Rosen Marc I, Ablondi Karen, Black Anne C, Serowik Kristin L, Rowe Michael
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA,
Community Ment Health J. 2014 Apr;50(3):270-4. doi: 10.1007/s10597-013-9629-z. Epub 2013 Jun 14.
How clients come to be assigned representative payees and/or conservators to manage their funds is not well understood. We compared clients assigned a payee during a clinical trial of a money management-based intervention to those not assigned payees and examined antecedents to payee assignment. One year after randomization, significantly more clients assigned to the advisor teller money manager (ATM) money management intervention were assigned payees than participants in the control condition (10 of 47 vs. 2 of 43; p = .02); those assigned payees had lower baseline GAF scores and participated more in study therapies. Several ATM clients were assigned payees after third parties paid more attention to clients' finances, and others after having negotiated storage of their funds with the ATM money manager during the study. Assignment of payees appears to be influenced by whether third parties critically attend to how clients' manage funds and by clients' receptiveness to having a payee.
客户如何被指定代表收款人及/或监护人来管理他们的资金，目前还不太清楚。我们将在一项基于资金管理的干预临床试验中被指定收款人的客户与未被指定收款人的客户进行了比较，并研究了指定收款人之前的情况。随机分组一年后，被分配到顾问出纳资金管理（ATM）资金管理干预组的客户被指定为收款人的人数明显多于对照组的参与者（47人中有10人，43人中有2人；p = 0.02）；被指定为收款人的客户基线总体功能评定量表（GAF）得分较低，且更多地参与了研究治疗。在第三方更多地关注客户财务状况后，有几位ATM客户被指定为收款人，还有一些客户是在研究期间与ATM资金经理协商资金存储后被指定为收款人的。收款人指定似乎受到第三方是否严格关注客户资金管理方式以及客户对指定收款人的接受程度的影响。
