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Planning for Beneficiaries With Mental Illness or AddictionPlanning for Beneficiaries With Mental Illness or Addiction

Practitioners must know the right questions to ask.

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Amanda Koplin, Amy Effmanand 1 more

September 15, 2020

7 Min Read
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Mental illness and addiction are vitally important topics that every estate planner should be familiar with in today’s landscape.  Unfortunately, these topics aren’t discussed nearly enough, but the fact is, one in five adults struggle with a mental health condition.

To put it another way, in a family of five, at least one person statistically will be living with a mental health condition. Estate planners need to be aware that this is a concern they need to plan for with many families, and mental illness isn’t just an outlier condition. Have you witnessed the consequences of a family without a tailored estate plan where a beneficiary with mental illness or addiction is adversely affected by family wealth?  

A Common Scenario

Many parents come into their estate planner’s office and say something like, “I want to split everything evenly between my kids. I think that’s fair.” We all know the adage: fair isn’t always equal, and equal isn’t always fair. Dividing assets equally among children can come at a high cost, including, if improperly handled (for example, without a long term trust with appropriately selected trustee and necessary restrictions), in the worst case scenario, the loss of life. This is when knowledgeable estate planners are critical. As a planner, how well prepared are you to address the challenges of families who enter into your office with complex needs? Do you know where to start and who else to bring on the team?

An Analogy

If one kid had a peanut allergy and the others didn’t, would you give all of the kids peanuts or would you take peanuts away from all the kids? The answer to both questions, of course, is no. You would customize who gets peanuts and who doesn’t based on their needs. As a loving parent, your client wants to make sure the best interests of their kids are protected.

Somehow when it comes to the estate planning of money and other meaningful assets, people seem to forget that money, just like peanuts, is a neutral agent until it has another party with which to interact. Money only fuels what already exists. If someone is impulsive, he may be impulsive with money and most likely blow through his whole inheritance at a rapid pace. If someone struggles with an addiction and is using drugs and/or alcohol, he’ll spend whatever money you give him to buy drugs or alcohol. Although parents may have the best of intentions, if their children don’t share the same intentions for the money they’ll eventually receive, the parents’ intentions and legacy could be destroyed instantaneously.

Discovery Questions

Much like the child with the peanut allergy receiving peanuts, a large, unmoderated amount of money given to an individual with mental illness or an addiction might end up destroying or killing him. Here are some discovery questions an estate planner can ask clients:

  • Does your child have the wherewithal to be able to plan for himself and use the financial endowment successfully to his own benefit?

  • Does your child demonstrate the ability to budget and use money to further his own values and success?

  • Does your child consistently make positive decisions in all areas of his life?

  • Is there anyone in your family who’s ill-prepared, or not prepared, to handle the wealth that he’s going to inherit?

  • If this were going to happen in the immediate future, and you had a family member that was going to receive a large sum of money, what would that look like?

  • How might his inheritance sum impac this mental health or their addiction recovery, if he’s in recovery?

  • If that child is active in his addiction, how could it potentially put him in harm's way?

  • If a family member of yours received an inheritance today, would you be concerned?

  • Do you have concerns about any family members?

Bear in mind, clients may sweep these concerns under the rug when speaking with professionals. Families often feel a sense of shame or a fear of judgment when revealing this type of information. Other times, families are feeling joyful and excited to discuss the positive, impactful plans and intentions they have for their beneficiaries with the wealth they accumulated during their lifetime.

As an estate planner, your responsibility is to ask the meaningful and critical questions noted above to normalize and work in a family’s best interest. When it comes to money, the high risk around the financial assets and someone in active addiction, continue to be mindful that it could potentially kill an indvidual or set him back if he receives too much money, too soon. That isn’t an exaggeration.

Case Study

A 65-year-old woman was planning a bequest of her estate. She planned to distribute about $10 million dollars to each child on her death. She was adamant she wanted to leave the money outright. Her estate planner was aware that one child struggled with bipolar disorder and a previous drug addiction. He advised the client to put the money into a trust with an institutional trustee who has the capabilities, experience and expertise to facilitate a positive outcome when the child inherited his portion of the $10 million. The mom, still unsure, was able to hear from her other son’s concern that his brother talked frequently about buying a quarter of a million dollar sports car. He worried his brother would be shot driving around in that car, reckless and unaware of the consequences of his own actions. Before making final decisions, the mom also consulted her other son’s therapist to explore the impact a significant amount of money would have on his recovery and overall mental health and wellbeing. Ultimately, she heeded the warning of her son and estate planner and planned appropriately to protect the best interest and well being of her children, her legacy and her assets.  

To often, this isn’t the outcome. The benefactor might name a family member who’s ill equipped for the abuse that will come from the child/beneficiary who has mental health or addiction issues. In planning for clients with small or large amounts of money, practitioners should be aware of the dangers of the client naming a family member as trustee. When that family member gets their 15th phone call at four in the morning, screaming, cursing, hollering and threatening to kill somebody, that family member may just give the kid all the money and be done with it. It also causes a greater riff in family relationships as power dynamics are heightened in already strained relationships.

Tailor Solution to Each Individual

Recovery looks different for everyone. Preserving autonomy in mentally stable individuals with a history of addiction or mental illness is something to be considered. It’s very easy to have an heir whose doing fine to be a co-trustee alongside an institutional trustee or an independent trustee and for the child who needs the monitoring to have an institutional trustee. If a client can’t afford a trustee for all children, or the amount of money is small (around a few hundred thousand dollars), there are other available options.

One of the techniques that can be used for bequests of small amounts of money is allowing the will to provide for a purchase, on the benefactor’s death, of an immediate annuity on death that’s non-cancelable. In effect, the individual with the mental health or addiction concern will receive a quarterly check every year for the rest of his life and can’t get more than that no matter what he does.

The reality is that the clients who are seeking to create estate plans love their children, or other heirs, and that’s why they build their wealth. It’s important for estate planners to be understanding of these different issues around addiction and mental health so that the legacy and intentions of their clients flow through to the next generation. As an estate planner, it’s crucial to understand that you alone may not have complete knowledge to meet all the needs of the family. Including a mental health professional can support a planner to anticipate and adequately prepare for the blind spots along with the common scenarios in populations impacted by mental illness and addiction.

About the Authors

Amanda Koplin

CEO, Koplin Consulting, LLC

Amanda Koplin, LPC is the CEO of Koplin Consulting, LLC a national concierge mental and behavioral health company.

Amy Effman

Licensed Psychotherapist, Wellness Resource Center

Amy Effman is a Licensed Psychotherapist, certified in Addictions, specializing in individual, couples and family therapy. With over 9 years experience as an Addictions professional and 5 years working as a Solution-Focused Systemic Therapist, both in private and public treatment centers in New York City, San Diego and South Florida, Amy works with a broad spectrum of clients. Among her areas of expertise are substance dependence, dual diagnosis (substance dependence coupled with a mental health disorder), major mental health issues (severe depression, anxiety, bipolar disorder, schizophrenia), suicidal thoughts, separation/divorce, relationship problems, LGBT, and day-to-day life stress.  In addition to being a prominent Addictions therapist, Amy Effman has also taught graduate level courses at Barry University’s School of Social Work, and developed and taught courses for the CAP (Certified Addictions Professional) certification and BHT (Behavioral Health Technician) certification programs at Palm Healthcare. She was a presenter for the Happy Herald newspaper and developed both family support workshops and an intensive outpatient program for a holistic treatment center. Most recently, Amy Effman became post graduate faculty for Life University, teaching medical professionals about drug court and interventions. 

Prior to Ms. Effman’s work as a Licensed Marriage and Family Therapist, she worked alongside the misdemeanor drug court in Broward County, as a Judicial Evaluator, Therapist and Drug Court Supervisor through The Starting Place. She currently serves felony drug court participants and provides assessments for DUI programs. Amy Effman was also trained as a Guardian Ad Litem in 1999 when she advocated for abused and neglected children who could not advocate for themselves in Alachua County, Florida. It was this experience which led her into the helping industry and she later received training in Crisis Intervention and Suicide Prevention in 2000 before spending 3 years as a Career Development Advisor and Career Counselor for a post-secondary college in San Diego, California.

Martin M. Shenkman

www.shenkmanlaw.com

www.laweasy.com

Martin M. Shenkman, CPA, MBA, PFS, AEP (distinguished), JD, is an attorney in private practice in Fort Lee, New Jersey and New York City. His practice concentrates on estate and tax planning, planning for closely held businesses, estate administration.  


A widely quoted expert on tax matters, Mr. Shenkman is a regular source for numerous financial and business publications, including The Wall Street Journal, Fortune, Money, The New York Times, and others. He has appeared as a tax expert on numerous public and cable television shows including The Today Show, CNN, NBC Evening News, CNBC, MSNBC, CNN-FN, and others. He is a frequent guest on radio talk shows throughout the country and has a regular weekly radio show on Money Matters Financial Network.

Mr. Shenkman is a prolific author, having published 42 books and more than 1,000 articles.

Mr. Shenkman is an editorial board member of CCH (Wolter’s Kluwer) Co-Chair of Professional Advisory Board, CPA Journal, and the Matrimonial Strategist. He has previously served on the editorial board of many other tax, estate and real estate publications.

Mr. Shenkman has received numerous awards, including: The 1994 Probate and Property Excellence in Writing Award; The Alfred C. Clapp Award presented in 2007 by the New Jersey Bar Association and the Institute for Continuing Legal Education for excellence in continuing legal education; Worth Magazine’s Top 100 Attorneys (2008); CPA Magazine Top 50 IRS Tax Practitioners (April/May 2008); The “Editors Choice Award” in 2008 from Practical Estate Planning Magazine for his article “Estate Planning for Clients with Parkinson’s;”  The 2008 “The Best Articles Published by the ABA” award for his article “Integrating Religious Considerations into Estate and Real Estate Planning;” New Jersey Super Lawyers, (2010-16); 2012 recipient of the AICPA Sidney Kess Award for Excellence in Continuing Education for CPAs; 2013 Accredited Estate Planners (Distinguished) award from the National Association of Estate Planning Counsels; Financial Planning Magazine 2012 Pro-Bono Financial Planner of the Year for efforts on behalf of those living with chronic illness and disability;

Mr. Shenkman's book, Estate Planning for People with a Chronic Condition or Disability, was nominated for the 2009 Foreword Magazine Book of the Year Award. He was named the lead of Investment Adviser Magazine's “all-star lineup of tax experts” on its April 2013 cover. On June 2015, he delivered the Hess Memorial Lecture for the New York City Bar Association.

Mr. Shenkman is active in many charitable and community causes and organizations. He founded ChronicIllnessPlanning.org which educates professional advisers on planning for clients with chronic illness and disability and which has been the subject of more than a score of articles. He has written books for the Michael J. Fox Foundation for Parkinson’s Research, the National Multiple Sclerosis Society and the COPD Foundation. He has also presented more than 60 lectures around the country on this topic for professional organizations, charities and others. More than 50 of the articles he has published have addressed planning for those facing the challenges of chronic illness and disability. Additionally, he is a member of the American Brain Foundation Board, Strategic Planning Committee, and Investment Committee.

Mr. Shenkman received his Bachelor of Science degree from Wharton School, with a concentration in accounting and economics. He received a Masters degree in Business Administration from the University of Michigan, with a concentration in tax and finance. He received his law degree from Fordham University School of Law, and is admitted to the bar in New York, New Jersey and Washington, D.C. He is a Certified Public Accountant in New Jersey, Michigan and New York. He is a registered Investment Adviser in New York and New Jersey.