Homelessness Prevention: Psychiatric Care With Representative Payeeship

US Department of Veterans Affairs (VA)

Status: Completed

Conditions: Mental Illness

Treatments: Behavioral: Coordinated Representative Payeeship with Case Management

Study type: Interventional

Funder types: Other U.S. Federal agency

Identifiers

NCT00057161

IIR 98-154

Details and patient eligibility

About

Money management is a neglected issue in maintaining persons with mental illness in the community. This randomized controlled trial (RCT) assessed whether a community-based representative payee program, i.e., money management of Social Security and/or VA benefits, coordinated with VA psychiatric care (CO-RP) could be more effective than customary treatment for veterans who had no representative payee.

Full description

Background:

Money management is a neglected issue in maintaining persons with mental illness in the community. This randomized controlled trial (RCT) assessed whether a community-based representative payee program, i.e., money management of Social Security and/or VA benefits, coordinated with VA psychiatric care (CO-RP) could be more effective than customary treatment for veterans who had no representative payee.

Objectives:

After 184 subjects were randomly assigned to CO-RP experimental group or customary care control group, hypotheses were that the CO-RP group would experience: 1) more frequent enrollment in the representative payee program, 2) improved residential status, 3) improved health-related quality of life, including less mental illness symptomatology, 4) less substance abuse, 5) improved money management.

Methods:

Six-month interviews were completed on 152 of 184 possible subjects (83%) and 12-month interviews were completed on 149 of 184 possible subjects (81%). The six and twelve-month outcomes were analyzed with analysis of covariance using data from the baseline pretest.

Status:

Completed.

Enrollment: 240 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

Severe mental illness; Inability to manage money; VA patient

Exclusion Criteria:

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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240 participants in 1 patient group

Arm 1

Other group

Treatment:

Behavioral: Coordinated Representative Payeeship with Case Management