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MIRECC/CoE VA Advanced Fellowship in Mental Illness Research and Treatment

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Detail for
Advisor-Teller Money Manager (ATM)

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Product Information:

Name: Advisor-Teller Money Manager (ATM)
Description: Many individuals with mental illnesses and/or addictive disorders misuse their funds, leaving them without money for food, shelter, clothing, or healthcare. Mere assignment of a fiduciary, representative payee, or conservator is often ineffective and does not empower clients. Advisor-Teller Money Manager (ATM) involves having a money manager assist in budgeting an individualís income by having the client go to the money manager to access his/her funds. ATM has three parts: Teller Function: The money manager helps a client manage money in his/her own best interests. The client arranges for deposit of his/her income into an account that allows the money manager to monitor the account. The client makes a budget with the money manager. Clients will be strongly encouraged to arrange for checks to be written directly to creditors for housing, food, electricity, and as many other expenses as possible. Training Function: The money manager helps the client learn to budget his/her own funds. Clients will meet with the money manager at least monthly to plan a budget. They will collaboratively arrange for the dispensing of checks to pay for expenditures as well as checks to the client to spend as he/she pleases. Dispensing will involve planning for how the money will be spent so that it is not misspent. Treatment-Linked Spending: The money manager and client develop agreements whereby the client is rewarded for constructive activity and abstinence. ATM involves making voluntary treatment contracts with clients in which disbursement of discretionary funds is linked to completion of treatment goals. Clients do not have to follow their money managerís recommendations about how to manage their money if they do not want to do so. Clients do not have to adhere to the conditions of the treatment contract and can ask for their money out of the account whether or not they have agreed to the contract. The following ATM information may be downloaded directly from the VISN 1 MIRECC web pages: ATM Therapist Manual: The manual provides an overview of the ATM therapy model and includes strategies for engaging clients in ATM as well as descriptions of how to conduct the ATM therapy sessions. ATM Training Materials: The manual contains interactive exercises to make learning ATM interesting. It also contains nuts-and-bolts information about how to deliver ATM. Additional ATM materials can be found on http://www.behaviorchange.yale.edu: Managing Program Accounts: The template can be downloaded and used to start a program to store client funds. ATM Film: In this 15-minute film, Drs. Marc Rosen and Robert Rosenheck speak about how ATM was developed, therapists describe how to conduct ATM, and one individual describes her experience in ATM. Assessment Instruments: The website has links to instruments to assess money mismanagement such as Structured Clinical Interview for Money Mismanagement (S.C.I.M.M.) and Client-Rated Assessment. The S.C.I.M.M. is a semi-structured clinical interview designed to rate the extent of a client's mismanagement of funds and can also be scored to rate whether he/she is incapable of managing funds. It involves an assessment of the last year's expenditures, living situations and costs, and any periods when there was not enough money for housing. The Client-Rated Assessment consists of items that address substance use, ability to meet basic needs, and spending habits.
VISN 1: New England MIRECC

Contact to order product: Marc Rosen, M.D.
Phone:
E-mail: Marc.Rosen@va.gov
Product URL: http://www.mirecc.va.gov/visn1/education/money.asp

Product Formats:

NOTE: If you want the product and it is DVD or CD then please e-mail or call the contact above to arrange delivery by US mail.

  • Manual

Language Availability:

  • English

Target Audience:

  • MH Clinicians
  • Rehab Specialist

Link to Uniform MH Services/Keywords:

  • Seriously Mentally Ill
  • Substance Use Disorders
  • Rehabilitation and Recovery

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