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El. knyga: Informing Social Security's Process for Financial Capability Determination

  • Formatas: 244 pages
  • Išleidimo metai: 20-May-2016
  • Leidėjas: National Academies Press
  • Kalba: eng
  • ISBN-13: 9780309392587
  • Formatas: 244 pages
  • Išleidimo metai: 20-May-2016
  • Leidėjas: National Academies Press
  • Kalba: eng
  • ISBN-13: 9780309392587

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The U.S. Social Security Administration (SSA) provides benefits to disabled adults and children, offering vital financial support to more than 19 million disabled Americans. Of that group, approximately 5.5 million have been deemed by virtue of youth or mental or physical impairment incapable of managing or directing the management of their benefits. Hence, a representative payee has been appointed to receive and disburse SSA payments for these beneficiaries to ensure that their basic needs for shelter, food, and clothing are met. Periodically, however, concerns have been expressed about the accuracy of the process by which SSA determines whether beneficiaries are capable of managing their benefits, with some evidence suggesting that underdetection of incapable recipients may be a particular problem.



The importance of creating as accurate a process as possible for incapability determinations is underscored by the consequences of incorrectly identifying recipients either as incapable when they can manage their benefits or as capable when they cannot. Failure to identify beneficiaries who are incapable of managing their funds means abandoning a vulnerable population to potential homelessness, hunger, and disease.



Informing Social Security's Process for Financial Capability Determination considers capability determination processes used by other similar benefit programs, abilities required to manage, and direct the management of, benefits, and effective methods and measures for assessing capability. This report evaluates SSA's capability determination process for adult beneficiaries and provides recommendations for improving the accuracy and efficiency of the agency's policy and procedures for making these determinations.

Table of Contents



Front Matter Summary 1 Introduction 2 Review of the Social Security Administration and Other Selected Capability Determination Processes 3 Effects of Appointment of Representative Payees on Beneficiaries 4 Abilities Required to Manage and Direct the Management of Benefits 5 Methods and Measures for Assessing Financial Competence and Performance 6 Conclusions and Recommendations Appendix A: Public Session Agendas Appendix B: Glossary Appendix C: Selected Forms Appendix D: Biographical Sketches of Committee Members
Acronyms And Abbreviations xvii
Summary 1(16)
1 Introduction
17(14)
Context
20(2)
Clarification of Study Scope
22(1)
Terminology and Conceptual Model
23(5)
Study Approach
28(1)
Report Organization
28(1)
References
29(2)
2 Review Of The Social Security Administration And Other Selected Capability Determination Processes
31(36)
Overview of SSA and Other Selected Programs
32(3)
Defining the Beneficiary's Ability to Manage Funds
35(1)
Triggers for Capability Assessment
36(3)
Types and Sources of Evidence
39(5)
Instructions to Informants
44(2)
Developing Evidence and Determining Capability
46(8)
Appeals Processes
54(2)
Review
56(1)
Summary
57(2)
References
59(8)
3 Effects Of Appointment Of Representative Payees On Beneficiaries
67(14)
Benefits Associated with the Appointment of a Representative Payee
67(2)
Risks Associated with the Appointment of a Representative Payee
69(1)
Use of Benefits as Leverage
70(1)
The Beneficiary's Perspective
71(2)
Minimizing the Impact on Autonomy of Having a Representative Payee
73(1)
Supported Decision Making
74(2)
Summary
76(1)
References
77(4)
4 Abilities Required To Manage And Direct The Management Of Benefits
81(44)
Financial Competence
82(11)
Financial Performance
93(6)
Preference for Performance in Determining Capability
99(2)
Mental and Physical Disorders That May Affect Financial Capability
101(14)
Summary
115(1)
References
116(9)
5 Methods And Measures For Assessing Financial Competence And Performance
125(28)
Overview of Assessment of Financial Capability
125(1)
Instruments Designed to Assess Financial Capability
126(9)
Uses and Limitations of Available Assessment Instruments
135(2)
Considerations and Challenges in Assessment of Financial Competence and Performance
137(5)
Summary
142(1)
References
142(11)
6 Conclusions And Recommendations
153(10)
Evidence for Determining Financial Capability
153(4)
Systematic Identification of Adult SSA Beneficiaries at Risk for Financial Incapability
157(2)
Responding to Changes in Capability Over Time
159(1)
Innovation and Evaluation
160(3)
APPENDIXES
A Public Session Agendas
163(6)
B Glossary
169(4)
C Selected Forms
173(44)
D Biographical Sketches Of Committee Members
217