Veterans' attitudes toward work and disability compensation: Associations with substance abuse

Veterans' attitudes toward work and disability compensation: Associations with substance abuse
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DOI:
10.1016/j.addbeh.2013.09.005
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发表时间:
2014-02-01
影响因子:
4.4
通讯作者:
Rosen, Marc I.
Rosen, Marc I.
中科院分区:
医学2区
文献类型:
--
作者:
Meshberg-Cohen, Sarah;Reid-Quinones, Kathryn;Rosen, Marc I.

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简介:退伍军人被认为是残疾的条件导致,或加重,他们在军队服役有资格获得服务相关的残疾赔偿。尽管伤残津贴有许多积极的影响,但一个令人担忧的问题是,与那些没有领取伤残津贴的退伍军人相比,患有精神疾病的退伍军人找到工作的可能性更小。对于使用药物的退伍军人来说,工作是康复过程中特别重要的一部分,他们对工作和残疾补偿的态度知之甚少。方法:本研究比较了有物质使用问题的退伍军人(n = 33)和没有物质使用问题的退伍军人(n = 51)对工作的重要性及其与伤残津贴的关系的回答。采用T-和卡方检验来确定有物质使用问题的退伍军人在工作态度和工作与退伍军人福利之间关系的看法上是否与其他人不同。结果:退伍军人高度认同工作将导致失去福利的说法。使用药物的退伍军人更强烈地同意,他们宁愿拒绝工作机会,也不愿失去经济利益。结论:在使用药物的退伍军人中,对残疾补助的更大偏好可能反映了一种现实的担忧,即他们特别可能难以维持就业。退伍军人普遍担心工作将导致失去退伍军人伤残津贴,这是令人震惊的,因为对实际损失福利的可能性并不明确,应该在服务连接申请过程中解决。Elsevier Ltd.出版。
Introduction: Veterans deemed disabled for conditions resulting from, or aggravated by, their service in the military are eligible for service-connected disability payments. Despite many positive effects of disability payments, one concern is that Veterans with psychiatric conditions who receive disability payments are less likely to be employed compared to those who are denied benefits. Little is known about the attitudes of substance using Veterans, for whom work is a particularly important part of recovery, toward work and disability compensation.Methods: This study compared the responses of Veterans with (n = 33) and without substance use problems (n = 51) to questions about work's significance and its relationship to disability payments. T- and chi-square tests were conducted to determine if Veterans with substance use problems differed from the others on work-related attitudes and perceptions of the relation between work and Veterans' benefits.Results: Veterans endorsed high levels of agreement with statements that working would lead to loss of benefits. Veterans with substance use agreed more strongly that they would rather tum down a job offer than lose financial benefits.Conclusions: The greater preference for disability payments among substance-using Veterans may reflect a realistic concern that they are particularly likely to have difficulty maintaining employment. The widespread concern among Veterans that work will lead to loss of VA disability payments is striking given the ambiguity about how likely loss of benefits actually is, and should be addressed during the service-connection application process. Published by Elsevier Ltd.