Randomized Trial of Psychiatric Care With Representative Payeeship for Persons With Serious Mental Illness

Conrad, Kendon J.; Lutz, George; Matters, Michael D.; Donner, Lorraine Long; Clark, Edward B.; Lynch, Patricia

doi:10.1176/appi.ps.57.2.197

Cited by 41 publications

(37 citation statements)

References 19 publications

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“…A randomized controlled trial assessed the impact of representative payee services on housing, quality of life, substance use, and depressive symptoms. This study demonstrated positive trends in the reduction of homelessness, as well as statistically significant decreases in money mismanagement and increases in quality of life (Conrad et al, 2006). Research shows that having a representative payee decreases hospitalizations and improves treatment compliance (Luchins et al, 2003).…”

Section: Introductionmentioning

confidence: 75%

Despite initial “kicking and screaming” unstably housed persons report high satisfaction with representative payee program

Davis

Hawk

McLaughlin³

et al. 2015

Housing, Care and Support

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Purpose – The purpose of this paper is to explore unstably housed persons satisfaction with representative payee services. Design/methodology/approach – Surveys were distributed through two different methods, which consisted of mailings and dispersal by program staff members. Findings – Participants overwhelmingly reported that they were satisfied with representative payee services with 77 percent of the stand-alone housing participants and 86 percent of the scattered site participants reported being “satisfied” or “very satisfied” with representative payee services. Similarly, 92 percent of stand-alone participants and 82 percent of scattered site participants reported being satisfied with their abilities to care for their needs. The lowest reported satisfaction with the program was with the timeliness of getting spending checks, with 85 percent of participants being satisfied in the stand-alone location and only 63 percent of participants reporting satisfaction in the scattered site setting. Research limitations/implications – This research is limited by the fact that it is an evaluation of one program and does not have a comparison group. Additionally, clients self-selected to participate in the research and results are not generalizable. Future research should ascertain whether aspects of harm reduction and peer staff have an impact on client outcomes as well as representative payee satisfaction. The study was conducted in a metropolitan area in the Northeast USA, which includes the city of Pittsburgh, Pennsylvania and surrounding areas. Given that this region includes both city and suburban areas, it is likely the results are translatable to multiple geographic areas. Practical implications – Results of this research indicate that use of harm reduction and peer staff could be factors in client satisfaction with representative payee services thereby increasing the possibility that clients will sign up for this service and receive the benefits of the program. Social implications – Having a representative payee program imposed on clients whether voluntarily or involuntarily can be an extremely anxiety provoking experience. Increasing satisfaction with this service will lend to improved quality of life for clients as well as improved relationships with providers which may lead to more engagement in care. Originality/value – This paper provides a new perspective on representative payee programs since it shows positive satisfaction, as well as use of harm reduction and peer staff, which varies from previous studies.

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Section: Introductionmentioning

confidence: 75%

Despite initial “kicking and screaming” unstably housed persons report high satisfaction with representative payee program

Davis

Hawk

McLaughlin³

et al. 2015

Housing, Care and Support

View full text Add to dashboard Cite

show abstract

“…The ability to create a circle of care by helping clients cultivate relationships with other professionals is viewed as an asset in programs that support individuals in crises (Conrad et al, 2006;Joy et al, 2007;Malla et al, 2003;Tierney & Kane, 2011). It was found that for CMS a circle of care refers to helping clients with all elements of their life, essentially encircling them with support so that they can be successful in crisis resolution.…”

Section: Discussionmentioning

confidence: 99%

“…Individuals with mental illness are sometimes unable to meet their basic needs, as illustrated in the present study. They can be subject to increased financial victimization and might have difficulty managing their money (Conrad et al;. In turn, financial troubles can result in poor credit ratings, which can contribute to difficulty in securing rental applications (Luchins, Roberts, & Hanrahan, 2003) and…”

Section: Discussionmentioning

confidence: 99%

Strength-based crisis programming: Evaluating the process of care

Hootz

Mykota

Fauchoux

2016

Evaluation and Program Planning

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“…The impact of assigning a formal representative payee largely depends on the payee assigned, with wide variability in payee practices (31). The literature suggests that representative payee programs, particularly when coordinated with other psychiatric treatment, are beneficial (16, 32, 33). …”

Section: Discussionmentioning

confidence: 99%

Ambiguity in Determining Financial Capability of SSI and SSDI Beneficiaries With Psychiatric Disabilities

Lazar¹,

Black²,

McMahon³

et al. 2015

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Objective Social Security beneficiaries’ liberty is constrained if they are judged incapable of managing their disability payments and are assigned a fiduciary to manage benefit payments on their behalf. Conversely, beneficiaries’ well-being may be compromised if they misspend money that they need to survive. Several studies have shown that determinations of financial capability are made inconsistently and capability guidelines appear to be applied inconsistently in practice. This case series describes the ambiguities remaining for a small number of individuals even after published criteria for capability— failing to meet basic needs and/or harmful spending on drugs— are applied. Methods Trained, experienced assessors rated the financial capability of 119 individuals in intensive outpatient or inpatient psychiatric facilities who received SSI or SSDI payments. Ten individuals’ cases were determined difficult to judge. Results Six sources of ambiguity were identified by case review: distinguishing incapability from the challenges of navigating poverty, the amount of nonessential spending needed to be considered incapable, the amount of spending on harmful things needed to be considered incapable, how intermittent periods of capability and incapability should be considered, the relative weighting of past behavior and future plans to change, and discrepancies between different sources of information. Conclusion The cases raise fundamental questions about what financial incapability is, but also illustrate how detailed consideration of beneficiaries’ living situations and decision making can inform the difficult dichotomous decision about capability.

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Randomized Trial of Psychiatric Care With Representative Payeeship for Persons With Serious Mental Illness

Cited by 41 publications

References 19 publications

Despite initial “kicking and screaming” unstably housed persons report high satisfaction with representative payee program

Despite initial “kicking and screaming” unstably housed persons report high satisfaction with representative payee program

Strength-based crisis programming: Evaluating the process of care

Ambiguity in Determining Financial Capability of SSI and SSDI Beneficiaries With Psychiatric Disabilities

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