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Titolo:
Changes in mental health and service use after termination of SSI benefits
Autore:
Watkins, KE; Podus, D; Lombardi, E; Burnam, A;
Indirizzi:
RAND Corp, Santa Monica, CA 90407 USA RAND Corp Santa Monica CA USA 90407RAND Corp, Santa Monica, CA 90407 USA Univ Calif Los Angeles, Drug Abuse Res Ctr, Los Angeles, CA 90024 USA UnivCalif Los Angeles Los Angeles CA USA 90024 Los Angeles, CA 90024 USA
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 9, volume: 52, anno: 2001,
pagine: 1210 - 1215
SICI:
1075-2730(200109)52:9<1210:CIMHAS>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADDICTION SEVERITY INDEX; SECURITY-INCOME SSI; SUBSTANCE-ABUSE; ILLNESS; RECIPIENTS; DISORDERS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Watkins, KE RAND Corp, 1700 Main St, Santa Monica, CA 90407 USA RAND Corp 1700 Main St Santa Monica CA USA 90407 CA 90407 USA
Citazione:
K.E. Watkins et al., "Changes in mental health and service use after termination of SSI benefits", PSYCH SERV, 52(9), 2001, pp. 1210-1215

Abstract

Objective: Supplemental Security Income (SSI) benefits for a substance abuse disability were terminated by federal legislation as of January 1, 1997. This study examined the changes in mental health and in the use of mental health services two years after the legislation was implemented among individuals who had been receiving benefits under this classification. Methods: From a random sample of 400 SSI beneficiaries in Los Angeles, 253 were interviewed at the time the legislation took effect and again at 12-month, 18-month, and 24-month follow-ups. The study subjects were characterized by income source after the legislation and by probable mental health diagnosis. Their use of mental health services was also measured. Results: The mental health status of the participants remained unchanged between baseline and 24-month follow-up. The proportion who reported any use of mental health services decreased, primarily among those who continued receiving SSI benefits under a different classification. Among those who lost SSI benefits, emergency department visits and hospitalizations did not increase, and rates of outpatient visits remained the same. Conclusions: Contrary to expectations, the mental health status of individuals who had been receiving SSI benefitsfor a substance abuse disability did not worsen after the benefits were terminated. Local safety nets and reclassification under another disability may have mitigated the effects of the policy change. The results of this study underscore the need for longitudinal data to inform policy decisions.

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Documento generato il 27/01/20 alle ore 01:20:00