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Effects of Losing SSI Benefits on Standard Drug and Alcohol Outcome Measures

Bibliographic Data

ID11057564
AuthorsJoseph Guydish (0000-0003-2115-3340, corresponding author), Claudia Ponath, Alan Bostrom, Kevin Campbell (0000-0003-4239-8590), Nancy Barron
Year2003
Volume30
Issue1-2
Pages169-193
Publication date2003-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueContemporary Drug Problems (JOURNAL)
Journal identifiersISSN: 0091-4509 • E-ISSN: 2163-1808
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/00914509030301-208
OpenAlexW320823984
LanguageEN
Citations received9
References cited13

P.L. 104–121 eliminated drug addiction and alcoholism (DA&A) as an impairment category for Supplemental Security Income (SSI), allowing a six-month period for DA&A recipients to request an eligibility redetermination, and terminating all SSI DA&A benefits on January 1, 1997, In a multi-site cohort study of persons affected by this change, participants were interviewed prior to the benefits termination date and reinterviewed over a two-year follow-up period. We assessed the impact of loss of SSI DA&A benefits on Addiction Severity Index (ASI) composite scores, which are often used to reflect treatment outcomes in seven areas (psychological, social, alcohol, drug, legal, employment, and medical). We classified participants as either on SSI or off SSI (n=1,670) during follow-up and analyzed ASI composite scores treating time as a linear effect, including baseline composite scores as covariates. The dependent variable in each analysis was the ASI composite score, dichotomized into high and low categories. We hypothesized that those who lost SSI benefits would experience poorer outcomes than those who requalified for benefits. In the context of the limitations discussed, the results do not support this hypothesis. Participants in both groups showed either improvement or no change over time, and patterns of change did not differ by SSI status

Addiction · Cohort · Context (archaeology) · Psychiatry · Demography · Homelessness and Social Issues · Internal Medicine · Medicine · Opioid Use Disorder Treatment · Substance Abuse Treatment and Outcomes · Gerontology

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Unique citing works9
Citations per year0,38
Citation span2002 - 2018 (17)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 9

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