I think the main thing in both the UK and the US is to stop paying disability to porkers. If I developed a drug problem, I wouldn't get disability. If you voluntarily harm yourself, you need to have two options: intensive inpatient (no cash given to the individual) or deal with it on your own. This includes smoking, drug addiction, overeating, and self harm. They say you won't get help for your addiction until you hit rock bottom: well here it is, you either get help or support yourself on your own.  (Before anyone jumps down my throat for the self harm one, I'm sorry but yes they need to be lumped in there. If you are harming yourself to the point of needing disability (like the woman who blinded herself), you need help.)