4.7 Article

The mental health effects of a Universal Basic Income: A synthesis of the evidence from previous pilots

Journal

SOCIAL SCIENCE & MEDICINE
Volume 287, Issue -, Pages -

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.socscimed.2021.114374

Keywords

Universal basic income; Mental health; Public mental health; Socioeconomic status; Health policy

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This paper conducts a literature review on the effects of UBI on mental health, finding that most studies show significant improvements in mental wellbeing for individuals receiving unconditional payments. Potential mediating factors include spending more time with family and friends, reducing perceived stigma, and a renewed sense of hope for the future. Future studies should aim for larger sample sizes and longer durations to better understand the mental health benefits of UBI.
Introduction: Amongst its advocates, one of the key arguments for a Universal Basic Income (UBI) is its potential to improve population mental health. However, while previous authors have variously examined the potential effects of UBI on income, employment and labour market demand, the direct mental health consequences of previous pilots have been less frequently examined. The purpose of this paper is therefore to conduct a review of the literature on UBI and to re-examine the existing research with a mental health focus. Methods: Six electronic databases were used to conduct a review of the literature. We searched for empirical research studies of any design, conducted since the year 2000 in High Income Countries, exploring the effects of interventions similar to a UBI on the mental health of children or working-age adults. Grey literature and government reports were also included. Results: A total of 1566 articles were screened of which seven peer reviewed studies and eight governmental reports were ultimately selected for inclusion. None of the identified studies directly compared the impact of individual payments with those made on a household basis, or the effects of payments which were truly universal. However, several studies evaluated the mental health outcomes associated with payments provided unconditionally, and consistently reported clear and significant improvements in mental wellbeing. Potential mediating factors included improved time with family and friends, a reduction in perceived stigma and a renewed sense of hope for the future. Conclusions: Our review has produced evidence to suggest that prophesies surrounding the mental health benefits of a UBI are at least partially justified. However, future studies should aim to be conducted at an area level, with an adequately powered sample size, and investigate interventions of a considerable duration using a longitudinal design.

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