title: Anthropological perspectives on money management: considerations for the design and implementation of interventions for substance abuse.
abstract: 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
  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.
authors.affiliation: Community and Family Medicine, Dartmouth Psychiatric Research Center, Lebanon, NH 03766, USA. elizabeth.a.carpenter-song@dartmouth.edu
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Carpenter-Song
mesh_terms: D003431:Cross-Cultural Comparison; D003469:Culture; D006801:Humans; D012107:Research Design; D019966:Substance-Related Disorders / Q000191:economics* / Q000523:psychology