To study the money management ability of people with acquired brain dysfunction (ABD) and its relationship to neuropsychological test performance. Subjects or Other Participants: 35 people with ABD and 15 matched controls without ABD. Main Outcome Measures: Case managers completed an experimenter-designed Money Management Survey (MMS), a staff-rating measure of the client's money management abilities. Results: In addition to the problems identified by controls, the group with ABD had other difficulties such as not leaving money aside for essentials and using automatic teller machines. Neuropsychological assessment demonstrated a modest ability to predict the overall MMS, however, the prediction of specific behaviors (problematic impulsive spending and paying the bills or rent late) was more successful. Conclusion: These results provide support for the use of the MMS and indicate that people with ABD have greater problems with specific aspects of money management than do controls.
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