Social Programs, Employment, and Addiction

描述（由申请人提供）： 在20世纪90年代，福利和联邦残疾保险计划的改革有两个目标：促进公共收入援助传统接受者的就业和减少对公共收入援助的依赖。关于这些改革对物质使用障碍（SUD）患者的影响知之甚少。Ellen Meara博士是一位具有弱势群体专业知识的健康经济学家，她补充了经济工具，以实现她的长期职业目标，即成为药物滥用经济学的独立调查员，专注于社会保险之间的联系，以及SUD个人的社会和健康结果。拟议的培训活动旨在：1）了解SUD和治疗的临床方面; 2）了解福利和补充保障收入和社会保障残疾保险（SSI/DI）改革的特点，以及相关的公共卫生服务提供; 3）补充与研究社会保险计划对SUD个人的影响相关的概念和分析方法的知识。Meara博士建议通过课程和辅导来实现这些目标，指导者是Richard Frank博士，他是一位在心理健康和药物滥用经济学方面具有专长的健康经济学家，共同赞助者是Shelly格林菲尔德博士，他是一位专门研究成瘾问题的精神病学家和研究人员，共同赞助者是托马斯·麦奎尔博士，他是一位在经济理论、心理健康和药物滥用方面具有专长的健康经济学家。拟议的研究旨在：1）确定福利改革和SSI/DI对低收入SUD个体就业的影响; 2）确定这些改革对健康结果的影响，包括：物质使用和滥用，物质滥用治疗，精神疾病症状和SUD个体的一般健康结果;以及3）确定福利和SSI/DI改革如何影响公共项目参与和相关社会成本。

DESCRIPTION (provided by applicant): In the 1990s, reforms to welfare and Federal disability insurance programs had two goals: promoting employment among traditional recipients of public income assistance and reducing dependency on public income assistance. Little is known about the impact of these reforms on individuals with substance use disorders (SUDs). This Mentored Research Scientist Award will allow Dr. Ellen Meara, a health economist with expertise in vulnerable populations, to supplement her economic tools to achieve her long-term career goal of becoming an independent investigator on the economics of substance abuse, focusing on the links between social insurance, and social and health outcomes for individuals with SUDs. The proposed training activities aim to: 1) develop an understanding of clinical aspects of SUDs and treatment; 2) understand features of reforms to welfare and Supplemental Security Income and Social Security Disability Insurance (SSI/DI), and related public provision of health services; and 3) to supplement knowledge of conceptual and analytic methods relevant for studying the impact of social insurance programs on individuals with SUDs. Dr. Meara proposes to pursue these aims through coursework and tutorials with the guidance of sponsor Dr. Richard Frank, a health economist with expertise in the economics of mental health and substance abuse, co-sponsor, Dr. Shelly Greenfield, a psychiatrist and researcher specializing in addictions, and co-sponsor Dr. Thomas McGuire, a health economist with expertise in economic theory, mental health and substance abuse. The proposed research aims to: 1) determine the impact of reforms to welfare and SSI/DI on employment among low-income individuals with SUDs; 2) to determine the impact of these reforms on health outcomes including: substance use and abuse, substance abuse treatment, symptoms of mental illness, and general health outcomes for individuals with SUDs; and 3) to determine how reforms to welfare and SSI/DI influence public program participation and related social costs.