Reports

SUPPORT AND SERVICES AT HOME (SASH) EVALUATION: HIGHLIGHTS FROM THE EVALUATION OF PROGRAM OUTCOMES FROM 2010 TO 2016 Amy Kandilov, Vincent Keyes, Noëlle Siegfried, Kevin Smith, Patrick Edwards, Jenna Brophy, Aubrey Collins, Ann Larsen, and Martijn Van Hasselt RTI International Alisha Sanders and Robyn Stone

This document provides highlights of the evaluation of the Support and Services at Home (SASH) program for the first years of the program (2010-2016). The SASH program in Vermont is a promising approach to providing support services and care coordination to older adults and individuals with disabilities, using affordable housing properties as a platform for service delivery.

This paper describes the primary features of the SASH program and summarizes the main findings of the evaluation to date.

As part of the Administration’s focus on improving person-centered care, the U.S.

Westat Printer Friendly Version in PDF Format (3 PDF pages)

Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice Garrett Moran, Ph.D. West Virginia University (formerly Westat) Hannah Knudsen, Ph.D. University of Kentucky Caroline Snyder, M.P.H.

ABSTRACT This report was included as Appendix B of "Psychosocial Supports in Medication-Assisted Treatment: Site Visit Findings and Conclusions." That report's purpose was to gain a better understanding of the role and range of different models of psychosocial support in medication-assisted treatment for opioid use disorder.

The purpose of this report is to gain a better understanding of the role and range of different models of psychosocial support in medication-assisted treatment for opioid use disorder.

July 2019 Printer Friendly Version in PDF Format (47 PDF pages)

As the opioid epidemic has evolved into a national crisis, the need for treatment has increased greatly. Medication-assisted treatment (MAT) is a “whole-patient” approach to the treatment of opioid use disorder (OUD) that combines the use of medications and psychosocial supports, such as therapy, counseling, self-help groups, and case management.

This brief summarizes the current set of federal performance indicators and provides key policy considerations for policymakers and administrators within federal and state agencies who are interested in building a framework for coordinated performance measurement.

This brief outlines actionable steps that program designers at the federal, state, or local level can take to build or use aligned measures across programs in ways that can improve program management and increase service coordination.

Susan G. Pfefferle, Samantha S. Karon, and Brandy Wyant Abt Associates Printer Friendly Version in PDF Format (44 PDF pages)

Brandy E. Wyant, Samantha S. Karon, and Susan G. Pfefferle Abt Associates Printer Friendly Version in PDF Format (37 PDF pages)

Susan G. Pfefferle, Samantha S. Karon and Brandy Wyant Abt Associates Printer Friendly Version in PDF Format (4 PDF pages)

This environmental scan is part of a larger project whose purpose is to help the Assistant Secretary for Planning and Evaluation and HUD describe the housing programs available for individuals with OUD who experience housing instability or homelessness.

The purpose of the Opioid Use Disorder, Housing Instability and Housing Options for Recovery project was to help ASPE and HUD describe the housing models available for individuals with Opioid Use Disorder (OUD) who experience housing instability or homelessness.

ASPE recently completed a research project, conducted by Abt Associates, that explored homelessness and opioid use disorder, along with the evidence base for different models for care. This brief is highlights of findings from the project.

Printer Friendly Version in PDF Format (3 PDF pages)

A large proportion of DATA-waivered providers choose not to be publicly listed on the SAMHSA website. Greater proportions of physician assistants and nurse practitioners, compared to physicians, opt to be listed on the SAMHSA website.

This is the first of two briefs about a qualitative study examining lower-income mothers' attachment to work around the time of childbirth and the role of state paid family leave (PFL) programs in supporting their return to employment. Seventy-five mothers who used PFL participated in the study.

This is the second of two ASPE briefs about a qualitative study of lower-income mothers' attachment to work around childbirth and the role of state paid family leave (PFL) programs.

ASPE has contracted with Research Triangle Institute and the University of North Carolina School of Government to understand how local, state, faith-based, and nonprofit human services programs and organizations can create and use social capital to increase employment, reduce poverty, and improve child and family well-being.

Richard W. Johnson Urban Institute Printer Friendly Version in PDF Format (14 PDF pages)

This Research Brief summarizes recent research on older adults' LTSS risks and financial resources that the Urban Institute completed for ASPE. Except where noted, the studies used data from the Health and Retirement Study, a large, nationally representative survey that has been tracking older Americans since 1992.

In February 2007, the Eastern Research Group (ERG) submitted to the Office of the Assistant Secretary for Planning and Evaluation (ASPE) Analysis of Supply, Distribution, Demand, and Access Issues Associated with Immune Globulin Intravenous (IG

By statute, the majority of patients with end-stage renal disease (ESRD) are eligible for Medicare, regardless of age. Kidney transplantation is ultimately considered the best treatment for ESRD, but ESRD-related eligibility for Medicare coverage extends for only 36 months post-transplant.

Between 1996 and 2013, there was a 54% decrease in the incidence of diabetes-related end-stage renal disease (ESRD-DM) in American Indian and Alaska Native (AI/ AN) populations. This decline has occurred since the Special Diabetes Program for Indians (SDPI) was established in 1997.

For child support programs, the emergence of the gig economy presents a new dimension to the longstanding challenge of establishing and enforcing child support orders for noncustodial parents working outside traditional salaried employment – in jobs that are often temporary, part-time, and contingent.

Printer Friendly Version in PDF Format (32 PDF pages)

Zhanlian Feng, PhD,Alison Vadnais, MHS, Emily Vreeland, BA, Susan Haber, PhD, Joshua Wiener, PhD, and Bob Baker, BA RTI International Printer Friendly Version in PDF Format (46 PDF pages)

There are multiple pathways to becoming dually eligible for Medicare and Medicaid. The purpose of this study is to identify the frequency with which these pathways are followed and the beneficiary characteristics and patterns of service use by pathway.

This paper seeks to document the frequency of Medicaid coverage loss among full-benefit dual eligible beneficiaries and identify potential causes for coverage loss. For dual eligible beneficiaries, the loss of full-benefit Medicaid coverage is of concern because most of them do not have an alternative source of health insurance for the services covered by full-benefit Medicaid.

Melissa Azur, Daniel Friend, Dmitriy Poznyak, Kathleen Feeney, Danielle Chelminsky, Breanna Miller, Lareina La Flair, and Junqing Liu Mathematica Policy Research Printer Friendly Version in PDF Format (120 PDF pages)

The 2018 HHS Data Strategy focuses on improving the Department’s capacity to develop statistical evidence to support policymaking and program evaluation over the next six to eight years.

Despite advances in the development of evidence-based treatment for adults with post-traumatic stress disorder (PTSD), the implementation of these treatments varies widely. To reduce this gap through wider dissemination of effective behavioral health treatment, the U.S.

Medicare beneficiaries in inpatient psychiatric facilities (IPFs) have complex conditions that require sustained engagement with physical and mental health care providers. People who receive care from IPFs are at risk for a range of negative health outcomes, but surprisingly little is known about their patterns of care.

Randall Blair, Jonathan D. Brown, Xiao Barry, and Angela Schmitt Mathematica Policy Research Printer Friendly Version in PDF Format (22 PDF pages)

The 11 million individuals dually-eligible for Medicare and Medicaid are among the highest need populations in either program. However, a lack of coordination between the Medicare and Medicaid programs makes it difficult for individuals enrolled in both to navigate these fragmented systems of care and adds to the cost of both programs.

Nancy Archibald, Michelle Soper, Leah Smith, and Alexandra Kruse Center for Health Care Strategies Joshua Wiener RTI International Printer Friendly Version in PDF Format (59 PDF pages)

Richard W. Johnson and Claire Xiaozhi Wang Urban Institute Printer Friendly Version in PDF Format (22 PDF pages)

To estimate home much paid home could possibly be purchased out of income and wealth, we estimated the share of older adults with sufficient monthly income to cover median home care costs as well as other living expenses. Our results show that many older adults with severe LTSS needs could not afford 2 years of paid home care without financial assistance.

This brief provides new evidence on the lifetime risk that older adults will need LTSS and receive paid services and supports.

This study conducted exploratory analyses to develop a better understanding of community-admitted Medicare home health patients, including whether there have been any differential trends between community-admitted and post-acute care (PAC) patients over time and what their patterns of care tell us about the underlying reasons for the community-admitted increased numbers.

Richard W. Johnson Urban Institute Printer Friendly Version in PDF Format (26 PDF pages)

Printer Friendly Version in PDF Format (75 PDF pages)

Among employed adults, major depression is a leading cause of work absences (absenteeism) and impaired work performance (presenteeism) as well as short-term and long-term work disability. Depression is one of the largest and fastest growing categories of work disability claims filings in the public and private disability insurance sectors.

Gary R. Bond, Debra Lerner, Robert E. Drake, Cheryl Reidy, and Jacky Choi Westat Printer Friendly Version in PDF Format (55 PDF pages)

This report describes an extension of the RAND Corporation's evaluation of the Substance Abuse and Mental Health Services Administration's Primary and Behavioral Health Care Integration (PBHCI) grants program.

Printer Friendly Version in PDF Format (66 PDF pages)