• Psychiatr Serv · Apr 2004

    Randomized Controlled Trial Clinical Trial

    Outcomes of managing disability benefits among patients with substance dependence and severe mental illness.

    • Richard K Ries, Dennis G Dyck, Robert Short, Debra Srebnik, Anastasia Fisher, and Katherine A Comtois.
    • Department of Psychiatry, University of Washington, Seattle, Washington 98104, USA. rries@u.washington.edu
    • Psychiatr Serv. 2004 Apr 1; 55 (4): 445-7.

    AbstractTo evaluate the feasibility and efficacy of a program to manage Social Security disability benefits in a clinical sample of patients with severe mental illness and co-occurring substance dependence, 41 patients were randomly assigned to have their benefits either contingently or noncontingently managed through their mental health center. Contingent management involved adjustments to the type or frequency (not amount) of disability benefits and payments for study participation based on ratings of substance use, money management, and treatment follow-through. The patients with contingent management used significantly less alcohol and drugs and showed much better money management than those with noncontingent management. Patients and case managers who participated in the study reported that they found the management strategy to be acceptable and useful.

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