Policy Wonk

Therapy and cash for high-risk young men: Liberia

Headline result
49%
fewer self-reported crimes 10 years on, therapy plus cash vs comparison group
RCT
Implemented by
Network for Empowerment and Progressive Initiatives (NEPI), evaluated by Blattman, Chaskel, Jamison and Sheridan
Type
NGO / nonprofit
Where
Liberia
Region
Sub-Saharan Africa
When
2010–2012 (10-year follow-up)
Evidence
Randomized controlled trial

The challenge

After two civil wars, a small number of poor young men in Monrovia were involved in much of the city's crime and violence.

The case

From 2010 to 2012 the Liberian organisation NEPI ran the Sustainable Transformation of Youth in Liberia program for 999 high-risk men aged 18 to 35 in Monrovia, many of them former fighters or unhoused. Half were randomly chosen for eight weeks of group cognitive behavioural therapy, led by facilitators who had been through the program themselves, aimed at self-control, self-image and dealing with anger without violence. Separately, half were randomly given a one-off US$200 grant. Ten years later, therapy reduced an index of antisocial behaviour, and men who got both therapy and cash reported 49% fewer crimes in the past two weeks; therapy alone, 54% fewer. Cash alone had no lasting effect.

Why it worked

A short, cheap therapy program run by non-specialists changed behaviour for a decade, at a cost of US$530 per participant for therapy and cash combined. Neither the therapy nor the cash improved long-term incomes, so it works as violence prevention, not an economic program.

Sources