Abstract
This study aimed to examine self-report of financial leverage, conflict, and satisfaction pertaining to representative payeeship for persons with mental illness, which research has not examined in the past decade. Sixty representative payee recipients with mental illness residing across the U.S. completed an online survey, with most (n = 50) receiving representative payeeship by family members/friends. Wilcoxon-Mann-Whitney tests and Spearman correlations were computed. One-third of participants reported experiencing financial leverage and conflict “sometimes” or more often and were dissatisfied with their representative payee arrangement. With the exception of use of alcohol and/or drugs, no participant characteristic was associated with financial leverage, conflict, or satisfaction. Financial leverage was reported to be greater when representative payees were family members/friends. Financial leverage and conflict were positively associated with each other and negatively associated with satisfaction. It is advisable that satisfaction with representative payeeship be increased and conflict resulting from representative payeeship be minimized.
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References
Angell, B., Martinez, N. I., Mahoney, C. A., & Corrigan, P. W. (2007). Payeeship, financial leverage, and the client-provider relationship. Psychiatric Services, 58, 365–372.
Appelbaum, P. S., & Redlich, A. (2006). Use of leverage over patients’ money to promote adherence to psychiatric treatment. The Journal of Nervous and Mental Disease, 194, 294–302.
Creasy, S. L., Olaniyan, A., Davis, D., & Hawk, M. (2021). Support people the way in which they want to be supported: Best practices for incorporating client-centeredness in representative payee programs. Community Mental Health Journal, 57, 1065–1072.
Dixon, L., Turner, J., Krauss, N., Scott, J., & McNary, S. (1999). Case managers’ and clients’ perspectives on a representative payee program. Psychiatric Services, 50, 781–786.
Elbogen, E. B., Swanson, J. W., & Swartz, M. S. (2003). Effects of legal mechanisms on perceived coercion and treatment adherence among persons with severe mental illness. The Journal of Nervous and Mental Disease, 191, 629–637.
Elbogen, E. B., Swanson, J. W., Swartz, M. S., & Van Dorn, R. (2005). Family representative payeeship and violence risk in severe mental illness. Law and Human Behavior, 29, 563–574.
Elbogen, E. B., Ferron, J. C., Swartz, M. S., Wilder, C. M., Swanson, J. W., & Wagner, H. R. (2007). Characteristics of representative payeeship involving families of beneficiaries with psychiatric disabilities. Psychiatric Services, 58, 1433–1440.
Fowler, F. J. (1995). Improving survey questions: Design and evaluation. Sage.
Hollander, M., Wolfe, D. A., & Chicken, E. (2013). Nonparametric statistical methods. Wiley.
Kinsky, S. M., Creasy, S. L., & Hawk, M. (2019). A systematic review of health outcomes associated with provision of representative payee services. Psychiatric Services, 70, 714–727.
Labrum, T. (2017). Factors related to abuse of older persons by relatives with psychiatric disorders. Archives of Gerontology and Geriatrics, 68, 126–134.
Labrum, T. (2018). Characteristics associated with family money management for persons with psychiatric disorders. Journal of Mental Health, 27, 504–510.
Labrum, T. (2023). Perceptions of beneficiaries with mental illness and family representative payees regarding satisfaction and challenges. Center for Retirement Research at Boston College. https://crr.bc.edu/wp-content/uploads/2023/12/wp_2023-25.pdf.
Labrum, T., & Solomon, P. L. (2016). Factors associated with family violence by persons with psychiatric disorders. Psychiatry Research, 244, 171–178.
Labrum, T., Walk, M., & Solomon, P. L. (2016). Measuring limit-setting practices used by family members towards relatives with psychiatric disorders. Psychiatric Quarterly, 87, 465–477.
Labrum, T., Solomon, P., & Marcus, S. (2020). Victimization and perpetration of violence involving persons with mood and other psychiatric disorders and their relatives. Psychiatric Services, 71, 498–501.
Meade, A. W., & Craig, S. B. (2012). Identifying careless responses in survey data. Psychological Methods, 17, 437–455.
National Academies of Sciences, Engineering, and Medicine. (2016). Informing Social Security’s Process for Financial Capability Determination. The National Academies. https://doi.org/10.17226/21922.
Pew Research Center (2019). Collecting survey data. Retrieved from https://www.pewresearch.org/methods/u-s-survey-research/collecting-survey-data/.
Rosen, M. I., Desai, R., Bailey, M., Davidson, L., & Rosenheck, R. (2001). Consumer experience with payeeship provided by a community mental health center. Psychiatric Rehabilitation Journal, 25, 190–195.
Rosen, M. I., Rosenheck, R., Shaner, A., Eckman, T., Gamache, G., & Krebs, C. (2003). Payee relationships: Institutional payees versus personal acquaintances. Psychiatric Rehabilitation Journal, 26, 262–267.
Rosen, M. I., Bailey, M., Dombrowski, E., Ablondi, K., & Rosenheck, R. A. (2005). A comparison of satisfaction with clinician, family members/friends and attorneys as payees. Community Mental Health Journal, 41, 291–306.
Social Security Administration (2019a). Social security: Annual statistical report on the social security disability insurance program, 2018. Retrieved from https://www.ssa.gov/policy/docs/statcomps/di_asr/2018/di_asr18.pdf.
Social Security Administration (2019b). Social security: SSI annual statistical report, 2018. Retrieved from https://www.ssa.gov/policy/docs/statcomps/ssi_asr/2018/ssi_asr18.pdf.
Social Security Administration (2019c). Securing today and tomorrow: A guide for representative payees. Retrieved from https://www.ssa.gov/pubs/EN-05-10076.pdf.
Social Security Administration (2019d). Program operations manual system (POMS). GN 00502.105. Retrieved from https://secure.ssa.gov/poms.nsf/lnx/0200502105.
Social Security Administration (2020). Master Beneficiary Record and Supplemental Security Record, December 2018. Accessed upon contacting statistics@ssa.gov.
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This study was conducted in accordance with the Declaration of Helsinki and was approved by the institutional review board at the University of Pittsburgh. All participants provided informed consent, prior to participating in the study. This research did not involve the use of animals.
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Labrum, T., Petros, R., Jacobs, L. et al. Recipients of Representative Payeeship with Mental Illness: Financial Leverage, Conflict, and Satisfaction. Community Ment Health J 60, 1017–1024 (2024). https://doi.org/10.1007/s10597-024-01257-8
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DOI: https://doi.org/10.1007/s10597-024-01257-8