wow-inequalities/02-data/intermediate/wos_sample/88c62fd4bbe4bcdf6a96f76d62d9632e-salkever-david-s.-a/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: Persons with severe and persistent mental disorders (SPMD)
have extremely low earnings levels and account for 29.1 percent of all
U.S. Social Security Disability Income (SSDI) disabled worker
beneficiaries under age 50. Social insurance and disability policy
experts pointed to several factors that may contribute to this
situation, including disincentives and obstacles in the SSDI program, as
well as lack of access to evidence-based behavioral-health
interventions. In response, the Social Security Administration (SSA)
funded the Mental Health Treatment Study (MHTS) demonstration that
included 2,238 beneficiaries of SSDI whose primary reason for disability
is SPMD. The demonstration, implemented in 23 different localities,
consisted of two evidence-based services (individual placement and
support supported employment (IPS-SE), systematic medication management
(SMM)), and provision or coverage of additional behavioral-health
services (OBH).
Study Aims: This study focused on estimating MHTS intervention effects
on earnings in the intervention period (two-years). The main outcome
variable was self-reported average monthly earnings.
Methods: Subjects were randomly assigned to intervention or control
groups. Data were drawn from the baseline survey, seven follow-up
quarterly surveys, a final follow-up survey, and SSA administrative
data. In all surveys, respondents were asked about earnings prior to the
interview. Dependent variables were average past-30-days earnings
reported in all follow-up surveys, similar averages for the first four
follow-ups and for the last four follow-ups, fraction of surveys with
prior earnings above SSA''s substantial gainful activity (SGA) threshold,
and final-follow-up earnings for the past 90 days. Regression analyses
compared earnings of intervention vs. control group subjects. Covariates
included baseline values of: (i) beneficiary demographic and social
characteristics; (ii) beneficiary physical and mental health indicators;
(iii) beneficiary recipiency history; (iv) beneficiary pre-recruitment
and baseline earnings; and (v) local labor-market unemployment rates.
Results: Results show significant positive MITTS earnings impacts.
Estimated annual increases of earnings range from \$791 (based on the
2-year average) to \$1,131 (based on the final quarter of Year 2).
Effects on the fraction of quarters with earnings exceeding SGA are
positive and significant but very small in magnitude.
Discussion: The consistent increase in earnings impacts over the study
period suggests the possibility of even larger impacts with longer-term
interventions. The moderate size of the intervention impacts may partly
be explained by a study population that already had an average of 9
years on SSDI, and whose labor-supply decisions continued to be affected
by concerns about possible loss of benefits. Limitations are that (i)
earnings effects of specific intervention components cannot be estimated
since all treatment subjects received the same package of services, and
(ii) study results may not generalize to the majority of the beneficiary
population due to selection effects in beneficiaries'' participation
decisions.
Implications: Replication of the MHTS on a broader scale should show
similar positive earnings impacts for a substantial number of
beneficiaries with characteristics similar to the study population.
Future studies should consider reducing policy barriers to labor supply
of persons with SPMD. Future studies should consider longer-term
interventions, or at least measuring impacts for follow-up periods
greater than two years.'
affiliation: 'Salkever, DS (Corresponding Author), Univ Maryland Baltimore Cty, Dept
Publ Policy, Rm 418,Public Policy Bldg 1000 Hilltop Circle, Baltimore, MD 21250
USA.
Salkever, David S., Univ Maryland Baltimore Cty, Dept Publ Policy, Baltimore, MD
21250 USA.
Gibbons, Brent, Univ Maryland Baltimore Cty, MIPAR, Baltimore, MD 21250 USA.
Drake, Robert E., Dartmouth Coll, Geisel Sch Med, Dept Psychiat, Hanover, NH USA.
Frey, William D.; Karakus, Mustafa, WESTAT Corp, Rockville, MD 20850 USA.
Hale, Thomas W., US Social Secur Adm, SSA ORDP ORDES OPR, Woodlawn, MD USA.'
author: Salkever, David S. and Gibbons, Brent and Drake, Robert E. and Frey, William
D. and Hale, Thomas W. and Karakus, Mustafa
author-email: Salkever@umbc.edu
author_list:
- family: Salkever
given: David S.
- family: Gibbons
given: Brent
- family: Drake
given: Robert E.
- family: Frey
given: William D.
- family: Hale
given: Thomas W.
- family: Karakus
given: Mustafa
da: '2023-09-28'
eissn: 1099-176X
files: []
issn: 1091-4358
journal: JOURNAL OF MENTAL HEALTH POLICY AND ECONOMICS
keywords-plus: 'LABOR-MARKET OUTCOMES; SUPPORTED EMPLOYMENT; SCHIZOPHRENIA; ILLNESS;
PEOPLE; PREDICTORS; MULTISITE; TRIAL'
language: English
month: JUN
number: '2'
number-of-cited-references: '32'
orcid-numbers: Gibbons, Brent/0000-0002-9717-8969
pages: 75-90
papis_id: adef609b089d3baeb82493bc9c939344
ref: Salkever2014increasingearnings
researcherid-numbers: 'Drake, Robert/AAS-3310-2020
'
times-cited: '13'
title: Increasing Earnings of Social Security Disability Income Beneficiaries with
Serious Mental Disorder
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000337268500005
usage-count-last-180-days: '0'
usage-count-since-2013: '18'
volume: '17'
web-of-science-categories: Health Policy \& Services; Psychiatry
year: '2014'