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Related Experiment Videos

Payeeship, financial leverage, and the client-provider relationship.

Beth Angell1, Noriko I Martinez, Colleen A Mahoney

  • 1School of Social Service Administration, University of Chicago, 969 E. 60th St., Chicago, IL 60637, USA. angell@uchicago.edu

Psychiatric Services (Washington, D.C.)
|February 28, 2007
PubMed
Summary

Clinician payeeship may improve patient outcomes but can increase conflict in the client-provider relationship, especially when financial leverage is perceived. Careful consideration of this mechanism is advised.

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Area of Science:

  • Mental Health Services Research
  • Clinical Psychology
  • Health Economics

Background:

  • Representative payeeship in clinical settings is thought to offer therapeutic advantages.
  • Concerns exist regarding potential negative impacts on the client-provider relationship.

Purpose of the Study:

  • To investigate the effects of payeeship and perceived financial leverage on the client-provider relationship.
  • To explore both positive and negative dimensions of this relationship.

Main Methods:

  • A sample of 205 adults (18-65) with Axis I disorders receiving mental health services was interviewed.
  • Data collected included money management characteristics and client-provider relationship ratings.

Main Results:

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  • 53% had a payee, with 79% of those having a clinician payee.
  • Clinician payeeship correlated with perceived financial leverage and increased case management conflict.
  • Financial leverage mediated the relationship between payeeship and conflict, indicating payeeship can increase conflict when used for treatment leverage.

Conclusions:

  • While payeeship offers support and may improve functional outcomes, its use for treatment adherence requires careful consideration.
  • Potential disruption to the client-provider relationship must be weighed against benefits.