Termination of Supplemental Security Income Benefits for Drug Addiction and Alcoholism: Results of a Longitudinal Study of the Effects on Former Beneficiaries

Swartz, James A.; Baumohl, Jim; Lurigio, Arthur J.

doi:10.1086/380769

Cited by 6 publications

(5 citation statements)

References 31 publications

(52 reference statements)

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“…A bit of relevant history: whereas an SUD was once a qualifying disabling condition for receiving Medicaid benefits in conjunction with Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI), President Clinton and a Newt Gingrich‐led Congress ended that provision in 1996 (Hunt & Baumohl, ). Consequently, many who were poor but whose disabilities were substance‐related lost both disability income and Medicaid insurance until the Affordable Care Act (ACA; Swartz, Baumohl, & Lurigio, ).…”

Section: Response From James Swartz Associate Professor Jane Addams mentioning

confidence: 99%

Medical System Rant and Response: Perspective of a Substance Abuse Counselor

Mayer¹,

Mayer²,

Stabile³

et al. 2016

WHM

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This commentary features a brief description of a frustrating medical experience by a U.S. healthcare provider, with responses offered by several experts from various perspectives of the health-care system.Health-care providers are on the front lines of care and their ability to influence outcomes is importantly shaped by policy. This rant by a substance abuse counselor expresses the point of view that Medicare reimbursement actually contributes to our opiate crisis and wastes vast sums of money. This forum allows for the venting of such a viewpoint, with responses offered by several academic researchers whose work is expressly intended to contribute to the crafting of public policy solutions to crises such as the heroin epidemic. Any such solutions ought to take into account the experiences of those most intimately acquainted with the experience of implementation.

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Section: Response From James Swartz Associate Professor Jane Addams mentioning

confidence: 99%

Medical System Rant and Response: Perspective of a Substance Abuse Counselor

Mayer¹,

Mayer²,

Stabile³

et al. 2016

WHM

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“…The receipt of benefits does not encourage or increase alcohol dependency (Stevenson 2002), although it has been acknowledged (from research in the USA) that when treatment is a mandated part of welfare receipt, more adults with substance misuse problems do engage with it than would otherwise be the case (Swartz et al 2004). However, the professionals we interviewed stated that the threat or actual loss of benefits can have negative consequences (in terms of health and homelessness, for example) particularly in the short term (Swartz et al 2004) and could trigger relapse for some. Individuals need to be motivated to engage with services; motivation is a fundamental determinant of both treatment completion and subsequent recovery.…”

Section: Welfare Reformmentioning

confidence: 99%

“…The relationship between alcohol misuse, employment and unemployment is complex, and the picture that emerges from the literature is somewhat contradictory. Much of the evidence comes from studies conducted in the US before and after welfare reform in the mid-1990s (Swartz, Baumohl, and Lurigio 2004). Some studies conclude that there is a negative relationship between alcohol dependence and employment (MacDonald and Shields 2001;Sutton et al 2004), whilst others report that alcohol misuse has no direct impact on employment Feng et al 2001).…”

Section: Introductionmentioning

confidence: 99%

Pathways back to work for problem alcohol users

et al. 2013

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The relationship between alcohol misuse, employment and unemployment is complex. Alcohol misuse is correlated with a range of other problems, including, for example, drug misuse, mental health problems and social deprivation. Together these can be a barrier to accessing and sustaining employment. The aim of this study was to explore these issues with a sample of adults in the UK who were currently accessing treatment for an alcohol problem. The study involved a systematic literature review followed by qualitative research with 53 treatment service clients and 12 professionals across 5 research sites in England, Scotland and Wales. The findings focus on the main facilitators and barriers, both individual and organisational, for returning to work identified by interviewees. Some of the facilitators and barriers identified were similar to those described in the literature for other groups of unemployed adults. Others were more specific to alcohol misusers; for example, the stigma experienced by interviewees as a result of the views of others regarding substance misuse, the nature of recovery from addiction and the challenges posed by the prevalence of coexisting mental and physical health problems. Despite the problems faced by many of the study participants, however, the majority were eager to return to work, and this desire to gain employment is discussed in the context of ongoing welfare reform in the UK

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“…Research in the United States suggests that, as may be expected, rates of treatment are lower when treatment is not a condition for receiving welfare benefits than when it is 194 or when benefits, to which such a condition is attached, are terminated. 195 However, responding to the Bill, the Parliamentary Joint Committee on Human Rights (JCHR) argued that the proposed measures could reduce the numbers entering treatment by driving the problem underground. 196 Taking a similar view, the SSAC argued that treatment participation is most effectively realized through voluntary engagement.…”

Section: Implications Of the Drug-related Provisionsmentioning

confidence: 99%

Conditional Rights, Benefit Reform, and Drug Users: Reducing Dependency?

Harris

2010

Journal of Law and Society

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United Kingdom government policy to increase social security claimants' entry to the labour market through conditions attached to unemployed, sickness and incapacity benefits now includes additional measures to activate particular groups such as lone parents and drug users. The latter are a prime target because of their high level of dependency on benefits and because social security rules are seen as having the potential to modify the behaviour of individuals with a lifestyle regarded as being at odds with the moral obligations of citizenship and incompatible with the government's realization of its wider economic and social goals. There are strict procedures for the identification of drug-user claimants, enabling additional conditions to be attached to their benefit rights. This article discusses the general trend in benefit reform towards increased conditionality and evaluates the reforms affecting drug users, considering human rights and other implications. It concludes by reflecting on the status of conditional rights to social security as social rights.

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Termination of Supplemental Security Income Benefits for Drug Addiction and Alcoholism: Results of a Longitudinal Study of the Effects on Former Beneficiaries

Cited by 6 publications

References 31 publications

Medical System Rant and Response: Perspective of a Substance Abuse Counselor

Medical System Rant and Response: Perspective of a Substance Abuse Counselor

Pathways back to work for problem alcohol users

Conditional Rights, Benefit Reform, and Drug Users: Reducing Dependency?

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