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Characteristics of representative payeeship involving families of beneficiaries with psychiatric disabilities.

Publication ,  Journal Article
Elbogen, EB; Ferron, JC; Swartz, MS; Wilder, CM; Swanson, JW; Wagner, HR
Published in: Psychiatr Serv
November 2007

OBJECTIVE: Although the Social Security Administration frequently assigns family members to serve as representative payees for relatives with psychiatric disabilities, few studies have examined characteristics associated with these payee arrangements or the perceptions of the individuals involved in them. METHODS: One hundred participants (50 dyads of consumers with psychiatric disabilities and their representative payees from their family) were interviewed for data on perceived benefits and problems of the payeeship, knowledge of payee guidelines, the consumer-payee relationship, arithmetic and money management skills, and payeeship characteristics. RESULTS: Most consumers and payees believed that payeeship led to greater living stability; however, 36% of consumers and 50% of payees reported disagreement and conflict. Some consumers thought payeeship reduced their autonomy, although payees were less aware of this. Consumers and payees showed gaps in knowledge of payeeship, with only 28% correctly recognizing that payeeship did not last indefinitely. Both groups showed deficiencies in money management skills and basic arithmetic abilities; in these domains, there were no significant differences between payees and consumers. Risk of conflict was elevated when consumers had better money management skills and when payees had not completed high school. CONCLUSIONS: Although payeeship was beneficial, the data revealed potential problems in skills and knowledge about representative payeeship among consumers and payees. Efforts by policy makers and clinicians to increase collaboration between payees and consumers and to improve accurate knowledge of payeeship could help address its downsides.

Duke Scholars

Published In

Psychiatr Serv

DOI

ISSN

1075-2730

Publication Date

November 2007

Volume

58

Issue

11

Start / End Page

1433 / 1440

Location

United States

Related Subject Headings

  • Psychiatry
  • Middle Aged
  • Mental Health Services
  • Mental Disorders
  • Male
  • Interviews as Topic
  • Insurance, Health, Reimbursement
  • Humans
  • Financing, Personal
  • Female
 

Citation

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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. Psychiatr Serv, 58(11), 1433–1440. https://doi.org/10.1176/ps.2007.58.11.1433
Elbogen, Eric B., Joelle C. Ferron, Marvin S. Swartz, Christine M. Wilder, Jeffrey W. Swanson, and H Ryan Wagner. “Characteristics of representative payeeship involving families of beneficiaries with psychiatric disabilities.Psychiatr Serv 58, no. 11 (November 2007): 1433–40. https://doi.org/10.1176/ps.2007.58.11.1433.
Elbogen EB, Ferron JC, Swartz MS, Wilder CM, Swanson JW, Wagner HR. Characteristics of representative payeeship involving families of beneficiaries with psychiatric disabilities. Psychiatr Serv. 2007 Nov;58(11):1433–40.
Elbogen, Eric B., et al. “Characteristics of representative payeeship involving families of beneficiaries with psychiatric disabilities.Psychiatr Serv, vol. 58, no. 11, Nov. 2007, pp. 1433–40. Pubmed, doi:10.1176/ps.2007.58.11.1433.
Elbogen EB, Ferron JC, Swartz MS, Wilder CM, Swanson JW, Wagner HR. Characteristics of representative payeeship involving families of beneficiaries with psychiatric disabilities. Psychiatr Serv. 2007 Nov;58(11):1433–1440.
Journal cover image

Published In

Psychiatr Serv

DOI

ISSN

1075-2730

Publication Date

November 2007

Volume

58

Issue

11

Start / End Page

1433 / 1440

Location

United States

Related Subject Headings

  • Psychiatry
  • Middle Aged
  • Mental Health Services
  • Mental Disorders
  • Male
  • Interviews as Topic
  • Insurance, Health, Reimbursement
  • Humans
  • Financing, Personal
  • Female