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Substance Abuse and Mental Health Services Administration
Effects of Losing SSI Benefits on Standard Drug and Alcohol Outcome Measures
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This article discusses the elimination of drug addiction and alcoholism (DA&A) as an impairment category for Supplemental Security Income (SSI), which allowed a six-month period for DA&A recipients to request an eligibility redetermination, and terminated all SSI DA&A benefits on January 1, 1997. The authors conduced a multi-site cohort study of persons affected by this change, in which participants were interviewed prior to the benefits termination date and reinterviewed over a two-year follow-up period. The authors assessed the impact of loss of SSI DA&A benefits on Addiction Severity Index (ASI) composite scores, which are often used to reflect treatment outcomes in seven areas (psychological, social, alcohol, drug, legal, employment, and medical). The authors classified participants as either on SSI or off SSI during follow up and analyzed ASI composite scores treating time as a linear-effect, including baseline composite scores as covarieates. (Authors)