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Outcomes of Managing Disability Benefits Among Patients With Substance Dependence and Severe Mental Illness
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This article evaluates 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. The authors randomly assigned forty-one patients to have their benefits either contingently or noncontingently managed through their mental health center. The article states that 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 authors assert that the patients with contingent management used significantly less alcohol and drugs and showed much better money management than those with noncontingent management, and that patients and case managers who participated in the study reported that they found the management strategy to be acceptable and useful. (Authors)
Psychiatric Services
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A program of the U.S. Department of Health and Human Services Substance Abuse & Mental Health Services Administration, Center for Mental Health Services