Are drug addiction and alcoholism disabilities?

Nurses Recovery

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I've noticed more and more patients who have ended up on government disability payments. I know it because they tell me during casual conversation in the course of my caring for them.

Often they are active drug addicts or ETOH abusers/addicts. I know this because as their nurse I review their H&P during the course of a day of caring for them as patients. I also have access to their drug and ETOH screens on their lab profiles.

Is active alcoholism or drug addiction now considered official disabilities under SSI? Also, does SSI make people accountable with random drug or alcohol testing?

Usually these patients are males, often in their 40s or 50s, although I recently cared for a man who was in his 30s. He had used heroin and cocaine immediately prior to his admission for a revision of a blown knee. He told me that he received disability.

If a person receives disability for, say, a mental health problem, shouldn't they be drug tested? And, how do they afford heroin, meth, booze, if they are on such a meager income? Shouldn't Uncle Sam make these folks more accountable?

Specializes in Psych, LTC, M/S, Supervisor, MRDD,.

DRUG AND ETOH ABUSE ARE NOT CONSIDERED DISABILITIES ANY LONGER BUT THEIR COOCCURING COUNTERPARTS ARE,ie bipolar disorder, schizophrenia, depression, ptsd, anxiety d/o, etc..... I WORKED FOR A DR OF PSYCH THAT TESTED ALL ADDICTS FOR THESE UNDERLYING MENTAL ILLNESS SO HE COULD GET THEM COMMUNITY SUPPORT AND SSI. THAT MEANS LONGER IN THE SYSTEM, LONGER TIME ON DRUGS N ETOH, AND MORE MONEY IN HIS POCKET.

I AM A TRUE BELIEVER IN MENTAL ILLNESS- I KNOW IT EXISTS BUT IF PEOPLE ARE ALLOWED 'AN OUT' MOST WILL TAKE IT. IT IS A STRUGGLE TO TRY TO HOLD DOWN A JOB WITH A MENTAL ILLNESS, EVEN A MILD ONE. PEOPLE THAT HAVE GENERATIONAL MENTAL ILLNESS ON THEIR SIDE ARE EVEN MORE AT RISK. IF A CHILD IS RAISED WITH AN ETOH ABUSING MOM WITH A MI (MENTAL ILLNESS) ON SSI AND FOODSTAMPS THEN THAT CHILD GROWS TO NORMALIZE IT, ACCEPT IT AS A WAY OF LIFE, AND RAISE THE NEXT GENERATION ACCORDINGLY.

IF A CHILD IS RAISED BY A MOM WITH A MENTAL ILLNESS THAT WORKS EVERYDAY, EVEN IF IT IS MOWING LAWNS, NOT USING DRUGS OR ETOH AS A COPING SKILL, AND WORKING ON THEMSELVES FOR THE POSITIVE.....THAT CHILD WILL INTURN, I BELIEVE, GROW UP TO HAVE MORE DIFFICULTY RELYING ON PUBLIC ASSISTANCE AND SUBSTANCES TO COPE. IF YOU WORK PSYCH FOR ANY LENGTH OF TIME YOU WILL SEE THESE FOLKS...OVER AND OVER AND OVER AGAIN. EVENTUALLY YOU WILL SEE THEIR KIDS AND GRANDKIDS TOO

Specializes in Psych, LTC, M/S, Supervisor, MRDD,.

But on ssi u get free housing, free foodstamps, free medical insurance, free electricity and heat if u really need it, free clothing, free christmas gifts if your hoping for the toys for tots donations this year.

When i divorced my ex and was in nursing school with 2 babies i went on public assistance. For me and 2 kids we rec'd almost $400/month in foodstamps, our $400/month rent was pain in section 8 housing, i couldn't pay my heat one month and they bailed my out of a $300 bill, i rec'd $396/ month cash assistance, wic for baby formula and a corificeat.......the list goes on and on. I only used it for a short period until i got out of school and i was humiliated everytime i used the public assistance but i can see how more unmotivated, less humiliated folks might live like that forever!!

I think ALL nurses have had some type of exposure to people who know how to work the system. Some people do honestly and justifiably NEED SSI. However, there are a WHOLE LOTTA PEOPLE who could work but don't want to. My cousin has pretty severe Down Syndrome, and if you could have seen the crap his parents had to go through to get SS disability for that kid, you would have died. I heard that now parents are getting SSI for their kids who have "mild autism"........

I guess the difference with people is summed up with one word: PRIDE.

Specializes in ER, TRAUMA, MED-SURG.
That sounds frustrating Anne

So, you have to be an actively using drug addict to get disability, is that what you're saying.

Not sure, that is the gist of what I had been told, never really got a clear answer,

Anne

Specializes in I'm in on a floating NA team so I'm all.

I could be wrong but most of the drug addicts and alcoholics on SSI had, at least at one point, a legitimate reason to get SSI. Injuries, illnesses etc. However, they've learned, as others have said, to milk the system. I know they're not getting a lot of money on SSI but drug addicts/alcoholics have no problem going without (food, clothing, showers) just to get their fix.

The AMA recognizes alcoholism as a disease AND a disability. However, as someone had posted earlier to receive SSI the claim has to be supposrted by evidence...

http://www.ama-assn.org/ama1/pub/upload/mm/388/alcoholism_treatable.pdf

So, you have to be an actively using drug addict to get disability, is that what you're saying.

that's what it sounded like to me, fs.

or, having a coexistent illness that would likely cause an addict to relapse over and over again...

maybe like having a poorly controlled mental-illness.

their (soc sec) stipulations are worded very ambiguously, but there isn't any across-the-board yes or no, re addiction.

it is reviewed case by case.

anne, in your case, i honestly don't see how your addiction could qualify you for ssi.

as you've stated, you've been clean for 10 yrs (congrats!!) and have demonstrated that you are able to return to the workplace and remain drug free.

depending on the outcome of your surgery, maybe you could return to work, if you got a desk job?

wouldn't that be wonderful!!

leslie

Specializes in LTC, Med/Surg, Peds, ICU, Tele.
that's what it sounded like to me, fs.

or, having a coexistent illness that would likely cause an addict to relapse over and over again...

maybe like having a poorly controlled mental-illness.

their (soc sec) stipulations are worded very ambiguously, but there isn't any across-the-board yes or no, re addiction.

it is reviewed case by case.

anne, in your case, i honestly don't see how your addiction could qualify you for ssi.

as you've stated, you've been clean for 10 yrs (congrats!!) and have demonstrated that you are able to return to the workplace and remain drug free.

depending on the outcome of your surgery, maybe you could return to work, if you got a desk job?

wouldn't that be wonderful!!

leslie

Isn't there money for retraining disabled workers? Maybe going on to get a Masters in nursing would help obtain a desk job.

Specializes in I'm in on a floating NA team so I'm all.
Isn't there money for retraining disabled workers? Maybe going on to get a Masters in nursing would help obtain a desk job.

I know in Michigan we have the "No Worker Left Behind" program. http://www.michigan.gov/nwlb. It's a nice program (that the state probably doesn't have the money for but I'll leave that for a different forum all together), I'm not sure what other states are offering something similar...

Specializes in ICU.

This is just something that a friend of mine told me, I don't know if there's any truth in it. She is on disability for a mental illness.. bipolar disorder. She said it is 'wayy easier to get disability when you're applying with a mental illness"

Specializes in Derm/Wound Care/OP Surgery/LTC.
This is just something that a friend of mine told me, I don't know if there's any truth in it. She is on disability for a mental illness.. bipolar disorder. She said it is 'wayy easier to get disability when you're applying with a mental illness"

I don't know about WAY easier, but you can get on disability for certain mental illnesses as long as you have a LOT of documentation. You show hospitalizations, work history and how your disease effects it, list of meds, psychiatrist evals...etc. It's a long process like it is for any other injury...but with a good SSI attorney, it can be done.

I personally have never seen anyone with BPD on SSI. I how, however, have seen many schizophrenics on it.

I know in Michigan we have the "No Worker Left Behind" program. http://www.michigan.gov/nwlb. It's a nice program (that the state probably doesn't have the money for but I'll leave that for a different forum all together), I'm not sure what other states are offering something similar...

This looks like a great program and full of opportunity for many, including nurses who need training in skills like computers or even for medical billing and coding work, or for education advancement from AS to BSN or BSN to masters for purposes of teaching...

My state has a similar program, but it is not something that the Depart of Employment Services openly pushes... it is on their website but kind of hidden in with others things. I am glad that you mentioned this because I had forgotten about it, and it is something that I need to look into

Specializes in Psych, LTC, M/S, Supervisor, MRDD,.

I've worked psych for the last 10 years before moving to M/S. I worked in addictions and we had LOADS of patients that were approved for SSI with dx of bipolar disorder. SSI was, at one time, given to folks with a single dx of substance abuse. Now the law has changed and we have to give them another

Axis I diagnosis along with Substance abuse- like schizoaffective, bipolar 1,2,mixed etc, or anxiety d/o's. I've also seen people get approved faster for the MI dx then with low back issues or post-op back issues because a person with Mental illness simply "CANT WORK" any job reliably where a physical ailment most of the time can work with "reasonable accomodations".....

I got so frustrated working psych because those folks that "cant work" sure could walk 10miles for a pint of whiskey....I know its part of the "disease", but how much is the government enabling those folks. It amazes me that some with serious mental illnesses can work if they chose.. even if its with the help of Vocational Rehab, a OJT coach, and only working 3 hours a day. THEY SUCCEED!! GUESS THATS WHY I QUIT WORKING PSYCH--IT SEEMED LIKE A REVOLVING DOOR

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