TY - JOUR
PY - 2016//
TI - State-to-state variation in SSI enrollment for children with mental disabilities: an administrative and ethical challenge
JO - Psychiatric services
A1 - Hoagwood, Kimberly E.
A1 - Zima, Bonnie T.
A1 - Buka, Stephen L.
A1 - Houtrow, Amy
A1 - Kelleher, Kelly J.
SP - 195
EP - 198
VL - 68
IS - 2
N2 - OBJECTIVE:The study examined state variation in rates of Supplemental Security Income (SSI) determinations, allowances, and receipt of benefits for ten selected child mental disabilities in 2013.
METHODS:SSI administrative and U.S. Census Bureau data collected by a multidisciplinary consensus committee convened by the National Academies of Science, Engineering, and Medicine in 2015 were examined.
RESULTS:Less than 1% of children in 2013 were recipients of SSI for mental disabilities. Determination rates ranged from 1,441 to 251 per 100,000 low-income children, an almost sixfold difference. Allowance rates varied from 16% to 78%, a fivefold difference. Receipt of benefits ranged from.7% to 5.3%, a sevenfold difference.
CONCLUSIONS:Large unexplained discrepancies across states were found in review and receipt of SSI benefits for low-income children with mental disabilities. Inequities that cannot be explained by disability severity or financial need violate the ethos of equitable access to federally entitled services.
Language: en
LA - en SN - 1075-2730 UR - http://dx.doi.org/10.1176/appi.ps.201600118 ID - ref1 ER -