Evaluating the potential cost-savings of job accommodations among individuals with psychiatric disability

Abstract

BACKGROUND: Two decades since the passage of the Americans with Disabilities Act in 1990, individuals with psychiatric disabilities continue to face barriers to employment that includes sensitivity to the benefit structure of the Supplemental Security Income (SSI). OBJECTIVE: This study examines cost-savings to the SSI program due to enhanced employment outcomes for persons with psychiatric disabilities associated with the receipt of job accommodations. METHODS:Data come from a federally funded, multi-site, implementation effectiveness study of supported employment models for 987 working age adults. Cost-savings were estimated using ordinary least squares regression to examine averted SSI payment. RESULTS: Accommodations were associated with a marginal monthly SSI savings of $11.73, and these savings were 68 percent higher compared to the non-accommodations group. Being married, having independent housing, and recent employment history predicted savings increases. Physical and emotional problems affecting work, a schizophrenia diagnosis, and symptoms of social withdrawal and blunted affect predicted lower savings. CONCLUSIONS: This study adds to a small body of literature examining the impact of accommodations for persons with psychiatric disabilities. Future work in this area might examine savings to the Social Security Disability Insurance program and should include factors unavailable in this analysis.