Characteristics of third-party money management for persons with psychiatric disabilities.
Characteristics of third-party money management for persons with psychiatric disabilities.
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精神障碍人士第三方资金管理的特点。
DOI：
10.1176/appi.ps.54.8.1136
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Wagner,HRyan
中科院分区：
文献类型：
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作者：
Elbogen,EricB;Swanson,JeffreyW;Swartz,MarvinS;Wagner,HRyan
该研究调查了不同类型的第三-方法通过结构化访谈和记录回顾收集了240名被诊断为精神病或严重情感障碍的患者的临床和人口统计学数据，这些患者已被非自愿住院并正在等待出院在北卡罗来纳州的承诺。所有的消费者都在接受补充保障收入或社会保障残疾保险。102名（41%）的研究参与者报告了第三方资金管理安排。这些消费者中的大多数（77%）由家庭成员管理财务。拥有第三方理财机构的消费者更有可能年收入中位数低于5,000美元，被诊断为原发性精神障碍，并有物质使用问题。大多数参与者与第三方资金经理报告说，他们收到足够的钱来支付基本费用，虽然约有一半也认为没有足够的钱参加愉快的activities. CONCLUSIONSSive严重精神疾病的治疗强调社会技能的培训和发展的社会支持网络，财政限制可能会破坏治疗的努力。重要的是，临床医生在评估消费者时考虑财务问题的作用。应该进行更多的研究，以更好地了解财务变量在提供有效的心理健康服务中的作用。
OBJECTIVEThe study examined different types of third-party money management arrangements for persons with psychiatric disabilities and consumers' perceptions of their finances in the context of these arrangements.METHODSClinical and demographic data were collected through structured interviews and record reviews for 240 persons with a diagnosis of a psychotic or major affective disorder who had been involuntarily hospitalized and were awaiting discharge on outpatient commitment in North Carolina. All consumers were receiving Supplemental Security Income or Social Security Disability Insurance.RESULTSThird-party money management arrangements were reported by 102 (41 percent) of the study participants. A majority (77 percent) of these consumers had their finances managed by a family member. Consumers with third-party money managers were more likely to have a median annual income below $5,000, to have a diagnosis of a primary psychotic disorder, and to have substance use problems. Most participants with third-party money managers reported that they received sufficient money to cover basic expenses, although about half also perceived having insufficient money to participate in enjoyable activities.CONCLUSIONSGiven that treatment for severe mental illness emphasizes social skills training and development of social support networks, financial limitations could undermine therapeutic efforts. It is important that clinicians consider the role of financial concerns when assessing consumers. Additional research should be conducted to better understand the role of financial variables in providing effective mental health services.