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Anthropological perspectives on money management: considerations for the design and implementation of interventions
1Community and Family Medicine, Dartmouth Psychiatric Research Center, Lebanon, NH 03766, USA. elizabeth.a.carpenter-song@dartmouth.edu
Background:
There remains a long-standing argument regarding the need for money management strategies to control poor spending habits among people with substance use disorders.
Objective:
The objective was to review issues relevant to the design and implementation of money-management-based interventions for substance abuse.
Methods:
Using a comparative, cross-cultural framework of anthropology, this manuscript examines three challenges for the design and implementation of money management interventions for substance abuse: (i) clients may not trust mental health centers to manage their money, (ii) clients may have different economic perspectives from clinicians and researchers, and (iii) clients may obtain substances through informal networks of exchange.
Results:
This article clarifies the inherently complex symbolic and social dimensions of money and addiction and illustrates the need for researchers and clinicians to be mindful of the cultural assumptions that underlie money management interventions for substance abuse.
Conclusions And Scientific Significance:
Using an anthropological approach toward understanding the issues surrounding money management for individuals struggling with addiction and mental illness has the potential to strengthen the design and implementation of money-management-based interventions in a manner that is acceptable and meaningful for this target population.
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