INCOME MAINTENANCE, DEPENDENCE AND SERVICE SYSTEM USE

收入维持、依赖和服务系统的使用

• 批准号: 3378383
• 负责人: SUE E ESTROFF
• 金额: $ 16.13万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 1986
• 资助国家: 美国
• 起止时间: 1986-05-01 至 1991-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3378383
• 关键词: attitude; chronic disease /disorder; decision making; deinstitutionalization; disability insurance; employment /unemployment; health care service utilization; human population study; human subject; income maintenance; longitudinal human study; mental disorders; mental health services; self help; social class; social support network

Recent research indicates that approximately 50% of all chronically mentally ill persons receive Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI), while up to 90% of those in community treatment programs are recipients. Clinicians, patients, policy makers, and family members are all aware of the mixed blessing of income maintenance for the chronically mentally ill. While receipt may enable more independent living outside institutional settings, it may also consciously and unconsciously, decrease participation in the labor force and encourage continuation of disability--the entitling condition. There is a lack of systematic and longitudinal research about the roles, both positive and negative, that income maintenance based on disability, e.g., SSI and SSDI, plays in the lives of the chronically mentally ill. This research project is intended to investigate some of these roles, in particular to describe the natural history of decisions to apply, the short term effects of applicaiton and receipt on the recipient, and the influence of various forms of dependence on decisions to apply and on use of services. A prospective design is proposed, in order to map the sequence of events that lead to participation, to assess the respective contributions of various factors, and their effects over time on the recipients. Retrospective analysis is not adequate to determine the interactions among client, service and treatment system, disabling condition, social and psychological factors, all of which contribute to income maintenance use. These factors include: family relations with and attitudes toward the patient, family resources and attitudes toward disability income; staff realations with the patient and attitudes toward use of income maintenance; level of treatment and service system participation; degree and type of dependence; level of impairment, employment status, and duration of disability. We propose to follow persons discharged from three psychiatric inpatient treatment settings for two years, comparing those who apply for and receive SSI and SSDI and those who do not, and those who use services and participate in treatment and those who do not.

最近的研究表明，大约50%的慢性 精神病患者可获得补充保障收入（SSI）和社会保障收入。 安全残疾保险（SSDI），而高达90%的人在社区 治疗方案是受益者。 临床医生，病人，政策制定者， 家庭成员都意识到收入的好坏参半 长期精神病患者的生活费。 虽然收据可以使 在机构环境之外生活更加独立，也可能 有意识和无意识地， 并鼓励残疾人继续生活--这是一个享有权利的条件。 那里 缺乏系统的、纵向的研究， 积极的和消极的，基于残疾的收入维持，例如， SSI和SSDI，在慢性精神病患者的生活中发挥作用。 这 研究项目旨在调查其中的一些角色， 特别是描述自然历史的决定适用，短 申请和接收对接受者的期限影响，以及 各种形式的依赖决定适用和使用 服务 提出了一种前瞻性设计，以绘制序列 评估导致参与的各种活动， 各种因素的贡献，以及它们随着时间的推移对 受惠人士 回顾性分析不足以确定 客户、服务和治疗系统之间的交互，禁用 条件，社会和心理因素，所有这些都有助于 收入维护使用。 这些因素包括：家庭关系， 对病人的态度，家庭资源和对 残疾收入;工作人员与病人的关系和态度， 使用收入维持;待遇水平和服务体系 参与;依赖程度和类型;损害程度， 就业状况和残疾持续时间。 我们建议遵循 从三个精神病住院治疗机构出院的人， 两年，比较那些谁申请和接受SSI和SSDI和那些 那些不这样做的人，以及那些使用服务和参与治疗的人， 那些没有的人。