1. ANALYSIS OF INTERACTIONS AMONG POLICY ELEMENTS

2. Coentitlement – The use of one form of benefit automatically entitles a beneficiary to another.
- Child welfare program – foster home services/medical care/therapy package. May have separate cost/billing/staff
- Congregate meals for elderly usually include transportation services.
Advantages:
- More accessible
- More consistently used by more people
- Increases the effectiveness of one benefit because of the simultaneous use of the other.
Temporary Aid to Needy Families (TANF) extensive package of coentitlements.
Clients/consumers are not always aware of coentitlement even though they are automatic from a policy perspective:
- Clients/consumers need to ask to obtain benefit or service.
- Practitioners need to be aware of current and accurate information about coentitlements.

3. Disentitlement – the use of one benefit automatically makes a beneficiary ineligible for another to eliminate duplication of benefits.
- Entitlement for Workers’ Compensation = disentitles Social Security Disability Insurance.
- Social Security Disability Insurance eligible after the 5-10 year Workers’ Compensation benefit.
Relatives-responsibility – no benefit until family’s resources are exhausted. No longer in effect.

4. Contrary Effects – the operation of one policy or program feature cancels out the effect of another feature.
- An increase in accountability decreases accessibility. Organizational employee will move more slowly and avoid risks in decision making.
- Deinstitutionalization – hospitals had an open door policy for patients with mental illness that fostered an institutional dependence and took away motivation for the community to provide general hospital care.

5. Duplication – an unintended receipt of the same benefit form arises from more than one source for the same purpose. “Double-dipping”
- The simultaneous receipt of Social Security retirement benefits and federal civil service or armed forces retirement benefits. Entitlement rules overlapped in unintended ways.
- A child in juvenile court will have
1. Juvenile officer
2. School counselor
3. Counselor at a mental health clinic
4. Social service worker if the family receives TANF.