Representative payee programs for persons with mental illness in Illinois
Representative payee programs for persons with mental illness in Illinois
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DOI：
10.1176/appi.ps.53.2.190
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发表时间：
2002-02-01
影响因子：
3.8
通讯作者：
Conrad, KJ
中科院分区：
文献类型：
--
作者：
Hanrahan, P;Luchins, DJ;Conrad, KJ
目的：代表性受款人方案可以通过确保满足精神病患者的住房等基本需求，改善他们的社区保有权。作者进行了一项调查，以评估社区精神卫生中心提供的代表性收款人计划的程度以及在这些服务中招募客户时使用的标准。方法：社区精神卫生中心根据合同，伊利诺伊州人类服务部参加了人口普查调查。调查的问题涉及提供代表性的收款人计划，服务特点，并在程序的招生标准。结果：代表性的收款人程序是直接提供的，在样本中的95个社区精神卫生中心的59%。在接受密集服务的客户中，有三分之一以上有代表性的收款人。当机构直接而不是通过家庭成员的推荐提供代表性收款人方案时，有代表性收款人的这类客户人数是前者的三倍多。参加代表性收款人计划的常见标准包括缺乏财务技能（89%），缺乏租金（52%），药物滥用（50%），无家可归（33%）以及频繁（37%）或长期（30%）住院。大多数代表性收款人方案（76%）向根据社会保障管理局的授权接受代表性收款人服务的客户提供这种服务。结论：鉴于直接提供代表性收款人服务的机构的客户被分配给代表性收款人的比例很高，所有提供密集服务的社区精神卫生中心也应该直接提供代表性收款人服务，以改善获得代表性收款人服务的机会。
Objective: Representative payee programs can improve the community tenure of persons with mental illness by ensuring that their basic needs, such as housing, are met. The authors conducted a survey, to assess the extent to which representative payee programs are provided by community mental health centers and the criteria used in enrolling clients in these services. Methods: Community mental health centers under contract to the Illinois Department of Human Services participated in a census survey. Survey questions concerned provision of representative payee programs, service characteristics, and criteria for enrollment in the programs. Results: Representative payee programs were directly, provided by 59 percent of the 95 community mental health centers in the sample. More than a third of clients who were receiving intensive services had a representative payee. More than three times as many such clients had a representative payee when agencies provided representative payee programs directly rather than through referrals of family members. Frequently cited criteria for enrollment in a representative payee program included a lack of financial skills (89 percent), a lack of rent money, (52 percent), substance abuse (50 percent), homelessness (33 percent), and frequent (37 percent) or long-term (30 percent) hospitalization. The majority, of the representative payee programs (76 percent) provided this service to clients who received representative payee services under the mandate of the Social Security Administration. Conclusions: Given the high proportion of clients of agencies that directly provided representative payee services who were assigned to a representative payee, all community mental health centers that provide intensive services should also directly provide representative payee services in order to improve access to representative payee services.