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Improving the Social Security Disability Decision Process (2007)

Chapter: Appendix D: Appendix Tables

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Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

D
Appendix Tables

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

APPENDIX TABLE 3-1 Applicants for Social Security Disability Benefits by Program and Selected Diagnostic Group, CY 2004

Diagnostic Group

SSDI Only

SSDI/SSI

SSI Only Adult

SSI Child

All

Number

 

 

 

 

 

Retardation

14,353

12,445

23,314

26,416

76,528

Other mental

112,880

183,957

147,480

218,781

663,098

Cardiovascular

62,123

54,874

32,163

7,065

156,225

Musculoskeletal

266,977

218,923

112,062

6,478

604,440

Neoplasms

65,274

31,987

14,971

3,411

115,643

Nervous/sensory

88,265

70,589

47,261

32,538

238,653

Endocrine

26,934

31,120

19,060

3,584

80,698

Respiratory

30,371

29,762

19,351

37,822

117,306

All

741,385

724,693

466,183

395,775

2,328,036

Percentage

 

 

 

 

 

Retardation

1.9

1.7

5.0

6.7

3.3

Other mental

15.2

25.4

31.6

55.3

28.5

Cardiovascular

8.4

7.6

6.9

1.8

6.7

Musculoskeletal

36.0

30.2

24.0

1.6

26.0

Neoplasms

8.8

4.4

3.2

0.9

5.0

Nervous/sensory

11.9

9.7

10.1

8.2

10.3

Endocrine

3.6

4.3

4.1

0.9

3.5

Respiratory

4.1

4.1

4.2

9.6

5.0

All

100.0

100.0

100.0

100.0

100.0

SOURCE: Calculated from tables provided by SSA.

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

APPENDIX TABLE 3-2 Awardees of Social Security Disability Benefits by Program and Selected Diagnostic Group, CY 2004

Diagnostic Group

SSDI Only

SSDI/SSI

SSI Only Adult

SSI Child

All

Number

 

 

 

 

 

Retardation

12,977

8,930

19,436

24,262

65,605

Other mental

62,801

68,815

65,257

93,703

290,576

Cardiovascular

30,454

17,584

12,686

3,427

64,151

Musculoskeletal

86,407

34,184

27,746

1,129

149,466

Neoplasms

54,158

22,772

10,871

3,305

91,106

Nervous/sensory

53,160

27,684

23,365

16,153

120,362

Endocrine

9,383

5,282

4,754

304

19,723

Respiratory

18,827

11,295

7,149

3,886

41,157

All

356,696

219,198

187,603

180,303

943,800

Percentage

 

 

 

 

 

Retardation

3.6

4.1

10.4

13.5

7.0

Other mental

17.6

31.4

34.8

52.0

30.8

Cardiovascular

8.5

8.0

6.8

1.9

6.8

Musculoskeletal

24.2

15.6

14.8

0.6

15.8

Neoplasms

15.2

10.4

5.8

1.8

9.7

Nervous/sensory

14.9

12.6

12.5

9.0

12.8

Endocrine

2.6

2.4

2.5

0.2

2.1

Respiratory

5.3

5.2

3.8

2.2

4.4

All

100.0

100.0

100.0

100.0

100.0

SOURCE: Calculated from tables provided by SSA.

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

APPENDIX TABLE 3-3 Distribution of Annual Disability Insurance Awards Among Disabled Workers by Diagnostic Group, FY 1961 - FY 2003

Number of Awards

1961

1963

1967

1969

Total

279,758

224,229

310,947

344,741

Congenital anomalies

1,637

1,646

na

3,004

Endocrine, nutritional, and metabolic diseases

7,070

7,563

10,743

12,169

Infectious/parasitic diseases

15,153

10,859

10,945

9,828

Injuries

na

6,496

19,815

28,473

Mental disorders—Total

26,864

24,526

35,344

43,225

Retardation

na

na

na

na

Other

na

na

na

na

Neoplasms

23,103

25,042

33,358

35,740

Diseases of the—

 

 

 

 

Blood/blood-forming organs

566

597

na

na

Circulatory system

71,860

66,468

81,507

105,760

Digestive system

4,300

4,437

7,627

8,719

Genitourinary system

1,608

1,725

na

2,717

Musculoskeletal system/connective tissue

23,241

21,744

41,090

47,357

Nervous system/sense organs

44,709

32,712

38,278

21,967

Respiratory system

20,030

19,107

24,646

23,265

Skin/subcutaneous tissue

794

719

na

na

Other

125

588

7,594

2,517

Unknown

38,698

na

na

na

NOTE: na = not available.

SOURCE: 2003 Annual Statistical Report on the Social Security Disability Insurance Program, Table 36.

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1971

1973

1975

1977

1978

1981

415,897

491,776

592,049

568,874

464,415

351,847

4,365

5,276

6,576

6,681

5,850

3,118

15,823

18,131

23,176

21,725

16,855

14,768

8,524

7,957

7,579

5,807

4,512

2,596

31,810

30,418

32,341

31,942

27,490

20,868

42,687

47,014

67,213

70,825

54,329

36,318

na

na

na

na

na

na

na

na

na

na

na

na

39,629

50,644

59,852

59,833

54,878

56,410

1,043

1,347

1,491

1,516

1,236

942

131,854

158,202

177,311

167,801

134,634

85,994

11,629

14,614

17,474

15,342

12,407

7,363

3,501

4,810

5,719

5,271

4,719

6,230

66,558

85,431

110,637

107,840

86,921

58,639

26,442

31,139

39,960

36,751

29,314

28,516

30,103

34,656

39,485

35,002

28,005

21,520

1,667

1,854

2,306

1,766

2,017

1,345

262

283

929

772

1,248

616

na

na

na

na

na

6,604

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

Number of Awards

1983

1985

1987

1989

Total

311,490

377,371

415,848

425,582

Congenital anomalies

2,827

2,480

787

534

Endocrine, nutritional, and metabolic diseases

14,904

16,976

21,114

14,279

Infectious/parasitic diseases

6,730

2,985

4,676

3,773

Injuries

15,646

16,558

20,889

21,531

Mental disorders—Total

50,633

68,610

81,241

88,500

Retardation

na

na

na

na

Other

na

na

na

na

Neoplasms

52,379

55,120

55,339

60,352

Diseases of the—

 

 

 

 

Blood/blood-forming organs

958

890

1,205

1,524

Circulatory system

68,352

72,764

76,758

70,235

Digestive system

5,272

5,626

6,122

6,803

Genitourinary system

6,489

3,348

5,801

9,010

Musculoskeletal system/connective tissue

41,872

49,214

63,807

71,419

Nervous system/sense organs

26,203

28,733

35,206

34,756

Respiratory system

17,978

20,213

22,978

21,400

Skin/subcutaneous tissue

848

1,110

1,173

828

Other

a

992

na

20,638

Unknown

na

31,752

18,752

na

NOTE: na = not available.

a Data not shown to prevent disclosure of information about particular individuals.

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1991

1993

1995

1997

1999

2001

2003

536,434

635,238

645,645

587,700

620,559

661,900

755,706

575

543

722

654

645

a

1,152

19,931

30,862

33,370

33,807

36,975

19,500

23,407

28,245

37,450

27,993

15,327

11,743

11,200

10,879

24,129

23,206

27,566

25,930

25,925

25,400

28,612

126,184

166,045

147,900

122,901

138,980

168,600

191,679

na

na

16,681

12,888

16,608

22,500

19,338

na

na

131,219

110,113

122,372

146,100

172,341

69,244

80,266

64,401

62,279

65,681

62,000

70,942

1,904

2,075

2,006

1,815

1,911

2,200

2,408

78,339

88,623

83,065

76,531

74,755

82,500

85,896

8,648

10,026

11,167

11,310

13,389

15,600

17,084

10,874

13,390

11,956

12,151

13,842

16,300

16,968

92,469

94,255

141,306

135,430

146,754

162,100

199,014

41,551

45,742

46,477

45,496

49,869

54,600

64,369

23,798

27,494

28,831

26,483

26,981

28,300

32,007

1,021

1,118

1,643

1,473

1,416

a

1,622

9,522

14,143

14,746

14,436

10,252

10,000

1,871

na

na

2,496

1,677

1,441

1,800

7,796

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

Percentage of Awards

1961

1963

1967

1969

Total

100.0

100.0

100.0

100.0

Congenital anomalies

0.6

0.7

0.0

0.9

Endocrine, nutritional, and metabolic diseases

2.5

3.4

3.5

3.5

Infectious/parasitic diseases

5.4

4.8

3.5

2.9

Injuries

0.0

2.9

6.4

8.3

Mental disorders—Total

9.6

10.9

11.4

12.5

Retardation

na

na

na

na

Other

na

na

na

na

Neoplasms

8.3

11.2

10.7

10.4

Diseases of the—

 

 

 

 

Blood/blood-forming organs

0.2

0.3

0.0

0.0

Circulatory system

25.7

29.6

26.2

30.7

Digestive system

1.5

2.0

2.5

2.5

Genitourinary system

0.6

0.8

0.0

0.8

Musculoskeletal system/connective tissue

8.3

9.7

13.2

13.7

Nervous system/sense organs

16.0

14.6

12.3

6.4

Respiratory system

7.2

8.5

7.9

6.7

Skin/subcutaneous tissue

0.3

0.3

0.0

0.0

Other

0.0

0.3

2.4

0.7

Unknown

13.8

0.0

0.0

0.0

NOTE: na = not available.

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1971

1973

1975

1977

1978

1981

100.0

100.0

100.0

100.0

100.0

100.0

1.0

1.1

1.1

1.2

1.3

0.9

3.8

3.7

3.9

3.8

3.6

4.2

2.0

1.6

1.3

1.0

1.0

0.7

7.6

6.2

5.5

5.6

5.9

5.9

10.3

9.6

11.4

12.5

11.7

10.3

na

na

na

na

na

na

na

na

na

na

na

na

9.5

10.3

10.1

10.5

11.8

16.0

0.3

0.3

0.3

0.3

0.3

0.3

31.7

32.2

29.9

29.5

29.0

24.4

2.8

3.0

3.0

2.7

2.7

2.1

0.8

1.0

1.0

0.9

1.0

1.8

16.0

17.4

18.7

19.0

18.7

16.7

6.4

6.3

6.7

6.5

6.3

8.1

7.2

7.0

6.7

6.2

6.0

6.1

0.4

0.4

0.4

0.3

0.4

0.4

0.1

0.1

0.2

0.1

0.3

0.2

0.0

0.0

0.0

0.0

0.0

1.9

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

Percentage of Awards

1983

1985

1987

1989

Total

100.0

100.0

100.0

100.0

Congenital anomalies

0.9

0.7

0.2

0.1

Endocrine, nutritional, and metabolic diseases

4.8

4.5

5.1

3.4

Infectious/parasitic diseases

2.2

0.8

1.1

0.9

Injuries

5.0

4.4

5.0

5.1

Mental disorders—Total

16.3

18.2

19.5

20.8

Retardation

na

na

na

na

Other

na

na

na

na

Neoplasms

16.8

14.6

13.3

14.2

Diseases of the—

 

 

 

 

Blood/blood-forming organs

0.3

0.2

0.3

0.4

Circulatory system

21.9

19.3

18.5

16.5

Digestive system

1.7

1.5

1.5

1.6

Genitourinary system

2.1

0.9

1.4

2.1

Musculoskeletal system/connective tissue

13.4

13.0

15.3

16.8

Nervous system/sense organs

8.4

7.6

8.5

8.2

Respiratory system

5.8

5.4

5.5

5.0

Skin/subcutaneous tissue

0.3

0.3

0.3

0.2

Other

a

0.3

0.0

4.8

Unknown

0.0

8.4

4.5

0.0

NOTE: na = not available.

a Data not shown to prevent disclosure of information about particular individuals.

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1991

1993

1995

1997

1999

2001

2003

100.0

100.0

100.0

100.0

100.0

100.0

100.0

0.1

0.1

0.1

0.1

0.1

a

0.2

3.7

4.9

5.2

5.8

6.0

2.9

3.1

5.3

5.9

4.3

2.6

1.9

1.7

1.4

4.5

3.7

4.3

4.4

4.2

3.8

3.8

23.5

26.1

22.9

20.9

22.4

25.5

25.4

na

na

2.6

2.2

2.7

3.4

2.6

na

na

20.3

18.7

19.7

22.1

22.8

12.9

12.6

10.0

10.6

10.6

9.4

9.4

0.4

0.3

0.3

0.0

0.3

0.3

0.3

14.6

14.0

12.9

13.0

12.0

12.5

11.4

1.6

1.6

1.7

1.9

2.2

2.4

2.3

2.0

2.1

1.9

2.1

2.2

2.5

2.2

17.2

14.8

21.9

23.0

23.6

24.5

26.3

7.7

7.2

7.2

7.7

8.0

8.2

8.5

4.4

4.3

4.5

4.5

4.3

4.3

4.2

0.2

0.2

0.3

0.3

0.2

a

0.2

1.8

2.2

2.3

2.5

1.7

1.5

0.2

0.0

0.0

0.4

0.3

0.2

0.3

1.0

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

APPENDIX TABLE 3-4 SSI Annual Awards for Adults Ages 18-64 by Diagnostic Group, FY 1974 - FY 2003

Number of Awards

1974

1975

1976

1977

Total

1,796,230

508,950

403,350

375,950

Congenital anomalies

310

220

100

180

Endocrine, nutritional, and metabolic diseases

1,270

600

640

710

Infectious/parasitic diseases

940

430

320

340

Injuries

1,760

760

720

690

Mental disorders

 

 

 

 

Retardation

18,350

9,330

7,180

7,640

Other

11,010

6,600

6,380

7,030

Neoplasms

300

180

100

150

Diseases of the—

 

 

 

 

Blood/blood-forming organs

270

180

100

50

Circulatory system

2,470

1,270

1,430

1,490

Digestive system

290

140

140

150

Genitourinary system

290

160

180

230

Musculoskeletal system/connective tissue

3,440

1,760

1,480

1,950

Nervous system/sense organs

7,310

3,350

2,920

3,080

Respiratory system

840

490

600

560

Skin/subcutaneous tissue

70

30

30

20

Other

110

40

10

50

Unknown

1,747,200

483,410

381,020

351,630

NOTE: Data are from Supplemental Security Record (Characteristic Extract Record Format), 10 percent sample, and are consistent with those in the 2003 SSI Annual Statistical Report, Table 49.

SOURCE: Unpublished table provided by Clark Pickett, Office of Research, Evaluation, and Statistics, Social Security Administration, February 11, 2005.

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1978

1979

1980

1981

1982

1983

323,170

292,380

293,740

248,340

202,590

262,660

120

120

240

270

500

2,220

640

890

1,220

1,350

2,090

8,620

290

290

330

370

750

2,180

750

870

970

1,410

2,730

9,130

7,920

7,590

8,840

9,940

10,970

31,210

6,730

7,980

9,600

8,890

13,300

42,180

200

260

330

380

2,060

14,320

120

160

160

120

190

700

1,440

1,480

2,190

1,760

5,520

25,670

180

150

220

200

660

2,710

240

180

330

280

710

3,030

1,830

1,810

2,750

2,780

5,110

16,380

3,150

3,590

4,130

4,810

7,040

21,870

430

560

670

700

2,190

10,080

30

60

40

40

180

360

20

10

60

80

150

660

299,080

266,380

261,660

214,960

148,440

71,340

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

Number of Awards

1984

1985

1986

1987

Total

322,390

324,070

391,600

373,320

Congenital anomalies

2,470

1,980

830

530

Endocrine, nutritional, and metabolic diseases

11,730

14,240

16,360

18,410

Infectious/parasitic diseases

3,020

2,420

2,470

3,690

Injuries

10,280

9,470

10,860

11,710

Mental disorders

 

 

 

 

Retardation

41,270

42,600

55,550

44,730

Other

65,890

70,670

119,480

99,580

Neoplasms

17,850

18,250

18,500

19,070

Diseases of the—

 

 

 

 

Blood/blood-forming organs

860

730

1,040

990

Circulatory system

33,430

33,880

36,520

36,110

Digestive system

2,790

3,580

3,480

3,310

Genitourinary system

3,510

3,630

5,220

5,600

Musculoskeletal system/connective tissue

22,230

23,860

24,640

28,150

Nervous system/sense organs

25,520

23,880

25,130

25,910

Respiratory system

11,730

12,680

13,740

13,140

Skin/subcutaneous tissue

580

680

450

670

Other

770

640

430

290

Unknown

68,460

60,880

56,900

61,430

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1988

1989

1990

1991

1992

1993

361,070

388,120

446,940

504,860

636,300

630,030

450

730

830

750

910

960

14,580

16,100

19,880

23,030

34,190

33,030

11,070

14,270

20,030

24,310

35,330

32,030

12,130

12,990

14,390

15,570

18,250

16,430

39,990

39,880

45,060

53,270

74,280

72,280

86,870

93,560

112,420

131,160

171,090

178,130

18,830

20,020

21,880

24,050

25,840

25,330

1,110

1,020

1,290

1,650

2,020

1,640

35,700

36,290

41,530

45,820

54,470

49,650

4,120

4,430

5,110

6,200

6,890

6,780

5,980

7,150

7,990

8,550

8,940

9,150

29,790

35,630

43,720

52,510

64,910

63,050

25,050

26,430

29,280

31,380

35,330

34,810

13,260

13,390

15,270

16,800

19,880

18,700

490

450

560

770

970

940

250

250

310

260

490

510

61,400

65,530

67,390

68,780

82,510

86,610

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

Number of Awards

1994

1995

1996

1997

Total

580,640

571,080

526,690

461,260

Congenital anomalies

990

850

940

880

Endocrine, nutritional, and metabolic diseases

30,220

29,950

28,650

26,460

Infectious/parasitic diseases

26,900

25,740

23,210

16,630

Injuries

16,260

15,760

15,850

13,470

Mental disorders

 

 

 

 

Retardation

57,710

47,790

40,630

34,840

Other

160,940

158,510

136,480

115,400

Neoplasms

26,180

27,220

26,490

25,230

Diseases of the—

 

 

 

 

Blood/blood-forming organs

1,440

1,070

1,330

1,140

Circulatory system

47,660

47,260

44,320

39,980

Digestive system

7,340

7,590

7,300

7,030

Genitourinary system

8,840

9,140

8,640

9,050

Musculoskeletal system/connective tissue

59,990

63,670

61,160

53,640

Nervous system/sense organs

32,480

32,070

30,620

25,780

Respiratory system

18,940

18,650

18,760

15,530

Skin/subcutaneous tissue

790

1,040

910

970

Other

470

490

420

460

Unknown

83,490

84,280

80,980

74,770

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1998

1999

2000

2001

2002

2003

489,240

493,960

483,020

502,590

533,470

537,420

640

900

1,160

1,700

1,790

2,060

27,040

28,070

14,000

15,030

15,320

15,700

14,790

14,000

13,440

12,560

11,950

11,360

14,780

15,390

16,030

16,680

18,930

17,120

34,320

34,820

35,030

35,530

35,290

34,250

127,700

138,020

146,930

157,590

168,970

171,650

25,370

25,820

26,500

26,950

27,660

28,520

1,240

1,430

1,310

1,670

1,590

1,570

40,200

40,090

42,110

45,110

47,240

46,440

7,610

9,020

9,180

10,140

11,080

11,720

8,970

8,970

9,650

9,490

9,820

10,480

58,530

63,370

69,980

75,190

84,140

86,570

29,100

29,990

30,000

32,510

34,530

35,120

16,540

16,580

17,080

17,450

18,520

18,710

820

860

840

1,090

1,000

940

430

590

530

740

1,010

990

81,160

66,040

49,250

43,160

44,630

44,220

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

Percentage of Awards

1974

1975

1976

1977

1978

1979

Congenital anomalies

0.0

0.0

0.0

0.1

0.0

0.0

Endocrine, nutritional, and metabolic diseases

0.1

0.1

0.2

0.2

0.2

0.3

Infectious/parasitic diseases

0.1

0.1

0.1

0.1

0.1

0.1

Injuries

0.1

0.1

0.2

0.2

0.2

0.3

Mental disorders

 

 

 

 

 

 

Retardation

1.0

1.8

1.8

2.0

2.5

2.6

Other

0.6

1.3

1.6

1.9

2.1

2.7

Neoplasms

0.0

0.0

0.0

0.0

0.1

0.1

Diseases of the—

 

 

 

 

 

 

Blood/blood-forming organs

0.0

0.0

0.0

0.0

0.0

0.1

Circulatory system

0.1

0.2

0.4

0.4

0.4

0.5

Digestive system

0.0

0.0

0.0

0.0

0.1

0.1

Genitourinary system

0.0

0.0

0.0

0.1

0.1

0.1

Musculoskeletal system/connective tissue

0.2

0.3

0.4

0.5

0.6

0.6

Nervous system/sense organs

0.4

0.7

0.7

0.8

1.0

1.2

Respiratory system

0.1

0.1

0.1

0.1

0.1

0.2

Skin/subcutaneous tissue

0.0

0.0

0.0

0.0

0.0

0.0

Other

0.0

0.0

0.0

0.0

0.0

0.0

Unknown

97.3

95.0

94.5

93.5

92.5

91.1

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1980

1981

1982

1983

1984

1985

1986

1987

1988

0.1

0.1

0.2

0.8

0.8

0.6

0.2

0.1

0.1

0.4

0.5

1.0

3.3

3.6

4.4

4.2

4.9

4.0

0.1

0.1

0.4

0.8

0.9

0.7

0.6

1.0

3.1

0.3

0.6

1.3

3.5

3.2

2.9

2.8

3.1

3.4

3.0

4.0

5.4

11.9

12.8

13.1

14.2

12.0

11.1

3.3

3.6

6.6

16.1

20.4

21.8

30.5

26.7

24.1

0.1

0.2

1.0

5.5

5.5

5.6

4.7

5.1

5.2

0.1

0.1

0.1

0.3

0.3

0.2

0.3

0.3

0.3

0.7

0.7

2.7

9.8

10.4

10.5

9.3

9.7

9.9

0.1

0.1

0.3

1.0

0.9

1.1

0.9

0.9

1.1

0.1

0.1

0.4

1.2

1.1

1.1

1.3

1.5

1.7

0.9

1.1

2.5

6.2

6.9

7.4

6.3

7.5

8.3

1.4

1.9

3.5

8.3

7.9

7.4

6.4

6.9

6.9

0.2

0.3

1.1

3.8

3.6

3.9

3.5

3.5

3.7

0.0

0.0

0.1

0.1

0.2

0.2

0.1

0.2

0.1

0.0

0.0

0.1

0.3

0.2

0.2

0.1

0.1

0.1

89.1

86.6

73.3

27.2

21.2

18.8

14.5

16.5

17.0

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

Percentage of Awards

1989

1990

1991

1992

1993

1994

Congenital anomalies

0.2

0.2

0.1

0.1

0.2

0.2

Endocrine, nutritional, and metabolic diseases

4.1

4.4

4.6

5.4

5.2

5.2

Infectious/parasitic diseases

3.7

4.5

4.8

5.6

5.1

4.6

Injuries

3.3

3.2

3.1

2.9

2.6

2.8

Mental disorders

 

 

 

 

 

 

Retardation

10.3

10.1

10.6

11.7

11.5

9.9

Other

24.1

25.2

26.0

26.9

28.3

27.7

Neoplasms

5.2

4.9

4.8

4.1

4.0

4.5

Diseases of the—

 

 

 

 

 

 

Blood/blood-forming organs

0.3

0.3

0.3

0.3

0.3

0.2

Circulatory system

9.4

9.3

9.1

8.6

7.9

8.2

Digestive system

1.1

1.1

1.2

1.1

1.1

1.3

Genitourinary system

1.8

1.8

1.7

1.4

1.5

1.5

Musculoskeletal system/connective tissue

9.2

9.8

10.4

10.2

10.0

10.3

Nervous system/sense organs

6.8

6.6

6.2

5.6

5.5

5.6

Respiratory system

3.4

3.4

3.3

3.1

3.0

3.3

Skin/subcutaneous tissue

0.1

0.1

0.2

0.2

0.1

0.1

Other

0.1

0.1

0.1

0.1

0.1

0.1

Unknown

16.9

15.1

13.6

13.0

13.7

14.4

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1995

1996

1997

1998

1999

2000

2001

2002

2003

0.1

0.2

0.2

0.1

0.2

0.2

0.3

0.3

0.4

5.2

5.4

5.7

5.5

5.7

2.9

3.0

2.9

2.9

4.5

4.4

3.6

3.0

2.8

2.8

2.5

2.2

2.1

2.8

3.0

2.9

3.0

3.1

3.3

3.3

3.5

3.2

8.4

7.7

7.6

7.0

7.1

7.3

7.1

6.6

6.4

27.8

25.9

25.0

26.1

27.9

30.4

31.4

31.7

31.9

4.8

5.0

5.5

5.2

5.2

5.5

5.4

5.2

5.3

0.2

0.3

0.2

0.3

0.3

0.3

0.3

0.3

0.3

8.3

8.4

8.7

8.2

8.1

8.7

9.0

8.9

8.6

1.3

1.4

1.5

1.6

1.8

1.9

2.0

2.1

2.2

1.6

1.6

2.0

1.8

1.8

2.0

1.9

1.8

2.0

11.1

11.6

11.6

12.0

12.8

14.5

15.0

15.8

16.1

5.6

5.8

5.6

5.9

6.1

6.2

6.5

6.5

6.5

3.3

3.6

3.4

3.4

3.4

3.5

3.5

3.5

3.5

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.1

0.1

0.1

0.1

0.1

0.1

0.1

0.2

0.2

14.8

15.4

16.2

16.6

13.4

10.2

8.6

8.4

8.2

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

APPENDIX TABLE 3-5 Distribution of Annual SSI Awards for Children Under Age 18 Among Diagnostic Groups, FY 1974-2003

Number of Awards

1974

1975

1976

1977

1978

Total

69,500

62,880

45,030

50,970

47,050

Congenital anomalies

360

420

270

240

390

Endocrine, nutritional, and metabolic diseases

40

60

40

60

60

Infectious/parasitic diseases

90

140

90

100

60

Injuries

190

130

150

230

140

Mental disorders

 

 

 

 

 

Retardation

9,360

9,870

7,500

7,880

8,010

Other

750

870

510

670

890

Neoplasms

40

30

10

30

30

Diseases of the—

 

 

 

 

 

Blood/blood-forming organs

150

210

190

210

220

Circulatory system

60

90

140

80

80

Digestive system

20

10

0

20

0

Genitourinary system

60

60

30

40

90

Musculoskeletal system/connective tissue

110

180

120

190

100

Nervous system/sense organs

3,260

3,320

2,360

2,600

2,930

Respiratory system

50

40

60

70

80

Skin/subcutaneous tissue

0

40

0

30

0

Other

20

30

10

60

60

Unknown

54,940

47,380

33,550

38,460

33,910

NOTE: Data are from Supplemental Security Record (Characteristic Extract Record Format), 10 percent sample, and are consistent with those in the 2003 SSI Annual Statistical Report, Table 49.

SOURCE: Unpublished table provided by Clark Pickett, Office of Research, Evaluation, and Statististics, Social Security Administration, February 11, 2005.

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1979

1980

1981

1982

1983

1984

1985

45,810

46,260

39,050

35,670

42,110

45,740

46,590

420

650

900

1,150

3,850

4,360

4,180

70

70

130

320

580

900

780

50

70

140

100

180

200

230

160

240

190

200

550

630

610

8,830

9,830

8,990

8,220

15,470

17,840

19,090

970

980

910

770

2,210

2,650

3,140

80

90

200

340

1,550

1,780

1,780

180

190

230

230

580

960

850

70

140

110

180

510

420

500

50

20

50

40

110

140

120

80

130

80

130

320

370

420

350

150

150

180

600

580

540

3,060

3,500

3,990

4,150

9,360

9,630

9,670

70

190

170

220

450

680

810

0

10

0

0

40

20

10

110

210

280

500

1,650

2,280

2,140

31,260

29,790

22,530

18,940

4,100

2,300

1,720

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

Number of Awards

1986

1987

1988

1989

1990

Total

51,020

48,480

47,560

51,520

76,070

Congenital anomalies

2,790

2,600

2,260

2,710

3,300

Endocrine, nutritional, and metabolic diseases

630

820

540

810

1,280

Infectious/parasitic diseases

80

120

130

320

490

Injuries

430

530

470

610

640

Mental disorders

 

 

 

 

 

Retardation

22,870

20,910

20,300

21,430

31,430

Other

3,850

3,830

3,860

4,670

10,580

Neoplasms

1,960

2,000

1,770

2,060

1,990

Diseases of the—

 

 

 

 

 

Blood/blood-forming organs

1,150

860

880

1,020

1,330

Circulatory system

460

390

370

520

670

Digestive system

240

270

220

250

360

Genitourinary system

320

350

280

280

430

Musculoskeletal system/connective tissue

900

1,010

830

900

1,470

Nervous system/sense organs

11,120

10,400

10,590

10,910

14,090

Respiratory system

990

720

980

880

1,800

Skin/subcutaneous tissue

40

30

30

40

50

Other

1,720

1,700

1,890

1,760

2,890

Unknown

1,470

1,940

2,160

2,350

3,270

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1991

1992

1993

1994

1995

1996

1997

126,190

221,080

236,220

203,190

177,550

144,270

116,280

6,690

8,040

7,320

6,780

7,320

6,970

5,970

1,520

2,370

1,670

1,320

1,310

990

830

500

920

810

640

670

470

380

1,210

1,620

1,320

1,170

960

1,050

1,100

 

 

 

135,480

112,620

84,880

62,480

49,080

88,720

92,340

70,440

54,570

42,260

29,680

27,470

55,660

67,570

65,040

58,050

42,620

32,800

2,620

2,850

3,130

3,390

3,100

2,900

2,500

1,960

 

 

 

 

 

 

1,150

2,520

2,530

1,830

1,650

1,520

1,220

550

1,400

1,290

910

1,070

940

830

750

820

650

610

600

500

680

 

870

640

730

620

490

480

2,080

2,800

2,080

1,430

1,510

1,310

1,250

16,180

21,800

19,610

15,620

14,070

12,250

10,370

3,070

5,430

4,710

5,010

4,830

4,460

4,170

100

120

160

120

190

50

130

4,560

8,940

11,620

15,270

16,930

17,420

16,590

6,700

16,200

18,770

12,880

10,100

8,070

7,300

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

Number of Awards

1998

1999

2000

Total

135,600

139,400

144,540

Congenital anomalies

6,580

6,230

7,050

Endocrine, nutritional, and metabolic diseases

980

940

1,070

Infectious/parasitic diseases

280

360

250

Injuries

1,000

1,080

980

Mental disorders

75,760

81,900

84,580

Retardation

31,280

29,110

26,940

Other

44,480

52,790

57,640

Neoplasms

2,720

2,650

2,610

Diseases of the—

 

 

 

Blood/blood-forming organs

1,590

1,340

1,290

Circulatory system

800

840

950

Digestive system

810

720

960

Genitourinary system

510

520

530

Musculoskeletal system/connective tissue

1,390

1,200

1,430

Nervous system/sense organs

11,210

10,820

10,940

Respiratory system

4,050

4,140

4,520

Skin/subcutaneous tissue

110

100

170

Other

18,860

20,640

22,250

Unknown

8,950

5,920

4,960

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

2001

2002

2003

156,900

169,130

179,590

7,010

7,400

8,220

910

900

1,070

280

340

170

1,090

1,010

990

95,410

107,430

 

26,470

27,150

26,110

68,940

80,280

91,160

3,000

2,850

2,830

1,470

1,260

1,320

770

960

1,010

1,340

1,090

1,420

550

510

580

1,650

1,470

1,180

10,800

11,740

11,000

4,550

4,470

4,300

140

160

170

23,120

23,330

24,470

4,810

4,210

3,590

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

Percentage of Awards

1974

1975

1976

1977

1978

1979

Congenital anomalies

0.5

0.7

0.6

0.5

0.8

0.9

Endocrine, nutritional, and metabolic diseases

0.1

0.1

0.1

0.1

0.1

0.2

Infectious/parasitic diseases

0.1

0.2

0.2

0.2

0.1

0.1

Injuries

0.3

0.2

0.3

0.5

0.3

0.3

Mental disorders

 

 

 

 

 

 

Retardation

13.5

15.7

16.7

15.5

17.0

19.3

Other

1.1

1.4

1.1

1.3

1.9

2.1

Neoplasms

0.1

0

0

0.1

0.1

0.2

Diseases of the—

 

 

 

 

 

 

Blood/blood-forming organs

0.2

0.3

0.4

0.4

0.5

0.4

Circulatory system

0.1

0.1

0.3

0.2

0.2

0.2

Digestive system

0

0

0

0

0

0.1

Genitourinary system

0.1

0.1

0.1

0.1

0.2

0.2

Musculoskeletal system/connective tissue

0.2

0.3

0.3

0.4

0.2

0.8

Nervous system/sense organs

4.7

5.3

5.2

5.1

6.2

6.7

Respiratory system

0.1

0.1

0.1

0.1

0.2

0.2

Skin/ubcutaneous tissue

0

0.1

0

0.1

0

0

Other

0

0

0

0.1

0.1

0.2

Unknown

79.1

75.3

74.5

75.5

72.1

68.2

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1980

1981

1982

1983

1984

1985

1986

1987

1988

1.4

2.3

3.2

9.1

9.5

9.0

5.5

5.4

4.8

0.2

0.3

0.9

1.4

2.0

1.7

1.2

1.7

1.1

0.2

0.4

0.3

0.4

0.4

0.5

0.2

0.2

0.3

0.5

0.5

0.6

1.3

1.4

1.3

0.8

1.1

1.0

21.2

23.0

23.0

36.7

39.0

41.0

44.8

43.1

42.7

2.1

2.3

2.2

5.2

5.8

6.7

7.5

7.9

8.1

0.2

0.5

1.0

3.7

3.9

3.8

3.8

4.1

3.7

0.4

0.6

0.6

1.4

2.1

1.8

2.3

1.8

1.9

0.3

0.3

0.5

1.2

0.9

1.1

0.9

0.8

0.8

0

0.1

0.1

0.3

0.3

0.3

0.5

0.6

0.5

0.3

0.2

0.4

0.8

0.8

0.9

0.6

0.7

0.6

0.3

0.4

0.5

1.4

1.3

1.2

1.8

2.1

1.7

7.6

10.2

11.6

22.2

21.1

20.8

21.8

21.5

22.3

0.4

0.4

0.6

1.1

1.5

1.7

1.9

1.5

2.1

0.0

0.0

0.0

0.1

0.0

0.0

0.1

0.1

0.1

0.5

0.7

1.4

3.9

5.0

4.6

3.4

3.5

4.0

64.4

57.7

53.1

9.7

5.0

3.7

2.9

4.0

4.5

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

Percentage of Awards

1989

1990

1991

1992

1993

1994

Congenital anomalies

5.3

4.3

5.3

3.6

3.1

3.3

Endocrine, nutritional, and metabolic diseases

1.6

1.7

1.2

1.1

0.7

0.6

Infectious/parasitic diseases

0.6

0.6

0.4

0.4

0.3

0.3

Injuries

1.2

0.8

1.0

0.7

0.6

0.6

Mental disorders

 

 

 

 

 

 

Retardation

41.6

41.3

38.9

40.1

39.1

34.7

Other

9.1

13.9

21.8

25.2

28.6

32.0

Neoplasms

4.0

2.6

2.1

1.3

1.3

1.7

Diseases of the—

 

 

 

 

 

 

Blood/blood-forming organs

2.0

1.7

1.6

1.1

1.1

0.9

Circulatory system

1.0

0.9

0.9

0.6

0.5

0.4

Digestive system

0.5

0.5

0.4

0.4

0.3

0.3

Genitourinary system

0.5

0.6

0.6

0.4

0.3

0.4

Musculoskeletal system/connective tissue

1.7

1.9

1.6

1.3

0.9

0.7

Nervous system/sense organs

21.2

18.5

12.8

9.9

8.3

7.7

Respiratory system

1.7

2.4

2.4

2.5

2.0

2.5

Skin/subcutaneous tissue

0.1

0.1

0.1

0.1

0.1

0.1

Other

3.4

3.8

3.6

4.0

4.9

7.5

Unknown

4.6

4.3

5.3

7.3

7.9

6.3

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
×

1995

1996

1997

1998

1999

2000

2001

2002

2003

4.1

4.8

5.1

4.9

4.5

4.9

4.5

4.4

4.6

0.7

0.7

0.7

0.7

0.7

0.7

0.6

0.5

0.6

0.4

0.3

0.3

0.2

0.3

0.2

0.2

0.2

0.1

0.5

0.7

0.9

0.7

0.8

0.7

0.7

0.6

0.6

30.7

29.3

25.5

23.1

20.9

18.6

16.9

16.1

14.5

32.7

29.5

28.2

32.8

37.9

39.9

43.9

47.5

50.8

1.7

2.0

2.1

2.0

1.9

1.8

1.9

1.7

1.6

0.9

1.1

1.0

1.2

1.0

0.9

0.9

0.7

0.7

0.6

0.7

0.7

0.6

0.6

0.7

0.5

0.6

0.6

0.3

0.3

0.6

0.6

0.5

0.7

0.9

0.6

0.8

0.3

0.3

0.4

0.4

0.4

0.4

0.4

0.3

0.3

0.9

0.9

1.1

1.0

0.9

1.0

1.1

0.9

0.7

7.9

8.5

8.9

8.3

7.8

7.6

6.9

6.9

6.1

2.7

3.1

3.6

3.0

3.0

3.1

2.9

2.6

2.4

0.1

0.0

0.1

0.1

0.1

0.1

0.1

0.1

0.1

9.5

12.1

14.3

13.9

14.8

15.4

14.7

13.8

13.6

5.7

5.6

6.3

6.6

4.2

3.4

3.1

2.5

2.0

Suggested Citation:"Appendix D: Appendix Tables." Institute of Medicine. 2007. Improving the Social Security Disability Decision Process. Washington, DC: The National Academies Press. doi: 10.17226/11859.
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Improving the Social Security Disability Decision Process Get This Book
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The Social Security Administration (SSA) provides Social Security Disability Insurance (SSDI) benefits to disabled persons of less than full retirement age and to their dependents. SSA also provides Supplemental Security Income (SSI) payments to disabled persons who are under age 65. For both programs, disability is defined as a "medically determinable physical or mental impairment" that prevents an individual from engaging in any substantial gainful activity and is expected to last at least 12 months or result in death.

Assuming that an applicant meets the nonmedical requirements for eligibility (e.g., quarters of covered employment for SSDI; income and asset limits for SSI), the file is sent to the Disability Determination Services (DDS) agency operated by the state in which he or she lives for a determination of medical eligibility. SSA reimburses the states for the full costs of the DDSs.

The DDSs apply a sequential decision process specified by SSA to make an initial decision whether a claim should be allowed or denied. If the claim is denied, the decision can be appealed through several levels of administrative and judicial review. On average, the DDSs allow 37 percent of the claims they adjudicate through the five-step process. A third of those denied decide to appeal, and three-quarters of the appeals result in allowances. Nearly 30 percent of the allowances made each year are made during the appeals process after an initial denial.

In 2003, the Commissioner of Social Security announced her intent to develop a "new approach" to disability determination. In late 2004, SSA asked the Institute of Medicine (IOM) to help in two areas related to its initiatives to improve the disability decision process: 1) Improvements in the criteria for determining the severity of impairments, and 2) Improvements in the use of medical expertise in the disability decision process.

This interim report provides preliminary recommendations addressing the three tasks that relate to medical expertise issues, with a special focus on the appropriate qualifications of medical and psychological experts involved in disability decision making. After further information gathering and analyses of the effectiveness of the disability decision process in identifying those who qualify for benefits and those who do not, the committee may refine its recommendations concerning medical and psychological expertise in the final report. The final report will address a number of issues with potential implications for the qualifications of the medical experts involved in the disability decision process.

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