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 -