Okpaku S
Am J Psychiatry. 1985 Sep;142(9):1037-43. doi: 10.1176/ajp.142.9.1037.
A study of the psychiatric evaluations of 248 consecutive clients whose cases were in the process of adjudication for approval or renewal of Supplemental Security Income and/or Social Security Disability Income in 1982 and 1983 showed an overrepresentation of individuals with chronic moderate to severe psychiatric impairment. The author suggests that the criteria and guidelines for eligibility for these two programs are too stringent for individuals with psychiatric impairment and that some of these individuals are unable to provide information necessary to build a proper case for disability because of their psychopathology. The implications for psychiatrists, other mental health professionals, and social policy planners are discussed.
一项针对1982年和1983年连续248名客户的精神病学评估研究显示，这些客户的案件正在进行补充保障收入和/或社会保障残疾收入批准或续签的裁决过程，其中慢性中度至重度精神障碍患者的比例过高。作者认为，这两个项目的资格标准和指导方针对于有精神障碍的个人来说过于严格，而且其中一些人由于精神病理学原因，无法提供建立适当残疾案例所需的信息。文中讨论了这对精神科医生、其他心理健康专业人员和社会政策规划者的影响。
