Escaping Poverty: Cognitive Behavioral Therapy and Social Protection

在中低收入国家，精神障碍占疾病的13%，并且经常与贫困同时出现。拟议的研究项目（摆脱贫困项目）将通过7 330个家庭的多臂实地实验方法，研究心理健康与提高赤贫者经济生产力的努力之间的联系。它还试图研究通过扶贫资产转让和培训方案摆脱贫困的障碍。 EP从两个角度研究了精神障碍与贫困之间的联系。首先，它调查了心理健康的改善和家庭利用新机会的能力之间的相互作用;其次，它衡量了持续辅导对资产补助金回报的影响。这一研究项目的结果有可能影响针对赤贫者的社会保障政策。 这项研究的结果将提供指导的重要性，心理健康的成功，一个严格的“经济”干预。调查结果将为美国减少其公民和世界各地贫困的努力提供重要投入。 结果还将有助于提高美国援助政策的有效性。 EP项目的终点线调查将通过这笔赠款资助，衡量消费，收入，财富，抑郁，并报告心理健康后24个月的资产转移和培训。该研究的主要分支如下：为期12周的认知行为治疗（CBT）计划;相同的CBT计划，然后是多方面的扶贫资产转移和培训计划;没有CBT的多方面计划;一次性现金转移相当于多方面治疗臂中的资产和培训成本;和对照组。分析将重点关注每个治疗组的平均影响，以及对特定亚组的异质性影响，例如既存抑郁症患者和关键结局分布的分位数。除了对从业人员的好处外，这项研究还将提供有关投资心理障碍的知识，这些障碍可能使贫困陷阱永久化。 该研究项目的成果也将为美国在世界各地的援助政策提供重要的投入。该奖项反映了NSF的法定使命，并通过使用基金会的知识价值和更广泛的影响审查标准进行评估，被认为值得支持。

Mental disorders account for 13% of diseases in middle and low-income countries and often appear together with poverty. The proposed research project (Escaping Poverty Project (EP)) will study the link between mental health and efforts to improve economic productivity for those in extreme poverty through a 7,330 household multi-arm field experimental methods. It also seeks to study the barriers to escaping poverty through and anti-poverty asset transfer and training program. EP examines the link between mental disorders and poverty from two perspectives. First, it investigates the interaction between improvements in mental health and the ability of households to take advantage of new opportunities; and second, it measures the effect of sustained coaching on the return to the asset grant. The results of this research project have the potential to influence social protection policies for those in extreme poverty. The results of this study will offer guidance on the importance of mental health for the success of a strictly "economic" intervention. The results will provide important inputs into the US's efforts to reduce poverty of its citizens and around the world. The results will also help improve the effectiveness of US's aid policies. The EP Project's end-line survey funded through this grant will measure consumption, income, wealth, depression, and reported mental wellbeing 24 months after asset transfer and training. The main arms in the study are as follows: a 12-week cognitive behavioral therapy (CBT) program; the same CBT program followed by a multi-faceted anti-poverty asset transfer and training program; the multi-faceted program without CBT; a one-time cash transfer equivalent to the cost of the asset and training in the multi-faceted treatment arms; and a control group. Analysis will focus on average impacts of each treatment arm, as well as focus on heterogeneous impacts on specific subgroups such as those with preexisting depression and quantiles in the distribution of key outcomes. In addition to the benefits to practitioners, the study will offer knowledge about psychological barriers to investment that could perpetuate poverty traps. The results of this research project will also provide important inputs into US's aid policies around the world.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.