The impact of cash and near-cash social policies on substance use outcomes: A scoping review.
Abstract
Project overview — This scoping review will map and synthesize the empirical evidence on how U.S. cash and near-cash social safety-net programs influence substance-use outcomes. Policies of interest include SNAP, TANF, the Earned Income Tax Credit, Child Tax Credit, WIC, Unemployment Insurance, Supplemental Security Income, LIHEAP, and related cash-transfer initiatives implemented since 2000. Purpose — By collating findings scattered across economics, public-health, and policy literatures, the review will clarify which programs have been evaluated, which substance-use outcomes (alcohol, opioids, cannabis, tobacco, other drugs) have been studied, and where evidence gaps remain. The ultimate aim is to inform evidence-based policy design and future research priorities. Methods (summary) — Following JBI scoping-review guidance and PRISMA-ScR, we will search PubMed, Web of Science, PsycINFO, JSTOR, NBER, and grey literature (government and think-tank reports). Eligible studies are empirical, U.S.-based, published 2000-present, and examine at least one listed program as an exposure and a substance-use outcome. Two reviewers will screen titles/abstracts and full texts in Covidence, extract data with a piloted form, and chart results in tables and narrative synthesis. No meta-analysis is planned. Expected outcomes — A descriptive map of studies by program, outcome, population, design, and data source; identification of methodological strengths and limitations and evidence gaps (e.g., understudied populations, substances, or policy interactions); and recommendations for future research and for policymakers considering program modifications. Dissemination — Findings will be submitted to a peer-reviewed journal, presented at public-health conferences, and shared with stakeholders via policy briefs and the OSF project page. All search strategies, extraction forms, and analytic code will be posted here for transparency and reuse.
Fields of Study & Subjects
Gender
Labor
and Family Dynamics
Substance Abuse Treatment and Outcomes
Financial Literacy
Pension
Retirement Analysis
Publication details
- Journal / source
- OSF Preprints (OSF Preprints)
- Publication date
- 10 February 2026
- Document type
- Preprint