The Potential Employment Impact of Health Reform on Working-Age Adults With Disabilities

Levy, Alice R.; Bruen, Brian; Ku, Leighton

doi:10.1177/1044207312446225

Cited by 14 publications

(8 citation statements)

References 30 publications

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“…Finally, the parent studies span a period of time starting in the mid‐1990s extending over more than a decade. While we assume the findings would generalize to the present, replication studies are needed given recent changes in US health‐care policies …”

Section: Discussionmentioning

confidence: 94%

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Effectiveness of individual placement and support supported employment for young adults

Bond

Drake

Campbell

2014

Early Intervention Psych

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Objective The Individual Placement and Support (IPS) model of supported employment was first developed in community mental health centers for adults with severe mental illness. While IPS is an established evidence-based practice in this broad population, evidence on its effectiveness focused specifically on young adults has been limited. The current study aimed to address this gap. Methods To investigate the effects of IPS on young adults, the authors conducted a secondary analysis on a pooled sample of 109 unemployed young adults (under age 30) from four randomized controlled trials employing a common research protocol that included a standardized measurement battery and rigorous fidelity monitoring. Researchers assessed these participants over 18 months on nine competitive employment outcome measures. Results On all measures the IPS group had significantly better employment outcomes. Overall, 40 (82%) of IPS participants obtained employment during follow-up compared to 25 (42%) of control participants, Χ2 =17.9, p < .001. IPS participants averaged 25.0 weeks of employment, compared to 7.0 weeks for control participants, t = 4.50, p < .001. Conclusions The current analysis supports a small number of previous studies in showing that IPS is highly effective in helping young adults to attain competitive employment. When young adults acquire competitive jobs and initiate a path toward normal adult roles, they may avoid the cycle of disability and psychiatric patient roles that are demeaning and demoralizing.

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Section: Discussionmentioning

confidence: 94%

“…While we assume the findings would generalize to the present, replication studies are needed given recent changes in US health-care policies. 49…”

Section: Study Limitationsmentioning

confidence: 99%

Effectiveness of individual placement and support supported employment for young adults

Bond

Drake

Campbell

2014

Early Intervention Psych

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“…Levy and colleagues (2012) using a simulation model based on health reform in Massachusetts to predict the impact of the ACA argue that if fully implemented, the ACA will bring more than 2 million people with disability to insurance (Levy, Bruen and Ku 2012). The optimistic estimates provided by Levy and colleagues, however, are tempered by reality that many states have declined to participate in Medicaid expansions; as of October 2013, 25 states are not moving forward with such expansions (Smith et al 2013).…”

Section: Discussionmentioning

confidence: 99%

Disability, Health Insurance, and Psychological Distress among US Adults

Alang

McAlpine

Henning‐Smith

2014

Society and Mental Health

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Structural resources, including access to health insurance, are understudied in relation to the stress process. Disability increases the likelihood of mental health problems, but health insurance may moderate this relationship. We explore health insurance coverage as a moderator of the relationship between disability and psychological distress. A pooled sample from 2008–2010 (N=57,958) was obtained from the Integrated Health Interview Series. Chow tests were performed to assess insurance group differences in the association between disability and distress. Results indicated higher levels of distress associated with disability among uninsured adults compared to their peers with public or private insurance. The strength of the relationship between disability and distress was weaker for persons with public compared to private insurance. As the Affordable Care Act is implemented, decision-makers should be aware of the potential for insurance coverage, especially public, to ameliorate secondary conditions such as psychological distress among persons who report a physical disability.

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“…SSDI recipients have high uninsurance rates prior to Medicare eligibility, which declines markedly after the 24-month Medicare waiting period (Livermore et al, 2009; Riley, 2006). Furthermore, in the pre-ACA period, there is some evidence that working-age individuals with a disability may apply for federal disability benefits to access health insurance (Kennedy & Blodgett, 2012; Levy et al, 2013). Post-ACA, individuals with a disability were able to more easily apply for health insurance coverage given guaranteed issuance and community rated premiums by private health insurers along with subsidies for those with lower income.…”

mentioning

confidence: 99%

Disability, Federal Disability Benefits, and Health Care Access After the Affordable Care Act

Pellegrini

Geissler

2020

Journal of Disability Policy Studies

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Limited research considers whether differences in health care access and utilization exist for individuals with a disability with and without receipt of federal disability benefits in the Affordable Care Act (ACA) era. National Health Interview Survey (NHIS) data (2014–2016) are used to estimate the relationship between federal disability benefit receipt and health care access and utilization for individuals with a disability, controlling for disability benefit application, and predisposing, enabling, and need characteristics. Study results show that individuals with a disability receiving federal disability benefits have increased odds of seeing any provider (odds ratio [OR]: 1.50; 95% confidence interval [CI] = [1.12, 2.01]) and decreased odds of worrying about the costs of health care (OR: 0.68; 95% CI = [0.57, 0.80]) and delaying needed medical care due to costs (OR: 0.50; 95% CI = [0.42, 0.61]) versus nonrecipients with a disability. Findings highlight the continued importance to address disabled nonrecipients’ health care access and utilization barriers in the post-ACA period.

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The Potential Employment Impact of Health Reform on Working-Age Adults With Disabilities

Cited by 14 publications

References 30 publications

Effectiveness of individual placement and support supported employment for young adults

Effectiveness of individual placement and support supported employment for young adults

Disability, Health Insurance, and Psychological Distress among US Adults

Disability, Federal Disability Benefits, and Health Care Access After the Affordable Care Act

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