Pathways to assignment of payees

Community Ment Health J. 2014 Apr;50(3):270-4. doi: 10.1007/s10597-013-9629-z. Epub 2013 Jun 14.

Abstract

How clients come to be assigned representative payees and/or conservators to manage their funds is not well understood. We compared clients assigned a payee during a clinical trial of a money management-based intervention to those not assigned payees and examined antecedents to payee assignment. One year after randomization, significantly more clients assigned to the advisor teller money manager (ATM) money management intervention were assigned payees than participants in the control condition (10 of 47 vs. 2 of 43; p = .02); those assigned payees had lower baseline GAF scores and participated more in study therapies. Several ATM clients were assigned payees after third parties paid more attention to clients' finances, and others after having negotiated storage of their funds with the ATM money manager during the study. Assignment of payees appears to be influenced by whether third parties critically attend to how clients' manage funds and by clients' receptiveness to having a payee.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Financing, Personal / methods*
  • Financing, Personal / organization & administration
  • Humans
  • Interview, Psychological
  • Male
  • Mental Competency
  • Mental Disorders / economics
  • Mental Disorders / psychology
  • Mental Disorders / therapy
  • Proxy*
  • Psychiatric Status Rating Scales
  • Substance-Related Disorders / economics
  • Substance-Related Disorders / psychology
  • Substance-Related Disorders / therapy