Research & Analysis by Thomas W. Hale
This article examines the geographic, demographic, socioeconomic, and program-participation characteristics of initial Supplemental Security Income (SSI) and Social Security Disability Insurance (DI) applicants who faced homelessness during 2007–2017. Using Social Security Administration data, the authors chart the distribution of homeless SSI/DI applicants and beneficiaries across county-equivalent areas in the contiguous United States. They also use a text-mining method to identify 162,536 potentially homeless disability-program applicants, in addition to the 647,790 applicants identified using the standard homeless-status indicators in the administrative data. They find that homelessness among disability-program applicants was largely an urban phenomenon, with almost half (42.1 percent) of applicants living in one of 25 urban areas. Relative to their domiciled counterparts, homeless disability-program applicants were far more likely to be male, aged 18–64, and without a high school or general equivalency diploma.
Recruitment in the Mental Health Treatment Study: A Behavioral Health/Employment Intervention for Social Security Disabled-Worker Beneficiaries
The recent development of evidence-based behavioral health and vocational rehabilitation interventions for persons with serious psychiatric impairments created the impetus for exploring the efficacy of those interventions if they were widely available to Social Security Disability Insurance beneficiaries. As a first step in this endeavor—a multisite randomized trial for providing interventions to beneficiaries with psychiatric impairments—the Mental Health Treatment Study was implemented. The authors report on the subject recruitment patterns for the study, including assessment of take-up rates, and on the statistical analysis of the relationships between beneficiaries' characteristics and the probability of enrollment. Results indicated that take-up rates among potential MHTS subjects with confirmed telephone contacts met or exceeded rates for previous Social Security Administration randomized trials, and beneficiaries with administrative records of recent vocational or labor-market activity were most likely to enroll. The authors discuss implications of their analyses on recruitment in similar interventions in the future.