OBJECTIVE: A suspicion that disability payments may exacerbate substance
use among persons with chemical addictions recently led Congress to limit
federal disability entitlements of applicants whose disability status is
related to substance abuse, even if they have another serious mental
disorder. This study empirically explored the relationship between receipt
of disability payments and substance use among homeless mentally ill
veterans. METHODS: The study sample included 2,474 homeless veterans with a
current diagnosis of schizophrenia and a substance abuse or dependence
disorder who were assessed in a community outreach program sponsored by the
Department of Veterans Affairs. RESULTS: After adjustment for other
relevant factors, receipt of disability payments showed no significant
relationship to the number of days of substance use a month, even among
frequent users of alcohol and drugs. CONCLUSIONS: Findings about substance
use among the homeless veterans with serious mental disorders in this study
provide no support for the assertion that disability payments exacerbate
substance use.
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