Psychiatric Emergencies

Federal income support to persons with alcohol and drug related disabilities was ended in 1997. The argument for ending the programs was that recipients were using their benefits to purchase drugs and alcohol. This supposedly led to the "check effect," an increase in psychiatric emergencies in American communities in the days following the receipt of disability benefits. We test two hypotheses implied by this argument. The first is that psychiatric emergencies are elevated in the fourth through eighth day of the month. The second is that the excess of emergencies in these days was significantly reduced when benefits were ended. The tests are based on 35,500 psychiatric emergencies in San Francisco, California occurring over 1,551 days. Results support the first hypothesis but not the second. The implications are that there is a general check effect and that it was not reduced by ending benefits to persons with drug and alcohol related disabilities

Argument (complex analysis) · Business · Psychiatry · Receipt · Test (biology) · Health disparities and outcomes · Healthcare Policy and Management · Medicine · Psychology · Substance Abuse Treatment and Outcomes

• Protocol of the impact of alternative social assistance disbursement on drug-related harm (Tasa) study

  Open Access•Lindsey Richardson, Allison Laing et al.•BMC Public Health•2016

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• Integrated knowledge translation to strengthen public policy research

  Open Access•Joanna Mendell, Lindsey Richardson•BMC Public Health•2021

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• Unemployment and civil commitment

  Open Access•Ralph Catalano, L R Snowden et al.•Aggressive Behavior•2007

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• Substance Abuse and Welfare Policy at the New Century

  Open Access•Jim Baumohl, Richard Speiglman et al.•Contemporary Drug Problems•2003

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• Increased drug use and the timing of social assistance receipt among people who use illicit drugs

  Open Access•E Krebs, Linwei Wang et al.•Social Science & Medicine•2016

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• On a measure of lack of fit in time series models

  Greta M Ljung, George E P Box•Biometrika•1978

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• Time Series Analysis

  Jorg Breitung, James D Hamilton•Contemporary Sociology A Journal…•1995

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• Selecting a time-series strategy

  Ralph A Catalano, Ralph Catalano et al.•Psychological Bulletin•1983

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