Reports

This report details takeaways and next steps from the HHS Health and Human Trafficking Symposium on November 28–29, 2018.

This Report responded to a request from the House and Senate Committees on Appropriations.

The Secretary of Health and Human Services (HHS) has been directed to submit a drug pricing report containing information requested by the House Committee on Appropriations.

The purpose of this research project was to provide the Office of Science and Data Policy at ASPE with some informed observations concerning the use of new data sources and data management strategies in policy research, evaluation, and decision-making at the federal level. A secondary goal was to identify successful training models in data science for the federal workforce.

This analysis, which used data on participation in Project ECHO provided by New Mexico’s ECHO Institute, explored two retention-related hypotheses: Participation in an ECHO intervention results in increased provider retention at the individual practitioner level; and

Needs Assessment Methodologies in Determining Treatment Capacity for Substance Use Disorders: Final Report Human Services Research Institute September 2019 Printer Friendly Vers

Human Services Research Institute September 2019 Printer Friendly Version in PDF Format (105 PDF pages)

This project evaluated needs assessment methodologies for substance use disorder (SUD) treatment capacity, highlighting best practices and identifying gaps and opportunities for improvement.

This project evaluated needs assessment methodologies for substance use disorder treatment capacity, highlighting best practices and identifying gaps and opportunities for improvement.

U.S. Department of Health and Human Services September 2019 Printer Friendly Version in PDF Format (61 PDF pages)

Non-Fatal Opioid Overdose and Associated Health Outcomes: Final Summary Report Jon Zibbell, PhD, Jennifer Howard, PhD, Sarah Duhart Clarke, BS, Abigail Ferrell, BA, and Sarita L.

Non-fatal opioid overdose (NFOO) is a significant cause of opioid-related morbidity in the United States. As the number of NFOOs continues to grow, it is important to understand the short- and long-term consequences of NFOO.

Inpatient Bed Tracking: State Responses to Need for Inpatient Care Tami Mark, PhD, Shilpi Misra, BS, Jennifer Howard, PhD, Erin Mallonee, MS, and Sarita L.

States have begun to collect and post information on bed availability (i.e., create bed registries or bed tracking systems) as a tool for providers, patients, and caregivers to identify open beds more efficiently.

APPROACHES TO EARLY JAIL DIVERSION: COLLABORATIONS AND INNOVATIONS Sue Pfefferle, Sarah Steverman, Elle Gault, Samantha Karon, and Holly Swan Abt Associates July 2019 Printer Friendly Version in PDF Forma

People with behavioral health conditions such as serious mental illness (SMI) and substance use disorders (SUDs), including opioid use disorder (OUD), are 3-6 times more likely than the general population to be represented in the criminal justice system.

This is a shorter, summary version of ASPE’s full analytical report with a similar title, examining the characteristics and care trajectories of children in Illinois, New York, and Tennessee who receive Treatment Foster Care services compared with those receiving congregate care, traditional, non-kinship foster care, and kinship foster care.

This report provides a quantitative analysis of three states’ use of therapeutic foster care, an intensive, treatment-focused form of foster care provided in a family setting by trained caregivers.

While child support agencies have acknowledged the rise in substance use among noncustodial parents, there is little to no research that has looked specifically at this population with substance use issues and the effects of that use on child support outcomes, including payment patterns and arrears accumulation.

SUPPORT AND SERVICES AT HOME (SASH) EVALUATION: SASH EVALUATION FINDINGS, 2010-2016 Amy Kandilov, Vincent Keyes, Noëlle Siegfried, Kevin Smith, Patrick Edwards, Jenna Brophy, Aubrey Collins, and Martijn Van Hasselt RTI International Alisha Sanders and Robyn Stone

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)