About this trial
The Growing Strong program tests a novel approach to helping families with young children living in homeless shelters, namely offering guaranteed, unconditional cash gifts that families can use as they wish plus voluntary peer support. The assumption behind this approach is that families know best how to allocate resources to meet their own individual needs. While there are a number of Direct Cash Transfer studies taking place around the country, the investigator(s) are unaware of any that have tested the relationship of receiving cash on homelessness among families specifically. To be eligible to participate in the study, families must reside in a homeless shelter and have at least one child under two years of age living with them in shelter. The investigator(s) have tied eligibility to the age of the youngest child in the household because rates of shelter use are highest among this population and because the costs associated with young children increase such families' financial burdens.
A total of 200 families will be enrolled in the study. One hundred families in the active intervention group will receive $1,500 per month ("substantial cash") for 24 months ($18,000 annually) and may also elect to receive peer support services. One hundred families in the active comparison group will receive $50 per month ("nominal cash") for 24 months ($600 annually) and will not have access to the peer support services. A third, passive comparison group will receive usual care within the homeless shelter system in the same metropolitan area (New York City) as participants in both cash gift groups. This group of families will be followed only in administrative records.
The main research questions are: does providing substantial, unconditional cash transfers plus access to voluntary peer support services over 24 months a) reduce the length of time in shelter for families with young children and/or b) improve other aspects of family and child well-being relative to providing nominal cash transfers alone or usual care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
A family has been found "eligible" for shelter (as described above) within the past 30 days
The family has a baby who meets the age criteria (under 2 years of age)
There is an adult 18 or over who has custody of the child (typically the mother)
The family speaks English or Spanish
Disqualifiers
None: any family configuration is permissible
Trial design
Parallel
Treatments tested in this trial
Large unconditional cash transfers plus voluntary peer support.
BehavioralThese participants will receive monthly cash transfers of $1,500 ($750 twice per month) via debit card for 24 months and can elect to participate in peer support services plus usual care from shelter staff.
Nominal cash transfers
BehavioralThese participants will receive monthly cash transfers of $50 via debit card for 24 months plus usual care from shelter staff.
Passive comparison group
BehavioralThese families will receive usual care from shelter staff. They will be followed anonymously in administrative records only.
Treatment groups
Trial outcomes
Primary outcomes
Time to shelter exit
Measured using administrative data for active study groups and passive comparison group. Data provided by New York City Department of Social Services/Department of Homeless Services (DSS/DHS). Total time between family's being found eligible for shelter and shelter exit.
Secondary outcomes
Housing: Total time in shelter*
Measured using administrative data for active study groups and passive comparison group. Data provided by New York City Department of Social Services/Department of Homeless Services (DSS/DHS). Total time in shelter between enrollment and 30-month assessment.
Housing: Housing Stability
Measured by total number of moves after exiting shelter as reported by family.
Target Child Development: Child Behavior Problems*
Measured by averaging four subscales (emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems) for a total of twenty items from the Strengths and Difficulties Questionnaire (SDQ). Minimum raw score: 0; Maximum raw score: 2. Lower score indicates a better outcome.
Target Child Development: Child Prosocial Behavior*
Measured by averaging one subscale (prosocial behavior) for a total of five items from the Strengths and Difficulties Questionnaire (SDQ). Minimum raw score: 0; Maximum raw score: 2. Higher score indicates a better outcome.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Vanderbilt University
Lead sponsor
Women in Need (Win)
Collaborator
The Samuels Group
Collaborator
New York City Center for Innovation through Data Intelligence (CIDI)
Collaborator