Methods: An analysis of former SSI DA&A beneficiaries in the San Francisco Bay Area was conducted to examine the impact losing SSI benefits had on low-income men and women. A panel of 219 former SSI DA&A beneficiaries who were unable to requalify for SSI benefits following the policy change was surveyed at six time points (baseline, and 6-, 12-, 18-, 24-, and 42-month follow-up) to assess changes in multiple domains, including alcohol and drug use, physical and mental health, housing, income, employment, and social support. Generalized Estimating Equations using a logistic link and a binominal distribution were used to examine the barriers to economic self-sufficiency over time for this population. Models were then stratified by gender to estimate the effects for men and women.
Results: Results indicated that access to transportation, good health, and time were the strongest predictors of achieving self-sufficiency for both men and women that were forced to leave SSI. Work history predicted positive outcomes for men, but not for women; job training did not predict higher rates of self-sufficiency for either group. Male study participants that reported a serious mental health symptom were less likely to achieve self-sufficiency; however, this was not a significant factor for women in this population. Conversely, education was a very strong predictor of achieving self-sufficiency for women, but not for men. Female study participants who reported having experienced domestic violence were 33% less likely to achieve self-sufficiency than women who had not experienced it. Substance abuse, as well as substance abuse and mental health treatment were not significant predictors of achieving self-sufficiency among former SSI DA&A beneficiaries.
Conclusions: Welfare reform legislation was intended to promote personal responsibility and help low-income individuals achieve self-sufficiency. The findings in this study support previous research on barriers to self-sufficiency among women leaving the welfare system, as well as some insight into the issues that low-income men face transitioning off of public assistance. These findings have implications for welfare-to-work administrators and future social welfare policymaking.