Consumer experience with payeeship provided by a community mental health center
Abstract
We surveyed 28 participants in a program in which the clinical therapist and money manager were different staff members. Patients reported strong therapeutic alliances with both the money manager and treating therapist as assessed by the Working Alliance Inventory. Alliance scores for the two providers were highly correlated (p = .68) and not significantly different from each other. Most patients endorsed overall satisfaction with the money management service, and report program-related benefits in housing, achieving abstinence, avoiding financial predators and budgeting arrangements. A significant minority endorsed some feeling of coercion, and coercion was associated with a weaker therapeutic alliance.
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Reliability Generalization of Working Alliance Inventory Scale Scores
Hanson, W. E., Curry, K. T., & Bandalos, D. L. (2002) · Educational and Psychological Measurement · doi:10.1177/0013164402062004008 · Cited by 161 · see citing works
“Schmelkin, 1991; Rowley, 1976; Thompson, 1994; Thompson & VachaHaase, 2000; Vacha-Haase, 1998; Wilkinson & American Psychological Association Task Force on Statistical Inference, 1999). To this end, Vacha-Haase (1998) introduced a meta-analytic method that she called RG.”
Elbogen, E. B., Tiegreen, J. A., Vaughan, C., et al. (2011) · Psychiatric Rehabilitation Journal · doi:10.2975/34.3.2011.223.231 · Cited by 68 · see citing works
Common Factors in Community Mental Health Intervention: A Scoping Review
Kidd, S. A., Davidson, L., & McKenzie, K. J. (2017) · Community Mental Health Journal · doi:10.1007/s10597-017-0117-8 · Cited by 46 · see citing works
Self-citationThe ‘check effect’ reconsidered
Rosen, M. I. (2011) · Addiction · doi:10.1111/j.1360-0443.2011.03409.x · Cited by 44 · see citing works
Self-citationUse of Leverage Over Patients’ Money to Promote Adherence to Psychiatric Treatment
Appelbaum, P. S., & Redlich, A. D. (2006) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000207368.14133.0c · Cited by 42 · see citing works
The therapeutic relationship in secondary mental health care: a conceptual review of measures
Catty, J., Winfield, H., & Clement, S. (2007) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2007.01070.x · Cited by 36 · see citing works
Payeeship, Financial Leverage, and the Client-Provider Relationship
Angell, B., Martinez, N. I., Mahoney, C., & Corrigan, P. W. (2007) · Psychiatric Services · doi:10.1176/ps.2007.58.3.365 · Cited by 39 · see citing works
“For example, we lacked information on whether payeeship was involuntary, which was predictive of a weaker alliance in a previous study of clients with representative payees (12).”
BackgroundResultDoes assigning a representative payee reduce substance abuse?
Rosen, M. I., McMahon, T. J., & Rosenheck, R. A. (2006) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2006.05.026 · Cited by 22 · see citing works
Self-citationThe Efficacy of Assertive Community Treatment to Treat Substance Use
Fries, H. P., & Rosen, M. I. (2011) · Journal of the American Psychiatric Nurses Association · doi:10.1177/1078390310393509 · Cited by 21 · see citing works
Self-citationCaregivers as Money Managers for Adults with Severe Mental Illness: How Treatment Providers Can Help
Elbogen, E. B., Wilder, C. M., Swartz, M. S., & Swanson, J. W. (2008) · Academic Psychiatry · doi:10.1176/appi.ap.32.2.104 · Cited by 20 · see citing works
A Comparison of Satisfaction with Clinician, Family Members/Friends and Attorneys as Payees
Rosen, M. I., Bailey, M., Dombrowski, E., et al. (2005) · Community Mental Health Journal · doi:10.1007/s10597-005-5003-0 · Cited by 18 · see citing works
“A correlational analysis showed that clients with schizophrenia or schizoaffective disorder in a CMHC-based program had higher levels of satisfaction with the program than clients with other diagnoses (Rosen et al., 2001).”
InfluentialSelf-citationElbogen, E. B., Ferron, J. C., Swartz, M. S., et al. (2007) · Psychiatric Services · doi:10.1176/ps.2007.58.11.1433 · Cited by 14 · see citing works
Subjective Experiences of Clients in a Voluntary Money Management Program
Serowik, K. L., Bellamy, C. D., Rowe, M., et al. (2013) · American Journal of Psychiatric Rehabilitation · doi:10.1080/15487768.2013.789699 · Cited by 12 · see citing works
Self-citationPathways to Assignment of Payees
Rosen, M. I., Ablondi, K. M., Black, A. C., et al. (2013) · Community Mental Health Journal · doi:10.1007/s10597-013-9629-z · Cited by 11 · see citing works
“This mixture of feelings of coercion but also satisfaction with payee assignment has been described in ongoing payee relationships too (Rosen et al. 2001), with other reports separately emphasizing satisfaction (Rosen et al.”
Self-citationFactors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review
Lessard-Deschênes, C., Pariseau-Legault, P., Billé, V., Sergerie-Richard, S., Hudson, E., Silva, B., Drouin, J.-S., Désilets, M., & Goulet, M.-H. (2025) · Healthcare · doi:10.3390/healthcare13151868 · Cited by 10 · see citing works
A Systematic Review of Health Outcomes Associated With Provision of Representative Payee Services
Kinsky, S. M., Creasy, S. L., & Hawk, M. E. (2019) · Psychiatric Services · doi:10.1176/appi.ps.201800320 · Cited by 9 · see citing works
“Due to these concerns, some studies have examined secondary outcomes related to quality of life, client satisfaction, and relationships with providers (14, 19, 20).”
BackgroundPayee relationships: Institutional payees versus personal acquaintances.
Rosen, M. I., Rosenheck, R. A., Shaner, A. L., et al. (2003) · Psychiatric Rehabilitation Journal · doi:10.2975/26.2003.262.267 · Cited by 8 · see citing works
Self-citationDavis, D., Hawk, M. E., McLaughlin, J., et al. (2015) · Housing Care and Support · doi:10.1108/hcs-05-2015-0008 · Cited by 7 · see citing works
“In other research, participants reveal that the representative payee assists them with maintaining housing, controlling substance abuse, budgeting and making their money last the entire month (Rosen et al., 2001; Hanrahan et al., 2002).”
BackgroundInfluentialTsai, J., McCleery, A., Wynn, J. K., & Green, M. F. (2023) · Psychiatric Services · doi:10.1176/appi.ps.20230021 · Cited by 6 · see citing works
Tsai, J., McCleery, A., Wynn, J. K., & Green, M. F. (2023) · Psychological Services · doi:10.1037/ser0000787 · Cited by 5 · see citing works
Creasy, S. L., Olaniyan, A., Davis, D., et al. (2020) · Community Mental Health Journal · doi:10.1007/s10597-020-00733-1 · Cited by 5 · see citing works
Money management for the severe and persistently mentally ill
Kurtz-Dougherty, S. (2014) · Rowan Digitals Works (Rowan University) · Cited by 1 · see citing works
Screening homeless Veterans for a voluntary money management skills training program
Iheanacho, T., Ablondi, K. M., Stefanovics, E. A., Rosen, M. I., & Rosenheck, R. A. (2017) · American Journal of Psychiatric Rehabilitation · doi:10.1080/15487768.2017.1408504
Self-citationvon Horn, A., Hathaway, D. B., Richmond, J. S., & Chang, G. (2024) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2023.2286584
“Others similarly found agency-based representative payee assignment to be associated with improved out-patient treatment adherence (12), fewer hospitalizations (14,15), and reduced substance use (16,17).”
BackgroundLabrum, T., Petros, R., Jacobs, L. A., et al. (2024) · Community Mental Health Journal · doi:10.1007/s10597-024-01257-8
“Rosen et al. (2001 ) reported 86% of those receiving representative pay - eeship from a community mental health center were pleased with the ways in which their money was managed.”
Influential
- Authors
- Rosen, M. I., Desai, R., Bailey, M., Davidson, L., & Rosenheck, R.
- Affiliations
- Yale University (US)
- Venue
- Psychiatric Rehabilitation Journal
- Published
- 2001
- Volume
- 25
- Issue
- 2
- Pages
- 190-195
- ISSN
- 1095-158X (ISSN-L)
- 1559-3126
- OpenAlex
- W2315620183
- Cited by
- 25
- References
- 0
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2020: 1 · 2019: 1 · 2017: 2 · 2015: 1 · 2014: 1 · 2013: 2
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Rehabilitation Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- money management, community mental health centers, therapeutic relationship, Working Alliance Inventory, patient satisfaction, coercion, abstinence, housing, budgeting, psychiatric rehabilitation
- MeSH terms
- Adult, Community Mental Health Centers, Female, Financial Management, Humans, Male, Middle Aged, Professional-Patient Relations, Surveys and Questionnaires
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