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Effectively Representing SOAR Applicants with DA&A Problems After SSR 13-2p

Learn important strategies for effectively representing SOAR applicants with co-occurring substance use and mental health disorders. Understand the definition of alcoholism, substance dependence, and substance abuse according to the DSM-IV. Obtain necessary medical documentation and educate treating sources about SSA's DA&A policy.

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Effectively Representing SOAR Applicants with DA&A Problems After SSR 13-2p

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  1. Effectively Representing SOAR Applicants with DA&A Problems After SSR 13-2p Pam Heine SAMHSA SOAR Technical Assistance Center Policy Research Associates, Inc.

  2. Important Things to Know and Understand • Read SSR 13-2-p • Definition of Alcoholism, Substance Dependence, and Substance Abuse- DSM-IV • Co-occurring Mental Illness and Substance Abuse • Understanding the Evidence- learn the details! • Stepping Stones to Recovery Training- good time to dust off that binder! • Revisit this very informative Webinar!

  3. Three Strategies After SSR 13-2p • MATERIALITY: Need to have medical provider say DA&A is not material rather than cannot tell. (Can we get that?) • SOBRIETY: Take advantage of periods when the applicant has not been using drugs or alcohol. (Make a timeline) - Careful review of record for doctor’s findings regarding the applicant’s limitations. - If possible, persuade applicant to go into a drug or rehabilitation program. After clean for one month, obtain statement from doctor regarding ability to work base on remaining health problems.

  4. Three Strategies After SSR 13-2p • Medical Documentation and Other Evidence • Obtain opinion evidence from acceptable medical sources, and from sources who are not considered “acceptable medical sources”. (see SSR 06-03p) - Educate treating sources about SSA’s DA&A policy. - Emphasize the physical and other mental health impairments (SSR • Always submit the SOAR Medical Summary Report (MSR) where there is evidence of DA&A!

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