School of Social Work, University of Pittsburgh, Pittsburgh, USA.
School of Social Work, University of Washington, Seattle, USA.
Community Ment Health J. 2024 Jul;60(5):1017-1024. doi: 10.1007/s10597-024-01257-8. Epub 2024 Mar 13.
This study aimed to examine self-report of financial leverage, conflict, and satisfaction pertaining to representative payeeship for persons with mental illness, which research has not examined in the past decade. Sixty representative payee recipients with mental illness residing across the U.S. completed an online survey, with most (n = 50) receiving representative payeeship by family members/friends. Wilcoxon-Mann-Whitney tests and Spearman correlations were computed. One-third of participants reported experiencing financial leverage and conflict "sometimes" or more often and were dissatisfied with their representative payee arrangement. With the exception of use of alcohol and/or drugs, no participant characteristic was associated with financial leverage, conflict, or satisfaction. Financial leverage was reported to be greater when representative payees were family members/friends. Financial leverage and conflict were positively associated with each other and negatively associated with satisfaction. It is advisable that satisfaction with representative payeeship be increased and conflict resulting from representative payeeship be minimized.
本研究旨在探讨精神疾病患者的代表受领人自我报告的财务杠杆、冲突和满意度，这是过去十年中研究尚未涉及的领域。全美各地的 60 名有精神疾病的代表受领人完成了一项在线调查，其中大多数（n=50）由家庭成员/朋友担任代表受领人。我们计算了 Wilcoxon-Mann-Whitney 检验和 Spearman 相关系数。三分之一的参与者报告说，他们有时或更频繁地经历财务杠杆和冲突，并且对他们的代表受领人安排感到不满。除了使用酒精和/或药物外，没有参与者特征与财务杠杆、冲突或满意度相关。代表受领人为家庭成员/朋友时，报告的财务杠杆更大。财务杠杆和冲突呈正相关，与满意度呈负相关。建议增加代表受领人的满意度，并尽量减少代表受领人产生的冲突。
