Warner R, Polak P
Mental Health Center of Boulder County, CO 80304, USA.
Community Ment Health J. 1995 Oct;31(5):477-92; discussion 493-8. doi: 10.1007/BF02188618.
In order to evaluate the extent to which economic factors influence the life choices of people with mental illness, we interviewed 50 mentally ill people living in Boulder, Colorado. Subjects experience significant financial disincentives to work. The average total cash and noncash income of part-time employed subjects ($1,028 a month) is only modestly higher than that of unemployed subjects ($929 a month). Most clients calculate that $5 is the minimum hourly wage which makes work economically practical. Work disincentives could be improved by a more appropriately graduated scheme for reducing disability benefits for beginning workers. A wage subsidy would provide a work incentive to underproductive clients. Psychiatric treatment costs for unemployed subjects in this sample are twice those for the part-time employed. We suggest that research is needed to determine if treatment costs can be reduced by paying clients a wage subsidy.
为了评估经济因素对患有精神疾病的人群生活选择的影响程度，我们采访了50位居住在科罗拉多州博尔德市的精神病患者。研究对象在工作方面面临显著的经济阻碍。兼职就业研究对象的平均现金和非现金总收入（每月1028美元）仅略高于失业研究对象（每月929美元）。大多数客户认为，每小时5美元是使工作在经济上可行的最低工资。通过为初入职场者制定更合理的分级计划来减少残疾福利，可以改善工作阻碍。工资补贴将为生产力低下的客户提供工作激励。该样本中失业研究对象的精神治疗费用是兼职就业者的两倍。我们建议需要进行研究，以确定支付客户工资补贴是否可以降低治疗成本。
