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Disability benefits and clinical outcomes among homeless veterans with psychiatric and substance abuse problems.

作者信息

Mares Alvin S, Rosenheck Robert A

机构信息

Northeast Program Evaluation Center, VA Connecticut Healthcare System, West Haven, CT 06516, USA.

出版信息

Community Ment Health J. 2007 Feb;43(1):57-74. doi: 10.1007/s10597-006-9059-2. Epub 2006 Aug 30.

DOI:10.1007/s10597-006-9059-2
PMID:16944296
Abstract

This study examined the relationship between disability payment status and clinical outcomes among 305 homeless veterans entering VA treatment. Disability status and clinical outcomes were characterized using self-report data at program entry, and quarterly for 2 years thereafter. Seeking or already receiving disability benefits at program entry was not associated with any of the 8 clinical outcomes examined. Those seeking or receiving disability benefits during the 2 years that followed showed more serious mental health problems and lower levels of mental health functioning, but no greater risk of substance use or not being employed nor worse housing outcomes than those who remained uninterested in applying for disability benefits. This study does not, therefore, support the notion that disability orientation results in poorer clinical outcomes, at least not among homeless veterans.

摘要

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本文引用的文献

1
Supported employment: evidence for an evidence-based practice.支持性就业:基于证据的实践的证据
Psychiatr Rehabil J. 2004 Spring;27(4):345-59. doi: 10.2975/27.2004.345.359.
2
Disability compensation seeking among veterans evaluated for posttraumatic stress disorder.在接受创伤后应激障碍评估的退伍军人中寻求残疾补偿的情况。
Psychiatr Serv. 2003 Jan;54(1):84-91. doi: 10.1176/appi.ps.54.1.84.
3
Effects of disability compensation on participation in and outcomes of vocational rehabilitation.残疾补偿对职业康复参与度及结果的影响。
Psychiatr Serv. 2001 Nov;52(11):1479-84. doi: 10.1176/appi.ps.52.11.1479.
4
Effects of compensation-seeking on treatment outcomes among veterans with posttraumatic stress disorder.
J Nerv Ment Dis. 1998 Apr;186(4):223-30. doi: 10.1097/00005053-199804000-00004.
5
The relationship of public support payments to substance abuse among homeless veterans with mental illness.公共资助款项与患有精神疾病的无家可归退伍军人药物滥用之间的关系。
Psychiatr Serv. 1997 Jun;48(6):792-5. doi: 10.1176/ps.48.6.792.
6
Veterans affairs disability compensation: a case study in countertherapeutic jurisprudence.
Bull Am Acad Psychiatry Law. 1996;24(1):27-44.
7
Do public support payments encourage substance abuse?公共支持款项会助长药物滥用吗?
Health Aff (Millwood). 1996 Fall;15(3):192-200. doi: 10.1377/hlthaff.15.3.192.
8
The individual placement and support model of supported employment.支持性就业的个别安置与支持模式
Psychiatr Serv. 1996 May;47(5):473-5. doi: 10.1176/ps.47.5.473.
9
Effectiveness and cost of specific treatment elements in a program for homeless mentally ill veterans.一项针对无家可归的患有精神疾病退伍军人的项目中特定治疗要素的有效性和成本
Psychiatr Serv. 1995 Nov;46(11):1131-9. doi: 10.1176/ps.46.11.1131.
10
Individual Placement and Support: a community mental health center approach to vocational rehabilitation.个体安置与支持:社区心理健康中心的职业康复方法
Community Ment Health J. 1994 Apr;30(2):193-206; discussion 207-12. doi: 10.1007/BF02188630.