Bilder Scott, Mechanic David
Institute for Health, Health Care Policy and Aging Research, Rutgers University, 30 College Avenue, New Brunswick, NJ 08901, USA.
Milbank Q. 2003;81(1):75-106, table of contents. doi: 10.1111/1468-0009.00039.
Persons with mental disorders are less likely to be working and more likely to apply for and receive SSDI and/or SSI benefits than are those without such disorders. Data from the National Health Interview Survey on Disability (NHIS-D) were examined to identify the predictors of SSDI/SSI application and receipt among persons with self-reported mental disorders. Compared with nonapplicants, applicants had higher levels of disability, fewer financial and interpersonal resources, and better access to information about the disability programs. Among applicants, similar factors distinguished recipients from those who did not receive benefits. Navigating the disability process is associated with the extent of impairment, economic and social disadvantage, and linkage to the disability determination process.
与没有精神障碍的人相比，患有精神障碍的人就业的可能性较小，申请并获得补充性社会安全收入（SSDI）和/或补充保障收入（SSI）福利的可能性更大。我们分析了来自全国健康访谈残疾调查（NHIS-D）的数据，以确定自我报告患有精神障碍的人群中申请和获得SSDI/SSI的预测因素。与未申请者相比，申请者的残疾程度更高，经济和人际资源更少，但获取残疾项目信息的渠道更好。在申请者中，类似的因素区分了受益者和未受益者。在残疾认定过程中遇到的困难与损伤程度、经济和社会劣势以及与残疾认定程序的联系有关。
