Skip to main content
Log in

Abstract

Representative Payeeship (RP) is intended to help individuals who are unable to manage disability payments appropriately to meet their basic living needs. This paper reviews the literature on whether RP is effective among individuals with mental disorders. We also review RP's mental health effects and its use as leverage in achieving behavioral goals. RP appears to be effective in helping clients meet their basic living needs; it also may decrease hospitalization and improve treatment compliance. Finally, we propose a research design to disentangle the role of clinical leverage from the more basic money-management function of RP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  • Ayuso-Gutierez, J.L., & del Rio Vega, J.M. (1997). Factors influencing relapse in the long-term course of schizophrenia. Schizophrenia Research 29, 199-206.

    Google Scholar 

  • Beauchamp, T.L., & Childress, J.F. (2001). Principles of biomedical ethics. New York: Oxford University Press.

    Google Scholar 

  • Brotman, A.W., & Muller, J.W. (1990). The therapist as representative payee. Hospital and Community Psychiatry, 41, 167-171.

    Google Scholar 

  • Cogswell, S.H. (1996). Entitlements, payees, and coercion. In D.L. Dennis & J. Monahan (Eds.), Coercion and aggressive community treatment: A new frontier in mental health law (pp. 115-125). New York: Plenum Press.

    Google Scholar 

  • Conrad, K.J., Matters, M.D., Hanrahan, P., Luchins, D.J., Daugherty, B., & Yohanna, D. (2001). Representative payee for individuals with severe mental illness at community counseling centers of Chicago: Final report to the Substance Abuse and Mental Health Services Administration. This report was submitted to the SAMHSA, but it was not published.

  • Conrad, K. J., Matters, M.D., Hanrahan, P., Luchins, D.J., Savage, C., Daugherty, B., & Shinderman, M. (1999). Representative payee for individuals with severe mental illness at community counseling centers of Chicago. In K.J. Conrad, M.D. Matters, P. Hanrahan, & D.J. Luchins (Eds.), Homelessness prevention in treatment of substance abuse and mental illness: Logic models and implementation of eight American projects. Alcoholism Treatment Quarterly, 17(1/2) (pp.169-186). New York: The Hawthorn Press.

    Google Scholar 

  • Cook, T.D. & Campbell, D.T. (1979). Quasi-experimentation: Design & analysis issues for field settings. Boston, MA: Houghton Mifflin.

    Google Scholar 

  • 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.

    Google Scholar 

  • Drake, R.E., Goldman, H.H., Leff, H.S., Lehman, A.F., Dixon, L., Mueser, K.T., & Torrey, W.C. (2001). Implementing evidence-based practices in routine mental health service settings. Psychiatric Services, 52, 179-182.

    Google Scholar 

  • Drake, R.E., Wallach, M.A., & Hoffman, J.S. (1989). Housing instability and homelessness among aftercare patients of an urban state hospital. Hospital and Community Psychiatry, 40, 46-51.

    Google Scholar 

  • Gilbert, J.P., Light, J., & Mosteller, F. (1975). Assessing social innovations: An empirical base for policy. In A. Lumsdaine & C. Bennett (Eds.), Evaluation and experiment. New York: Academic Press.

    Google Scholar 

  • Hanrahan, P., Luchins, D.J., Savage, C., Patrick, G., Roberts, D., & Conrad, K.J. (2002). Representative payee programs for mentally ill persons in Illinois: Census survey. Psychiatric Services, 53, 190-194.

    Google Scholar 

  • Harris, V.L., & Koepsell, T.D. (1998). Rearrest among mentally ill offenders. Journal of the American Academy of Psychiatry Law 26, 393-402.

    Google Scholar 

  • Haywood, T.W., Kravitz, H.M., Grossman, L.S., Cavanaugh, J.L., Davis, J.M., & Lewis, D.A. (1995). Predicting the 'revolving door' phenomenon among patients with schizophrenic, schizoaffective, and affective disorders. American Journal of Psychiatry 152, 856-861.

    Google Scholar 

  • Kazdin, A.E. (1981). Drawing valid inferences from case studies. Journal of Consulting & Clinical Psychology, 49,183-192.

    Google Scholar 

  • Luchins, D.J., Hanrahan, P., Conrad, K.J., Savage, C., Matters, M.D., & Shinderman, M. (1998). An agency-based representative payee program and improved community tenure of persons with mental illness. Psychiatric Services, 49, 1218-1222.

    Google Scholar 

  • Luchins, D.J., Roberts, D.L., & Hanrahan, P. (2001). Provision of protective payee status: A guideline developed for the behavioral health recovery management project. www.bhrm.org/guidelines/ Rpguide.pdf. Peoria, IL: Fayette Companies and Chestnut Health Systems.

  • Monahan, J., Bonnie, R.J., Appelbaum, P.S., Hyde, P.S., Steadman, H.J., & Swartz, M.S. (2001). Mandated community treatment: Beyond outpatient commitment. Psychiatric Services, 52, 1198-1205.

    Google Scholar 

  • Mueser, K.T., Bond, G.R., Drake, R.E., & Resnick, S.G. (1998). Models of community care for severe mental illness: A review of research on case management. Schizophrenia Bulletin, 24, 37-74.

    Google Scholar 

  • Owen, R.R., Fischer, E.P., Booth, B.M., & Cuffel, B.J. (1996). Medication noncompliance and substance abuse among patients with schizophrenia. Psychiatric Services, 47, 1251-1253.

    Google Scholar 

  • Reid, W.J. (1992). Task strategies: An empirical approach to social work practice. New York: Columbia University Press.

    Google Scholar 

  • Reid, W.J., & Hanrahan, P. (1982). Recent evaluations of social work: Grounds for optimism. Social Work, 27(4), 328-340.

    Google Scholar 

  • Ries, R.K., & Comtois, A. (1997). Illness severity and treatment services for dually diagnosed severely mentally ill outpatients. Schizophrenia Bulletin, 23, 239-246.

    Google Scholar 

  • Ries, R.K., & Dyck, D.J. (1997). Representative payee practices of community mental health centers in Washington State. Psychiatric Services, 48, 811-814.

    Google Scholar 

  • Rosenheck, R. (1997). Disability payments and chemical dependence: Conflicting values and uncertain effects. Psychiatric Services 48, 789-791.

    Google Scholar 

  • Rosenheck, R., Lam, J., & Randolph, F. (1997). Impact of representative payees on substance use by homeless persons with serious mental illness. Psychiatric Services 48, 800-806.

    Google Scholar 

  • Social Security Administration. (1996). Final report of the representative payment advisory committee. Section 205(j)(1). Washington, DC: Social Security Administration.

    Google Scholar 

  • Steadman, H.J., Mulvey, E.P., Monahan, J., Robbins, P.C., Appelbaum, P.S., Grisso, T., Roth, L.H., & Silver, E. (1998). Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Archives of General Psychiatry, 55, 393-401.

    Google Scholar 

  • Stoner, M.R. (1989). Money management services for the homeless mentally ill. Hospital and Community Psychiatry, 40, 751-753.

    Google Scholar 

  • Susser, E.S., Lin, S.P., & Conover, S. (1991). Risk factors for homelessness among patients admitted to a state mental hospital. American Journal of Psychiatry, 148, 1659-1664.

    Google Scholar 

  • Susser, E., Moore, L., & Link, B. (1993). Risk factors for homelessness. Epidemiological Review, 15, 546-556.

    Google Scholar 

  • Swartz, M.S., Swanson, J.W., Hiday, V.A., Borum, R., Wagner, H.R., & Burns, B.J. (1998). Violence and severe mental illness: The effects of substance abuse and nonadherence to medication. American Journal of Psychiatry, 155, 226-231.

    Google Scholar 

  • Tsemberis, S., & Asmussen, S. (1999). From streets to homes: The pathways to housing consumer preference supported housing model. In K.J. Conrad, M.D. Matters, P. Hanrahan, & D.J. Luchins (Eds.), Homelessness prevention in treatment of substance abuse and mental illness: Logic models and implementation of eight American projects. Alcoholism Treatment Quarterly 17(1/2) (pp. 113-131). New York: The Hawthorn Press.

    Google Scholar 

  • Tsemberis, S., & Eisenberg, R.F. (2000). Pathways to housing: Supported housing for street-dwelling homeless individuals with psychiatric disabilities. Psychiatric Services, 51, 487-493.

    Google Scholar 

  • Tsemberis, S., Shinn, B., Moran, L., & Asmussen, S. (2000). Pathways to housing: A consumer preference supported housing model. Paper presented at the Steering Committee meeting of the Substance Abuse and Mental Health Services Administration Collaborative Program to Prevent Homelessness, in Washington, DC.

  • U.S. Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Luchins, D.J., Roberts, D.L. & Hanrahan, P. Representative Payeeship and Mental Illness: A Review. Adm Policy Ment Health 30, 341–353 (2003). https://doi.org/10.1023/A:1024089317630

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1024089317630

Navigation