Impact of representative payees on substance use by homeless persons with serious mental illness
| Autor: | Frances Randolph, Julie Lam, Robert A. Rosenheck |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Patient Dropouts Substance-Related Disorders media_common.quotation_subject Eligibility Determination Alcohol abuse Social Security Legal Guardians medicine Humans Psychiatry Money management media_common Patient Care Team Service (business) Motivation Psychotropic Drugs Illicit Drugs business.industry Mental Disorders Public Assistance Middle Aged medicine.disease Mental illness Payment Comorbidity United States Substance Abuse Detection Substance abuse Alcoholism Psychiatry and Mental health Treatment Outcome Diagnosis Dual (Psychiatry) Ill-Housed Persons Female Substance use business Case Management |
| Zdroj: | Psychiatric Services. 48:800-806 |
| ISSN: | 1557-9700 1075-2730 |
| DOI: | 10.1176/ps.48.6.800 |
| Popis: | Objective: Assignment of representative payees, third parties responsible for managing clients’ funds, has been proposed to counter potential use of public support payments for abused substances by people with severe mental illness and substance use disorders. This study examines substance use outcomes in a sample of homeless persons with serious mental illness and substance use disorders, some of whom were assigned representative payees. Methods; The subjects were participating in the Access to Community Care and Efifective Services and Supports (ACCESS) program, a federally funded demonstration program on integrating service systems. Clients were assessed at baseline and three months after case management services were initiated. Factorial repeated-measures analysis of covariance was used to examine substance use among four client subgroups, two of which had payees and two of which did not. Results: Clients in this sample (N 1,348) showed significant improvement on all measures of substance use over the first three months in the program. Those with payees showed no greater improvement in substance abuse than those without payees, although they did have fewer days of homelessness. Conclusions: This study failed to find evidence that merely adding external money management services to existing services improves substance abuse outcomes among clients who had dual diagnoses and were homeless. Besides assigning a payee, structured behavioral interventions may be needed to produce additional clinical benefits. (Psychiatric Services 48:800-806, 1997) |
| Databáze: | OpenAIRE |
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