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Journal of Occupational Rehabilitation
Published in: Journal of Occupational Rehabilitation 4/2013

01-12-2013

Examination of Veterans Affairs Disability Compensation as a Disincentive for Employment in a Population-Based Sample of Veterans Under Age 65

Authors: Jack Tsai, Robert A. Rosenheck

Published in: Journal of Occupational Rehabilitation | Issue 4/2013

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Abstract

Purpose Concerns that disability benefits may create disincentives for employment may be especially relevant for young American military veterans, particularly veterans of the recent wars in Iraq and Afghanistan who are facing a current economic recession and turning in large numbers to the Department of Veterans Affairs (VA) for disability compensation. This study describes the rate of employment and VA disability compensation among a nationally representative sample of veterans under the age of 65 and examines the association between levels of VA disability compensation and employment, adjusting for sociodemographics and health status. Methods Data on a total of 4,787 veterans from the 2010 National Survey of Veterans were analyzed using multinomial logistic regressions to compare employed veterans with two groups that were not employed. Results Two-thirds of veterans under the age of 65 were employed, although only 36 % of veterans with a VA service-connected disability rating of 50 % or higher were employed. Veterans who received no VA disability compensation or who were service-connected 50 % or more were more likely to be unemployed and not looking for employment than veterans who were not service-connected or were service-connected less than 50 %, suggesting high but not all levels of VA disability compensation create disincentives for employment. Results were similar when analyses were limited to veterans who served in Iraq and Afghanistan. Conclusions Education and vocational rehabilitation interventions, as well as economic work incentives, may be needed to maximize employment among veterans with disabilities.
Literature
1.
2.
Tsang H, Lam P, Ng B, Leung O. Predictors of employment outcome for people with psychiatric disabilities: a review of the literature since the mid ‘80 s. J Rehabil. 2000;66(2):19–31.
3.
Bambra C, Whitehead M, Hamilton V. Does ‘welfare to work’ work? A systematic review of the effectiveness of the UK’s welfare-to-work programmes for people with a disability or chronic illness. Soc Sci Med. 2005;60(9):1905–18.PubMedCrossRef
4.
Hotchkiss JL. A closer look at the employment impact of the American with Disabilities Act. J Hum Resour. 2004;14(4):887–911.CrossRef
5.
Bond GR. Supported employment: evidence for an evidence-based practice. Psychiatr Rehabil J. 2004;27(4):345–59.PubMedCrossRef
6.
Wehman PH, Revell WG, Kregel J, Kreutzer JS, Callahan M, Banks PD. Supported employment: an alternative model for vocational rehabilitation of persons with severe neurologic, psychiatric, or physical disability. Arch Phys Med Rehabil. 1991;72(2):101–5.PubMed
7.
Mank D. The underachivement of supported employment: a call for reinvestment. J Disabil Policy Stud. 1994;5(2):1–24.CrossRef
8.
Disability statistics from the 2010 American Community Survey (ACS) [database on the Internet]. Cornell University Rehabilitation Research and Training Center on Disability Demographics and Statistics (StatsRRTC). 2012. Available from: www.​disabilitystatis​tics.​org. Accessed 25 Oct 2012.
9.
Better SR, Fine PR, Simison D, Doss GH, Walls RT, McLaughlin DE. Disability benefits as disincentives to rehabilitation. Milbank Mem Fund Q. 1979;57(3):412–27.CrossRef
10.
Averett S, Warner R. Labor supply, disability benefits and mental illness. East Econ J. 1999;25(3):279–88.
11.
Slade FP. Older men: disability insurance and the incentive to work. Ind Relat J Econ Soc. 1984;23(2):260–9.
12.
Autor DH, Duggan MG. Distinguishing income from substitution effects in disability insurance. Am Econ Rev. 2007;97(2):119–24.CrossRef
13.
Barr B, Clatyon S, Whitehead M, Thielen K, Burstrom B, Nylen L, et al. To what extent have relaxed eligibility requirements and increased generosity of disability benefits acted as disincentives for employment? A systematic review of evidence from countries with well-developed welfare systems. J Epidemiol Community Health. 2010;64(12):1106–14.PubMedCrossRef
14.
Bound J, Lindner SR, Waidmann T. Reconciling findings on the employment effect of disability insurance. Ann Arbor, MI: Michigan Retirement Research Center 2010 Contract No.: 2010-239.
15.
Chen S, van der Klaauw W. The work disincentive effects of the disability insurance program in the 1990s. J Econom. 2005;142(2):757–84.CrossRef
16.
Maestas N, Mullen K, Strand A. Does disability insurance receipt discourage work? Using examiner assignment to estimate causal effects of SSDI receipt. Ann Arbor, MI: University of Michigan Retirement Research Center 2012 Contract No.: WR-853-3.
17.
von Wachter T, Song J, Manchester J. Trends in employment and earnings of allowed and rejected applicants to the social security disability insurance program. Am Econ Rev. 2011;101(7):3308–29.CrossRef
18.
Liu S, Stapleton DC. Longitudinal statistics on work activity and use of employment supports for new social security disability insurance beneficiaries. Soc Secur Bull. 2011;71(3):35–59.PubMed
19.
Frey WD, Drake RE, Bond GR, Miller AL, Goldman HH, Salkever DS, et al. Mental health treatment study: final report. Rockville: Westat; 2011.
20.
Gruber J. Disability insurance benefits and labor supply. J Polit Econ. 2000;108(6):1162–83.CrossRef
21.
Marie O, Castello JV. Measuring the (income) effect of disability insurance generosity on labour market participation. J Public Econ. 2012;96(1–2):198–210.CrossRef
22.
Staubli S. The impact of stricter criteria for disability insurance on labor force participation. J Public Econ. 2011;95(9–10):1223–35.PubMedCrossRef
23.
Mitra S. Disability screening and labor supply: evidence from South Africa. Am Econ Rev. 2009;99(2):512–6.CrossRef
24.
Humpage L. Models of disability, work and welfare in Australia. Soc Policy Adm. 2007;41(3):215–31.CrossRef
25.
Dalton T, Ong R. Welfare to work in Australia: disability income support, housing affordability and employment incentives. Eur J Hous Pol. 2007;7(3):275–97.CrossRef
26.
Mitra S. Temporary and partial disability programs in nine countries: what can the United States learn from other countries? J Disabil Policy Stud. 2009;20(1):14–27.CrossRef
27.
Benitez-Silva H, Disney R, Jimenez-Martin S. Disability, capacity for work and the business cycle: an international perspective. Econ Policy. 2010;25(63):483–536.CrossRef
28.
Marston G, Moss J, Lantz S. Disability, employment, and the interface with income support policies. Australian Social Policy Conference; July 8–10, 2009. Sydney, Australia: Social Policy Research Centre, University of New South Wales; 2009. p. 1–11.
29.
Mont D. Disability employment policy. Washington, DC: World Bank; 2004.
30.
Hoge CW, McGurk D, Thomas JL, Cox AL, Engel CC, Castro CA. Mild traumatic brain injury in US soldiers returning from Iraq. N Engl J Med. 2008;358(5):453–63.PubMedCrossRef
31.
Seal KS, Bertenthal D, Miner CR, Sen S, Marmar C. Bringing the war back home: mental health disorders among 103,788 U.S. veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities. Arch Intern Med. 2007;167(5):476–82.PubMedCrossRef
32.
Gerber DA, editor. Disabled veterans in history. Ann Arbor: University of Michigan Press; 2012.
33.
Ghatit AZ. Variables associated with obtaining and sustaining employment among spinal cord injured males: a follow-up of 760 veterans. J Chronic Dis. 1978;31(5):363–9.PubMedCrossRef
34.
Cohany SR. Employment and unemployment among Vietnam-era veterans. Mon Labor Rev. 1990;113(4):22–9.
35.
Savoca E, Rosenheck R. The civilian labor market experiences of Vietnam-era veterans: the influence of psychiatric disorders. J Mental Health Policy Econ. 2000;3(4):199–207.CrossRef
36.
Tanielian T, Jaycox LH, editors. Invisible wounds of war: psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica: RAND Corporation; 2008.
37.
Hoge CW, Terhakopian A, Castro CA, Messer SC, Engel CC. Association of posttraumatic stress disorder with somatic symptoms, health care visits, and absenteeism among Iraq War veterans. Am J Psychiatry. 2007;164(1):150–3.PubMedCrossRef
38.
Johnson MK, Sage RA, Mortimer JT. Work values, early career difficulties, and the U.S. economic recession. Soc Psychol Q. 2012;75(3):242–67.PubMedCrossRef
39.
Taylor P, Morin R, Kochhar R, Parker K, Cohn D, Lopez MH, et al. A balance sheet at 30 months: how the great recession has changed life in America. Washington, DC: Pew Research Center; 2010.
40.
Frueh BC, Grubaugh AL, Elhai JD, Buckley TC. U.S. Department of Veterans Affairs disability policies for posttraumatic stress disorder: administrative trends and implications for treatment, rehabilitation, and research. Am J Public Health. 2007;97(12):2143–5.PubMedCrossRef
41.
Autor DH, Duggan MG, Lyle DS. Battle scars? The puzzling decline in employment and rise in disability receipt among Vietnam era veterans. Am Econ Rev. 2011;101(3):339–44.CrossRef
42.
Greenberg GA, Rosenheck RA. Compensation of veterans with psychiatric and substance abuse disorders and employment and earnings. Mil Med. 2007;172(2):162–8.PubMed
43.
Rosenheck RA, Frisman L, Sindelar J. Disability compensation and work among veterans with psychiatric and nonpsychiatric impairments. Psychiatr Serv. 1995;46(4):359–65.PubMed
44.
Drew D, Drebing C, Van Ormer A, Losardo M, Krebs C, Penk W, et al. Effects of disability compensation on participation in and outcomes of vocational rehabilitation. Psychiatr Serv. 2001;52:1479–84.PubMedCrossRef
45.
Westat, Department of Veterans Affairs. National Survey of Veterans, Active Duty Service Members, Demobilized National Guard and Reserve Members, Family Members, and Surviving Spouses. Rockville, Maryland: Westat and Department of Veterans Affairs; 2010.
46.
IBM Corp. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp.; 2011.
47.
Oboler S. Disability evaluations under the Department of Veterans Affairs. In: Rondinelli RD, Katz RT, editors. Impairment rating and disability evaluation. Philadelphia: Saunders; 2000. p. 187–217.
48.
49.
Rosen MI, Ablondi K, Black AC, Mueller L, Serowik KL, Martino S et al. Benefits counseling in veterans applying for service-connected disability. Under review.
50.
Campolieti M, Gomez R, Gunderson M. Volunteering, income support programs and disabled persons. Ind Relat. 2009;64(2):189–208.
Metadata
Title
Examination of Veterans Affairs Disability Compensation as a Disincentive for Employment in a Population-Based Sample of Veterans Under Age 65
Authors
Jack Tsai
Robert A. Rosenheck
Publication date
01-12-2013
Publisher
Springer US
Published in
Journal of Occupational Rehabilitation / Issue 4/2013
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-013-9419-z

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