title: Impacts of Family Rewards on Adolescents' Mental Health and Problem Behavior: Understanding the Full Range of Effects of a Conditional Cash Transfer Program.
abstract: This paper examines the effects of Opportunity New York City-Family Rewards, the first holistic conditional cash transfer (CCT) program evaluated in the USA, on adolescents' mental health and problem behavior (key outcomes outside of the direct targets of the program) as well as on key potential mechanisms of these effects. The Family Rewards program, launched by the Center for Economic Opportunity in the Mayor's Office of the City of New York in 2007 and co-designed and evaluated by MDRC, offered cash assistance to low-income families to reduce economic hardship. The cash rewards were offered to families in three key areas: children's education, family preventive health care, and parents' employment. Results that rely on the random assignment design of the study find that Family Rewards resulted in statistically significant reductions in adolescent aggression and rates of substance use by program group adolescents as well as their friends, relative to adolescents in the control condition, but no statistically significant impacts on adolescent mental health. One possible mechanism for the benefits to adolescent behavior appears to be time spent with peers, as fewer adolescents in the program group spent time with friends and more adolescents in the program group spent time with family. Findings are discussed with regard to their implication for conditional cash transfer programs as well as for interventions targeting high-risk youth.
authors.affiliation: Department of Applied Psychology, NYU Steinhardt, 82 Washington Square East, New York, NY, 10003, USA. Pamela.Morris@nyu.edu.
authors.forename: Pamela A
authors.initials: PA
authors.lastname: Morris
authors.affiliation: Department of Applied Psychology, NYU Steinhardt, 82 Washington Square East, New York, NY, 10003, USA.
authors.forename: J Lawrence
authors.initials: JL
authors.lastname: Aber
authors.affiliation: Graduate School of Education, University of Pennsylvania, 3700 Walnut St, Philadelphia, PA, 19104, USA.
authors.forename: Sharon
authors.initials: S
authors.lastname: Wolf
authors.affiliation: American Institutes for Research, 1000 Thomas Jefferson Street, NW, Washington, DC, 20007, USA.
authors.forename: Juliette
authors.initials: J
authors.lastname: Berg
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis; D009519:New York City; D016487:Parenting; D011203:Poverty; D000066553:Problem Behavior; D012052:Reimbursement, Incentive / Q000191:economics*; D012201:Reward; D011795:Surveys and Questionnaires
keywords: Adolescence; Conditional cash transfers; Peers; Substance use