Bachman Sara S, Drainoni Mari-Lynn, Tobias Carol
School of Social Work, Boston University, MA 02215, USA.
Health Soc Work. 2004 Aug;29(3):189-96. doi: 10.1093/hsw/29.3.189.
Most states enroll individuals with disabilities who receive Supplemental Security Income (SSI) in Medicaid managed care plans. The impact of managed care on these individuals, especially those with substance abuse disorders, is not well understood. A review of the literature related to substance abuse, disability, and Medicaid managed care suggests that substance abuse is a serious issue for individuals with disabilities. More research is needed to determine how the substance abuse treatment needs of individuals with disabilities can be met through Medicaid managed care. The authors identified topics for a research agenda on the needs of individuals with disabilities who also experience co-occurring substance abuse disorders. Implications for social work policy and practice are discussed.
大多数州将领取补充保障收入（SSI）的残疾人士纳入医疗补助管理式医疗计划。管理式医疗对这些人，尤其是对患有药物滥用障碍的人所产生的影响，目前还不太清楚。一项关于药物滥用、残疾与医疗补助管理式医疗的文献综述表明，药物滥用对残疾人士来说是一个严重问题。需要开展更多研究，以确定如何通过医疗补助管理式医疗来满足残疾人士的药物滥用治疗需求。作者们确定了一个研究议程的主题，该议程围绕同时患有药物滥用障碍的残疾人士的需求展开。文中还讨论了对社会工作政策和实践的启示。
