Identifying SOAR Applicants
Here is some guidance to help case workers identify adults who are experiencing or at risk of homelessness who may be eligible for Social Security Administration (SSA) disability benefits. While we do not want to discourage anyone from applying for SSA benefits, this guidance can help you identify individuals that most need your assistance with their SSI/SSDI application.
DEI Considerations
The SAMHSA SOAR TA Center is working to reduce the influence of implicit bias and encourage diversity, equity, and inclusion during the process of identifying potential applicants to assist with SOAR-assisted SSI/SSDI applications. The downloadable version of Identifying SOAR Applicants includes guidance on information to consider.
SSA Definition of Adults
SSA defines adults as persons 18 years of age or older as well as individuals who are within one month of their 18th birthday. SSA will also accept an SSI application from a youth up to 180 days before his or her foster care eligibility will end due to age.
Individuals aged 65 or over with low income and resources may be eligible for SSI based on age, or eligible for retirement benefits based on their work history. (Individuals aged 62-67, depending on year of birth, may be eligible for early retirement benefits).
Key Eligibility Criteria
The following 4 characteristics represent key eligibility criteria for SSA disability benefits:
- Applicant has a serious mental illness or exhibits symptoms and/or has serious physical illnesses that affect their ability to work at a substantial gainful level.
- The illness(es) or condition(s) have lasted or are expected to last for at least 12 months or are expected to result in death.
- Individual is currently exhibiting symptoms of mental illness or has periods with worsening of symptoms that prevent sustainable employment. For example:
- Psychotic Symptoms (hallucinations, delusions, disorganized thinking/speech/behavior)
- Depressive Symptoms (decreased energy, lack of motivation, suicide attempts)
- Manic Symptoms (racing thoughts, disorganized thoughts)
- Anxious feelings (paranoia, nervousness)
- Cognitive deficits (brain injury, problems with concentration, memory, etc.)
- History of trauma (history of abuse, posttraumatic stress disorder, etc.)
- For applicants with mental illness, they have marked restrictions in at least 2 of these functional areas, or extreme limitations in one area:
- Understand, remember, or apply information (memory, following instructions, solving problems, etc.)
- Interact with others (getting along with others, anger, avoidance, etc.)
- Concentrate, persist, or maintain pace (as they relate to the ability to complete tasks)
- Adapt or manage oneself (hygiene, responding to change, setting realistic goals, etc.)
SOAR Recommends
The following characteristics are not essential, but may strengthen an application:
- Applicant is prescribed psychiatric medications and continues to experience symptoms and functional impairments
- Applicant has obtainable medical evidence (for at least part of the past 12 months) that corroborates mental illness and medical conditions
- Limited medical evidence or large gaps in treatment is normal and acceptable for successful applications. Assess whether the:
- Applicant's symptoms are severe enough that a one-time examination by a physician would provide clear medical evidence
- Representative can write a Medical Summary Report that illustrates a link between the applicant's diagnoses and their symptoms and functional impairments
- Limited medical evidence or large gaps in treatment is normal and acceptable for successful applications. Assess whether the:
- Applicant is not working due to medical and/or psychiatric conditions (i.e., not because they cannot find work or were laid off)
- History of failed work attempts (started and stopped employment due to diagnosed conditions)
- Long work history, but can no longer work up to SGA levels due to conditions
- Scattered work history due to conditions and other factors
Details
- Type:
- Guides
- Date:
- December, 2017
Other Details
- Topic
- Case Worker Resources