Representative payee practices of community mental health centers in Washington State.
Psychiatr Serv
; 48(6): 811-4, 1997 Jun.
Article
em En
| MEDLINE
| ID: mdl-9175191
ABSTRACT
OBJECTIVE:
A survey was conducted to evaluate the representative payee practices of community mental health centers (CMHCs) in Washington State, with emphasis on whether and how benefit disbursement practices were linked to patients' clinical behaviors, especially substance use.METHODS:
A survey was pilot tested with several clinicians and sent to all 80 licensed CMHCs in Washington State. Data were analyzed using t tests, Pearson r correlations, and regression analysis.RESULTS:
Of 41 responding agencies, 30 (73 percent) reported providing payee services for at least some of their patients, approximately one-third of whom had a dual diagnosis of a mental illness plus an alcohol or drug disorder. The frequency of benefit disbursement, but not the overall amount of funds disbursed, was moderately to highly linked by contingency management to patients' money management skills, substance use, and level of functioning; it was less tightly linked to treatment attendance. Larger and more experienced programs reported tighter linkage between benefit disbursement frequency and patients' behavior than did smaller programs. Responses also indicated a significant need for more clearly articulated guidelines for payee benefit management.CONCLUSIONS:
Despite a lack of studies demonstrating the effectiveness of representative payee practices, CMHCs appear to be using contingency techniques to link benefit disbursement to clinical behaviors. Further studies of these practices, their outcomes, and associated ethical issues are needed.
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Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
/
2_ODS3
/
8_ODS3_consumo_sustancias_psicoactivas
Base de dados:
MEDLINE
Assunto principal:
Psicotrópicos
/
Assistência Pública
/
Drogas Ilícitas
/
Centros Comunitários de Saúde Mental
/
Transtornos Relacionados ao Uso de Substâncias
/
Alcoolismo
/
Tutores Legais
/
Transtornos Mentais
/
Motivação
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Guideline
/
Qualitative_research
Aspecto:
Ethics
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Psychiatr Serv
Ano de publicação:
1997
Tipo de documento:
Article