Estimated Costs of Malingered Disability

Michael D. Chafetz

112 citations0/0 files storedArchives of Clinical Neuropsychology

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Deception detection and forensic psychology Retirement, Disability, and Employment Psychological Testing and Assessment

Abstract

The feigning of disabling illness for the purpose of disability compensation, or "malingering," is common in Social Security Disability examinations, occurring in 45.8%-59.7% of adult cases. In this study, we estimated the costs of malingering based on mental disorder data published by the Social Security Administration. At the most widely accepted base rate of malingering in medicolegal cases involving external incentive, costs were high, totaling $20.02 billion in 2011 for adult mental disorder claimants. Moreover, these figures clearly underestimate the costs of the larger problem with feigned disability in both adults and children. We urge a change in Social Security policies to allow the use of validity testing in the examination for disability claims.

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References

2002Base Rates of Malingering and Symptom Exeggeration 1999Diagnostic Criteria for Malingered Neurocognitive Dysfunction: Proposed Standards for Clinical Practice and Research 2003Detection of Malingering Using Atypical Performance Patterns on Standard Neuropsychological Tests 2012Performance Validity and Symptom Validity in Neuropsychological Assessment 2003A comparison of WMT, CARB, and TOMM failure rates in non-head injury disability claimants 2007Base Rates of Negative Response Bias and Malingered Neurocognitive Dysfunction among Criminal Defendants Referred for Neuropsychological Evaluation 200940 Plus or Minus 10, a New Magical Number: Reply to Russell 2007The interaction of reinforcement sensitivity and life events in the prediction of anhedonic depression and mixed anxiety-depression symptoms

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