Psychiatr Serv 55:445-447, April 2004
© 2004 American Psychiatric Association
Outcomes of Managing Disability Benefits Among Patients With Substance Dependence and Severe Mental Illness
Richard K. Ries, M.D.,
Dennis G. Dyck, Ph.D.,
Robert Short, Ph.D.,
Debra Srebnik, Ph.D.,
Anastasia Fisher, R.N. and
Katherine A. Comtois, Ph.D.
To evaluate the feasibility and efficacy of a program to manage Social Security disability benefits in a clinical sample of patients with severe mental illness and co-occurring substance dependence, 41 patients were randomly assigned to have their benefits either contingently or noncontingently managed through their mental health center. Contingent management involved adjustments to the type or frequency (not amount) of disability benefits and payments for study participation based on ratings of substance use, money management, and treatment follow-through. The patients with contingent management used significantly less alcohol and drugs and showed much better money management than those with noncontingent management. Patients and case managers who participated in the study reported that they found the management strategy to be acceptable and useful.
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E. B. Elbogen, C. Wilder, M. S. Swartz, and J. W. Swanson
Caregivers as Money Managers for Adults with Severe Mental Illness: How Treatment Providers Can Help
Acad Psychiatry,
April 1, 2008;
32(2):
104 - 110.
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