In November 2023, we published Version 3 of our psychotherapy analysis. This was a working report in which we estimated the effects of psychotherapy in low- and middle-income countries, as well as the cost-effectiveness of two psychotherapy charities: StrongMinds and Friendship Bench. In the first part of 2024, we have updated several parts of the analysis. This present, interim report, Version 3.5, describes the changes we have made so far. Our analysis suggests that both StrongMinds and Friendship Bench are among the most cost-effective charities we have evaluated to date. Friendship Bench has a cost-effectiveness of 53 WELLBYs per $1,000 donated and StrongMinds has a cost-effectiveness of 47 WELLBYs per $1,000 donated.
Global Priorities
Dr Michael Plant conducted an in-person site visit to better understand the StrongMinds programme and the people in it. We don’t expect site visits can, or should, be decisive for evaluation purposes (they are ‘anecdata’), but they can nevertheless be informative.
Visitor: Dr Michael Plant, Founder & Research Director at the Happier Lives Institute
Date of visit: 11 April 2024
Document written: 19 April 2024
By: Michael Plant
Dr Michael Plant conducted an in-person site visit to better understand the Friendship Bench programme and the people in it. We don’t expect site visits can, or should, be decisive for evaluation purposes (they are ‘anecdata’), but they can nevertheless be informative.
Visitor: Dr Michael Plant, Founder & Research Director at the Happier Lives Institute
Date of visit: 04 April 2024
Document written: 10 April 2024
By: Michael Plant
In this report, summer research fellow Thomas Beuchot briefly scoped out the public policies that promise to be most effective at increasing wellbeing. The policies found as the most promising according to the grading criteria are mostly policies that are also widely valued and pursued outside of a wellbeing lens: unemployment, strong relationships, increased access to nature, and opportunities to volunteer.
By: Thomas Beuchot
In this report, we provide an overview of all our evaluations to date as well as our conclusions for Giving Season 2023.
In this substantial update to our work on psychotherapy we conduct a systematic review, a meta-analysis, and cost-effectiveness analyses of two charities who deliver psychotherapy (StrongMinds and Friendship Bench). This is a working report that will be updated over time, results may change.
On the 2nd of June 2023, Elie Hassenfeld was interviewed on the 80'000 hours podcast. Here, we present our responses.
By: Michael Plant
On the 22nd of March 2023, GiveWell posted an “Assessment of Happier Lives Institute’s Cost-Effectiveness Analysis of StrongMinds”. Here, we present our responses. First, a general response from Michael. Second, a technical response from Joel.
In this shallow cause exploration, we explore the relationship between pain and subjective wellbeing; assess the severity and scale of chronic pain in terms of life satisfaction; and offer some novel back-of-the-envelope calculations for the cost-effectiveness of several interventions to treat pain.
We update our previous analysis to incorporate the household spillover effects for cash transfers and psychotherapy. We estimate that psychotherapy is 9 times (95% CI: 2, 100) more cost-effective than cash transfers. The charity StrongMinds is estimated to be 9 times (95% CI: 1, 90) more cost-effective than the charity GiveDirectly.
Drawing on evidence from over 80 studies and over 140,000 participants, we compare the cost-effectiveness of cash transfers and psychotherapy by estimating their effect on the recipient's subjective wellbeing and affective mental health.
This report explains how we determined the cost-effectiveness of StrongMinds using subjective wellbeing and affective mental health.
This report explains how we determined the cost-effectiveness of group or task-shifted psychotherapy in low- and middle-income countries using subjective wellbeing and affective mental health.
The Mental Health Programme Evaluation Project (MHPEP) was an HLI-led volunteer project that ran from February 2019 to October 2021.The principal aim of the project was to identify and direct donations to highly impactful mental health programmes.
This report investigates the global burden of mental illness. It sets out how big the problem is, how much spending it receives, and how those resources are allocated. It then focuses specifically on what can be done to reduce anxiety and depression in low-income countries.
Millions suffer excruciating pain. Millions more suffer moderate or severe pain. They suffer despite the fact that cheap and effective treatments exist. This report briefly discusses the measurement of pain then explores three major causes of pain and what might be done to relieve them.