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公共残疾福利系统中残疾与药物滥用的社会建构

Social construction of disability and substance abuse within public disability benefit systems.

作者信息

Brucker Debra L

出版信息

Int J Drug Policy. 2009 Sep;20(5):418-23. doi: 10.1016/j.drugpo.2008.09.008. Epub 2008 Nov 1.

DOI:10.1016/j.drugpo.2008.09.008
PMID:18977648
Abstract

Federal legislation passed in 1996 in the United States changed the eligibility criteria for public disability benefit programmes. After 1996, persons with a primary diagnosis of substance abuse no longer qualified to receive disability benefits. Using a framework of social construction, a qualitative comparative analysis examines how the national disability systems of eight countries - Australia, Canada, Germany, Japan, the Netherlands, South Africa, Sweden, the United Kingdom, and the US - address issues of substance abuse. The US is the only country among the focal countries that does not currently allow disability benefits to be awarded to those with primary conditions of substance use disorders. International experience in providing disability benefits to persons with substance use disorders can inform US policy makers as to how the current US federal disability benefit system might be expanded to be more inclusive of persons with substance abuse disorders.

摘要

1996年美国通过的联邦立法改变了公共残疾福利项目的资格标准。1996年之后,主要诊断为药物滥用的人不再有资格领取残疾福利。运用社会建构框架,定性比较分析考察了澳大利亚、加拿大、德国、日本、荷兰、南非、瑞典、英国和美国这八个国家的国家残疾体系如何处理药物滥用问题。美国是重点研究国家中目前唯一不允许向患有药物使用障碍原发性疾病的人发放残疾福利的国家。向患有药物使用障碍的人提供残疾福利的国际经验可以让美国政策制定者了解当前美国联邦残疾福利体系如何得以扩展,从而更包容患有药物滥用障碍的人。

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