Skip to main content
. 2024 Dec 21;66(4):498–515. doi: 10.1111/jcpp.14101

Table 1.

Summary of findings from cash transfer studies on child and adolescent mental health in the United States

Study Type of cash transfer Sample Mental health measure Results
Averett and Wang (2018) EITC

National Longitudinal Survey of Youth 1979 Child and Young Adult sample from 1993 to 1998

n = 7,328

Age: M = 7.53, SD = 3.68

BPI Null: The 1993 expansion was not associated with declines in children's emotional and behavioural health problems
Batra and Hamad (2021) EITC

National Health Interview Survey from 1998 to 2016

n = 172,281

Age: 2–17‐year‐olds

CBCL (adapted) and SDQ Null: Children whose families were interviewed shortly after receiving the refund did not have significantly lower levels of emotional and behavioural problems compared with children whose families were interviewed at other times of the year
Hamad and Rehkopf (2016) EITC

National Longitudinal Survey of Youth 1979 Child and Young Adult sample

n = 8,186

Age: 4–14‐year‐olds

BPI Positive: Relatively larger EITC payments in a given year were associated with significantly lower child emotional and behavioural problems at 2 years (but not 4 years) follow‐up

Dalve et al. (2022)

EITC

Youth Risk Behaviour Surveillance System between 2005 and 2019

n = 26–46 states

Age: 9–12th graders

Youth violence Positive: Youth violence was significantly lower in states with more generous EITC credits
Rostad et al. (2020) CTC

National Longitudinal Survey of Youth 1979 (NLSY79) and the NLSY79 Child and Young Adult Survey

n = 11,521

Age: 4–17 years

BPI Positive: Changes to the CTC in 2009 (making it partially refundable for families earning as little as $3,000) were associated with reductions in children's emotional and behavioural problems
Costello et al. (2003) Casino profits for tribal members

Great Smoky Mountain Study

n = 1,420

Age: 9, 11 or 13 years old in 1993; comparison of psychiatric symptoms from before the casino opened (1993–1996) to after (1997–2000)

CAPA Positive: Native American adolescents whose families were lifted out of poverty by the opening of the casino showed a significant decrease in mean levels of psychiatric symptoms. In contrast, mean levels of psychiatric symptoms remained high for Native American children whose families were not lifted out of poverty and low for those whose families were never in poverty
Costello et al. (2010) Casino profits for tribal members

Great Smoky Mountain Study

n = 1,420

Age: 12, 14 or 16 years old in 1996; psychiatric assessment at 19 or 21 years

CAPA and YAPA Positive: Receipt of profits was associated with a reduced risk of any psychiatric disorder (particularly, alcohol and cannabis use disorders) with the strongest effects observed amongst the youngest cohort who had the longest exposure to increased income
Akee et al. (2010) Casino profits for tribal members

Great Smoky Mountain Study

n = 1,420

Age: 9, 11 or 13 years old in 1993; crime measured from age 16 to 21 years

Crime, measured by North Carolina Administrative Office of the Courts Positive: Casino profits were associated with reduced risk of engaging in minor criminal offenses and drug dealing
Morris et al. (2017) CCT

Family Rewards;

262 program group

249 control group;

Age: M = 16.6 years, SD = 0.83)

BASC

Items measuring minor delinquency, aggression, and substance use

Null: No impact on self‐reported depression or anxiety symptoms

Positive: Adolescents in the treatment group engaged in significantly less aggressive behaviour, alcohol and marijuana use, and had fewer friends who drank alcohol or used marijuana compared with adolescents in the control group

Pilkauskas et al. (2023) UCT

7,915 cash group

5,777 control group

Modified CBCL Null: Although the $1,000 payment reduced material hardship at 1 month amongst the lowest‐income families, the payment was not associated with reductions in child problem behaviours

BASC, Behavioural Assessment System for Children; BPI, Behaviour Problems Index; CAPA, Child and Adolescent Psychiatric Assessment; CBCL, Child Behaviour Checklist; CCT, Conditional Cash Transfer; EITC, Earned Income Tax Credit; SDQ, Strengths and Difficulties Questionnaire; UCT, Unconditional Cash Transfer; YAPA, Young Adult Psychiatric Assessment.