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  • Objectives: This study evaluated financial challenges, satisfaction with financial-management supports, and interest in additional or alternative supports among clients of a mental health center. Methods: Six focus groups were held with 39 clients of an urban community mental health center who reported having difficulty with their finances. Five focus groups were held with direct-care staff who provided services to the clients. Investigators used an inductive analytical approach to distill themes from notes taken during the focus groups. Results: Clients emphasized the challenges of living in poverty and described using complex strategies to sustain themselves, including negotiating benefits systems, carefully planning purchases, and developing and relying on social relationships. They spoke of having uneven access to tools and services for managing their money, such as advice from direct-care staff, representative payees, and bank accounts, and had varying opinions about their value. Noting concerns similar to those of clients, direct-care staff expressed frustration at the lack of support services for helping clients manage their finances. Both clients and staff expressed the need for more services to help clients with their finances. Conclusions: Findings suggest a need for more services to support people with mental illness to manage their finances, particularly a more flexible and broader range of options than are provided by current representative-payee mechanisms.

  • IntroductionIncarceration in the United States disproportionately affects individuals with mental illness and substance use disorders and often exacerbates mental health conditions due to the trauma of arrest, separation, disrupted care, and stigma. Forensic Peer Support (FPS) can improve recovery outcomes by building unique trust and rapport that supports community reintegration and recovery outcomes.MethodThis paper describes findings from a qualitative study of 22 participants who are a sub-sample of the larger Recovery Finance study, a multi-level community based participatory research study designed to reduce financial hardships of individuals involved in criminal justice with mental health challenges through system level interventions as well as an individual intervention (randomized control trial testing one-on-one financial capability support (FCS) versus FCS plus forensic peer support). The focus of this paper is the mental health and peer support experiences of the qualitative sub-sample.ResultsThematic analysis of in-depth qualitative interviews revealed the following themes: 1. The Impact of Incarceration, Trauma, and Mental Health, 2. Systemic Failings in Mental Health Care in Prison and Post-Release, 3. The Cycle of Financial Strain and Mental Health, and 4. The Unique Value of Shared Lived Experience through Peer Support. Results highlight the trauma and psychological impact of incarceration, systemic failures in treatment, financial stress as a dominant source of anxiety, often perpetuating cycles of poverty and criminal activity, and the critical role of supportive relationships, in particular FPS.DiscussionThese findings point to the need for integrated models in which forensic peer support is embedded within financial wellness and reentry services.

Last update from database: 7/31/26, 4:15 PM (UTC)

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