Disability payments, drug use and representative payees: an analysis of the relationships.

摘要: Aims  This study attempted to determine: if US federal cash disability payments increase the use of cocaine or opiates among those requalifying for supplemental security income (SSI) benefits compared with who lost benefits; drug peaks at beginning month after receipt disbursement; and money management by representative payees SSI recipients suppresses use. Design  A multi-site, prospective, 2 year longitudinal design was used follow-up interviews conducted every 6 months. Urine samples were collected final three interviews. Setting  Data in Chicago, IL, Los Angeles, CA, Seattle, WA, USA. Participants  a randomly selected sample 740 former had received addiction alcoholism (DA&A) 1996, between ages 21 59 years, not concurrent social insurance provided testable urine complete self-report data least one interview. Measurements  Independent variables included demographics, status follow-up, payee status, treatment participation income. Time testing operationalized as first 10 days versus last 20–21 days based on when collected. The dependent opiate use, determined urinalysis results. Findings  Participants 28% more likely test positive than later month. effect general across all subjects restricted receiving benefits. No such found use. Receiving did generally, nor having suppress use. Conclusions  findings do support contentions that appreciably discourage is defined dichotomously. ‘check effect’ appears be confined lack probably result difference relatively steady state associated binge pattern triggered suddenly flush resources.