Mental Health Therapy as a Core Strategy for Increasing Human Capital: Evidence from Ghana

Working Paper: NBER ID: w29407

Authors: Nathan Barker; Gharad T. Bryan; Dean Karlan; Angela Oforiatta; Christopher R. Udry

Abstract: We study the impact of cognitive behavioral therapy (CBT) for individuals selected from the general population of poor households in rural Ghana. Results from 2-3 months after a randomized intervention show strong impacts on mental and physical health, cognitive and socioemotional skills, and downstream economic outcomes. We find no evidence of heterogeneity by baseline mental distress; we argue that this is because CBT can improve human capital for a general population of poor individuals through two pathways. First, CBT reduces vulnerability to deteriorating mental health; and second, CBT directly improves bandwidth, increasing cognitive and socioemotional skills and hence economic outcomes.

Keywords: Mental Health; Cognitive Behavioral Therapy; Human Capital; Economic Outcomes; Developing Countries

JEL Codes: H0; H00; I0; I00; I3; J0; J01; J10; J21; J24; O0; O1; O10


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
cognitive skills (G53)economic outcomes (F61)
socioemotional skills (Z13)economic outcomes (F61)
cognitive behavioral therapy (CBT) (D91)mental health (I12)
cognitive behavioral therapy (CBT) (D91)cognitive skills (G53)
cognitive behavioral therapy (CBT) (D91)socioemotional skills (Z13)
cognitive behavioral therapy (CBT) (D91)economic outcomes (F61)
cognitive behavioral therapy (CBT) (D91)vulnerability to mental health deterioration (I14)

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