals disabled by mental illness have encountered difficulty in claiming their entitlements from the SSA (Goldman and Gattozzi 1988). Although these problems have been rectified for individuals with schizophrenia and other mental disorders, access to the disability programs of the VA and SSA may be severely limited for individuals who are disabled by alcohol and drug abuse disorders.…”

Section: Problems In Third-party Funding: Eligibility Limitsmentioning

confidence: 99%

Barriers to the Care of Persons With Dual Diagnoses: Organizational and Financing Issues

Willenbring

1990

Schizophrenia Bulletin

302

140

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Among the frustrations of managing the dual disorders of chronic mental illness and alcohol and drug abuse is the fact that knowing what to do (by way of special programming) is insufficient to address the problem. The system problems are at least as intractable as the chronic illnesses themselves. Organizing and financing care of patients with comorbities is complicated. At issue are the ways in which we administer mental health and alcohol and drug treatment as well as finance that care. Separate administrative divisions and funding pools, while appropriate for political expediency, visibility, and administrative efficiency, have compounded the problems inherent in serving persons with multiple disabilities. Arbitrary service divisions and categorical boundaries at the State level prevent local governments and programs from organizing joint projects or creatively managing patients across service boundaries. When patients cannot adapt to the way services are organized, we risk reinforcing their overutilization of inpatient and emergency services, which are ineffective mechanisms for delivering the care these patients need. This article reviews the barriers in organization and financing of care (categoric and third party financing, including the special problem of diagnosis-related groups limitations) and proposes strategies to enhance the delivery of appropriate treatment.

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Balance of Powers: Social Security and the Mentally Disabled, 1980-1985

Cited by 11 publications

References 6 publications

Navigating the Disability Process: Persons with Mental Disorders Applying for and Receiving Disability Benefits

Navigating the Disability Process: Persons with Mental Disorders Applying for and Receiving Disability Benefits

Homelessness and dual diagnosis.

Barriers to the Care of Persons With Dual Diagnoses: Organizational and Financing Issues

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