Money management, mental health, and psychiatric disability: A recovery-oriented model for improving financial skills.

Elbogen, Eric B.; Tiegreen, Joshua; Vaughan, Colleen; Bradford, Daniel W.

doi:10.2975/34.3.2011.223.231

Cited by 51 publications

(41 citation statements)

References 70 publications

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“…That is, many of our participants had to manage the economic challenges of not being able to pay the rent on his or her own apartment as well as pay for their daily living expenses and for needed psychiatric services. The strong valuing of managing one's own finances can be seen as a wish for economic independence and control, thereby avoiding common feelings of insecurity, worry, and anxiety related to money (33). The finding also confirms the importance of one of the principles in IPS (13), which is to offer systematic benefits counselling.…”

Section: Discussionsupporting

confidence: 60%

Exploring perceptions of occupational competence among participants in Individual Placement and Support (IPS)

Nygren¹,

Sandlund²,

Bernspång³

et al. 2013

Scandinavian Journal of Occupational Therapy

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Section: Discussionsupporting

confidence: 60%

Exploring perceptions of occupational competence among participants in Individual Placement and Support (IPS)

Nygren¹,

Sandlund²,

Bernspång³

et al. 2013

Scandinavian Journal of Occupational Therapy

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“…45 Veterans receiving disability may be vulnerable to financial exploitation by predatory lenders or even family members. 46 …”

Section: Discussionmentioning

confidence: 99%

Homelessness and Money Mismanagement in Iraq and Afghanistan Veterans

et al. 2013

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Objectives We examined the empirical link between money mismanagement and subsequent homelessness among veterans. Methods We used a random sample of Afghanistan/Iraq era veterans from the National Post-Deployment Adjustment Survey in 2009–2011. Results Veterans were randomly selected from a roster of all U.S. military service members in Operation Iraqi Freedom or Operation Enduring Freedom who were separated from active duty or in the Reserves/National Guard. Veterans (n = 1090) from 50 states and all military branches completed 2 waves of data collection 1 year apart (79% retention rate). Thirty percent reported money mismanagement (e.g., bouncing or forging a check, going over one’s credit limit, falling victim to a money scam in the past year). Multivariate analysis revealed money mismanagement (odds ratio [OR] = 4.09, 95% CI = 1.87, 8.94) was associated with homelessness in the next year, as were arrest history (OR = 2.65, 95% CI = 1.33, 5.29), mental health diagnosis (OR = 2.59, 95% CI = 1.26, 5.33), and income (OR = 0.30, 95% CI = 0.13, 0.71). Conclusions Money mismanagement, reported by a substantial number of veterans, was related to a higher rate of subsequent homelessness. The findings have implications for policymakers and clinicians, suggesting that financial education programs offered by the US Departments of Defense and Veterans Affairs may be targeted to effectively address veteran homelessness.

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“…The DONREP’s questions, developed from focus groups with case managers and input from an expert panel define financial capability in terms of ability to meet basic needs, vulnerability to victimization, addiction, and psychiatric impairment. Although the DONREP items have not been tested more formally, their scope is consistent with other working definitions of financial capability, including reasons identified by case managers for recommending a payee (Dixon et al, 1999; Luchins, et al, 1998; Luchins, et al, 2004), target outcomes of money management educational interventions (Elbogen et al, 2011, 2013; Rosen et al, 2003, 2010), statistical models differentiating beneficiaries with and without payees (Conrad, et al, 1998), legislative history of assigning representative payees to individuals because of disabling substance use (Swartz et al, 2000) and expert recommendations for defining capability that emphasized substance use, impairment, and the ability to meet basic needs (Rosen & Rosenheck, 1999). …”

Section: Introductionmentioning

confidence: 92%

Development of the Clinician Assessment of Financial Incapability (CAFI)

Black

McMahon

Rosenheck

et al. 2014

Psychiatry Research

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The Social Security Administration (SSA) provides financial support to adults disabled by psychiatric conditions to provide for their basic needs. For beneficiaries identified as incapable of managing their funds, representative payee assignment is mandated. However, studies indicate that the current SSA method of determining capability leads to idiosyncratic payee assignment, with a tendency to under-identify beneficiaries needing payees. Over two phases with data from 78 mental health clinicians treating 134 patient-beneficiaries, we describe the development of a new assessment, the Clinician Assessment of Financial Incapability (CAFI). Item generation, subscale construction, and preliminary assessments of validity are described. We also describe the simultaneous development of a criterion measure of capability, a comprehensive review of all data. Experts identified four subscales mapping to four criteria of incapability; factor analysis provided support for this item structure. Close to one-half of patients were determined to be incapable by review of all data. CAFI and SSA methods correctly classified 73% of cases, but errors with CAFI were more evenly distributed between false negatives and false positives. The implications of classification error are considered, and advantages of CAFI over the SSA method are enumerated. Plans for future instrument revision are briefly described.

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Money management, mental health, and psychiatric disability: A recovery-oriented model for improving financial skills.

Cited by 51 publications

References 70 publications

Exploring perceptions of occupational competence among participants in Individual Placement and Support (IPS)

Exploring perceptions of occupational competence among participants in Individual Placement and Support (IPS)

Homelessness and Money Mismanagement in Iraq and Afghanistan Veterans

Development of the Clinician Assessment of Financial Incapability (CAFI)

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