Improving access to disability benefits among homeless persons with mental illness : An agency-specific approach to services integration.
This study evaluated a joint initiative of the Social Security Administration (SSA) and the Department of Veterans Affairs (VA) to improve access to Social Security disability benefits among homeless veterans with mental illness.
Social personnel were colocated with VA clinical staff at 4 of the VA's Health Care for Homeless Veterans (HCHV) programs.
Intake assessment data were merged with SSA administrative data to determined the proportion of veterans who filed applications and who received disability awards at the 4 SSA-VA Joint Outreach Initiative sites (n=6709) and at 34 comparison HCHV sites (n=27 722) during the 2 years before and after implementation of the program.
During the 2 years after the initiative began, higher proportions of veterans began, higher proportions of veterans applied for disability (18.9% vs 11.1% ; P<. 001) and were awarded benefits (11.4% vs 7.2%, P<. 001) at SSA-VA Joint Initiative sites.
A colocation approach to service system integration can improve access to disability entitlements among homeless persons with mental illness.
Almost twice as many veterans were eligible for this entitlement as received it through a standard outreach program.
Mots-clés Pascal : Difficulté psychologique, Trouble psychiatrique, Guerre, Ancien combattant, Sans domicile fixe, Service santé, Accessibilité, Soin, Evaluation, Homme, Politique sanitaire, Organisation santé, Système santé, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Psychological difficulty, Mental disorder, War, Veteran, Homeless, Health service, Accessibility, Care, Evaluation, Human, Health policy, Public health organization, Health system, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0228909
Code Inist : 002B30A01B. Création : 16/11/1999.