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PS 1997; 48:789-791
Copyright © 1997 by American Psychiatric Association
Disability payments and chemical dependence: conflicting values and uncertain effects
R Rosenheck
Department of Veterans Affairs Northeast Program Evaluation Center, West Haven, CT 06516, USA.
Receipt of public support payments by people with substance abuse disorders
has been a subject of intense controversy in recent years. Observing that
such funds are often used to purchase addictive substances, many critics
have questioned whether people with chemical dependencies are entitled to
such payments and whether they should be allowed to spend these funds
unsupervised. This discussion introduces a special section of five
data-based papers on the relation of disability payments to chemical
dependence. The papers address five questions: Do public support payments
worsen substance abuse in vulnerable populations? Does assignment of a
representative payee reduce substance abuse among such beneficiaries? What
money management procedures are most likely to yield positive outcomes for
clients? How can clients who need payees be fairly identified? And how
should skilled, responsible payees or guardians be recruited, trained, and
retained? In the absence of scientific data, both clinical practice and
social policy are vulnerable to the whims of public opinion. These papers
shed new light on a heated area of policy debate.
This article has been cited by other articles:
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E. B. Elbogen, C. Wilder, M. S. Swartz, and J. W. Swanson
Caregivers as Money Managers for Adults with Severe Mental Illness: How Treatment Providers Can Help
Acad Psychiatry,
April 1, 2008;
32(2):
104 - 110.
[Abstract]
[Full Text]
[PDF]
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E. B. Elbogen, J. C. Ferron, M. S. Swartz, C. M. Wilder, J. W. Swanson, and H. R. Wagner
Characteristics of Representative Payeeship Involving Families of Beneficiaries With Psychiatric Disabilities
Psychiatr Serv,
November 1, 2007;
58(11):
1433 - 1440.
[Abstract]
[Full Text]
[PDF]
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E. B. Elbogen, C. Soriano, R. V. Dorn, M. S. Swartz, and J. W. Swanson
Consumer Views of Representative Payee Use of Disability Funds to Leverage Treatment Adherence
Psychiatr Serv,
January 1, 2005;
56(1):
45 - 49.
[Abstract]
[Full Text]
[PDF]
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R. G. Orwin, B. Campbell, K. Campbell, and A. Krupski
Welfare Reform and Addiction: A Priori Hypotheses, Post Hoc Explorations, and Assisted Sensemaking in Evaluating the Effects of Terminating Benefits for Chronic Substance Abusers
American Journal of Evaluation,
December 1, 2004;
25(4):
409 - 441.
[Abstract]
[PDF]
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E. B. Elbogen, J. W. Swanson, M. S. Swartz, and H. R. Wagner
Characteristics of Third-Party Money Management for Persons With Psychiatric Disabilities
Psychiatr Serv,
August 1, 2003;
54(8):
1136 - 1141.
[Abstract]
[Full Text]
[PDF]
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R. E. Drake and M. A. Wallach
Dual Diagnosis: 15 Years of Progress
Psychiatr Serv,
September 1, 2000;
51(9):
1126 - 1129.
[Full Text]
[PDF]
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R. Rosenheck, L. K. Frisman, W. J. Elliott, A. Stemer, S. J. Toth, D. P. Phillips, N. Christenfeld, and N. M. Ryan
An Increase in the Number of Deaths in the United States in the First Week of the Month
N. Engl. J. Med.,
November 11, 1999;
341(20):
1548 - 1550.
[Full Text]
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D. Mischoulon
An Approach to the Patient Seeking Psychiatric Disability Benefits
Acad Psychiatry,
September 1, 1999;
23(3):
128 - 136.
[Abstract]
[Full Text]
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D. P. Phillips, N. Christenfeld, and N. M. Ryan
An Increase in the Number of Deaths in the United States in the First Week of the Month -- An Association with Substance Abuse and Other Causes of Death
N. Engl. J. Med.,
July 8, 1999;
341(2):
93 - 98.
[Abstract]
[Full Text]
[PDF]
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K. J. Conrad, M. D. Matters, P. Hanrahan, D. J. Luchins, C. Savage, and B. Daugherty
Characteristics of Persons With Mental Illness in a Representative Payee Program
Psychiatr Serv,
September 1, 1998;
49(9):
1223 - 1225.
[Abstract]
[Full Text]
[PDF]
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