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Titre du document / Document title

Patients with schizophrenia and their finances : how they spend their money

Auteur(s) / Author(s)

BORRAS Laurence (1) ; MOHR Sylvia (1) ; BOUCHERIE Maria (1) ; DUPONT-WILLEMIN Sophie (1) ; FERRERO Francois (1) ; HUGUELET Philippe (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Division of adult psychiatry, Dept. of Psychiatry University Hospital of Geneva 36, rue du 31 Décembre, 1207 Geneva, SUISSE

Résumé / Abstract

Introduction Although most patients with schizophrenia rely on state financial support, little is known about their expenses and how they use the money at their discretion. However, the ability to budget is a predictive factor in rehabilitation. An assessment of financial management skills could make it possible to develop more appropriate psycho-social assistance. Method Fifty-seven outpatients with schizophrenia treated in the public sector in Geneva, Switzerland took part in the study. Psychosocial, diagnostic, neurocognitive and symptomatological measures were collected. Data were gathered on patients' incomes and quality of life. A prospective analysis of their expenses during a 1-month period was also performed. Results Median income was 4,125 Swiss francs per month (i.e., 3,372 US dollars). After paying fixed expenses (which were handled with or without the assistance of a representative payee), a mean of 400 Swiss francs remained at their disposal to use as they wished. Seventy-two percent of this money was devoted to the use of psychoactive substances (e.g., cigarettes, alcohol, cannabis) or various drinks in coffee houses, and 28% on leisure activities (trips, sports and other recreational activities). Eighty-four percent of patients would have liked to have more money for leisure activities. The study was well-accepted and led to modification of the treatment plan in 84% of cases. Conclusion Most of the discretionary money patients received was used for buying substances with addictive properties; this may hinder the practice of activities favouring recovery. Thus, it appears essential to guide patients in the management of their budgets.

Revue / Journal Title

Social psychiatry and psychiatric epidemiology    ISSN  0933-7954   CODEN SPPEEM 

Source / Source

2007, vol. 42, no12, pp. 977-983 [7 page(s) (article)] (30 ref.)

Langue / Language

Anglais

Editeur / Publisher

Springer, Heidelberg, ALLEMAGNE  (1988) (Revue)

Mots-clés anglais / English Keywords

Psychosis

;

Europe

;

Human

;

Switzerland

;

Social environment

;

Mental health

;

Public health

;

Follow up study

;

Financial assistance

;

Financial management

;

Social help

;

Recommendation

;

Expenditure

;

Disability

;

Money behavior

;

Schizophrenia

;

Mots-clés français / French Keywords

Psychose

;

Europe

;

Homme

;

Suisse

;

Environnement social

;

Santé mentale

;

Santé publique

;

Etude longitudinale

;

Aide financière

;

Gestion financière

;

Aide sociale

;

Recommandation

;

Dépense

;

Incapacité

;

Comportement monétaire

;

Schizophrénie

;

Mots-clés espagnols / Spanish Keywords

Psicosis

;

Europa

;

Hombre

;

Suiza

;

Contexto social

;

Salud mental

;

Salud pública

;

Estudio longitudinal

;

Ayuda financiera

;

Administración financiera

;

Ayuda social

;

Recomendación

;

Gasto

;

Incapacidad

;

Comportamiento monetario

;

Esquizofrenia

;

Mots-clés d'auteur / Author Keywords

schizophrenia

;

expenses

;

payee

;

disability

;

social security

;

Localisation / Location

INIST-CNRS, Cote INIST : 13204, 35400017432866.0050

Nº notice refdoc (ud4) : 19900894



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