Health Affairs

Health Affairs, 28, no. 3 (2009): 761-770 doi: 10.1377/hlthaff.28.3.761 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Federal Policy

Social Security And Mental Illness: Reducing Disability With Supported Employment

Robert E. Drake, Jonathan S. Skinner, Gary R. Bond and Howard H. Goldman

Social Security Administration disability programs are expensive, growing, and headed toward bankruptcy. People with psychiatric disabilities now constitute the largest and most rapidly expanding subgroup of program beneficiaries. Evidence-based supported employment is a well-defined, rigorously tested service model that helps people with psychiatric disabilities obtain and succeed in competitive employment. Providing evidence-based supported employment and mental health services to this population could reduce the growing rates of disability and enable those already disabled to contribute positively to the workforce and to their own welfare, at little or no cost (and, depending on assumptions, a possible savings) to the government.

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