Reports

Joshua M. Wiener, PhD; Elizabeth Gould, MSW; Sari B. Shuman, MPH, MSW; Ramandeep Kaur, PhD; and Magdalena Ignaczak, BS RTI International Katie Maslow, MSW Project Consultant

Derek Brown Washington University Benjamin Allaire and Joshua Wiener RTI International Printer Friendly Version in PDF Format (25 PDF pages)

Galina Khatutsky, Joshua M. Wiener, Nga Thach and Angela M. Greene RTI International Printer Friendly Version in PDF Format (18 PDF pages)

Angela M. Greene, Nga Thach, Joshua M. Wiener and Galina Khatutsky RTI International Printer Friendly Version in PDF Format (17 PDF pages)

A growing number of programs to help persons with dementia and their family caregivers are being developed, tested, and implemented in the United States. To learn more about whether and how models of dementia care meet practice standards, 14 components of comprehensive dementia care were identified and site visits conducted to a small sample of programs to assess how they are implemented.

Long-term services and supports (LTSS) are expensive. The average private pay cost of a private room nursing home stay in 2014 was about $88,000 a year. Although this cost is insurable through private long-term care (LTC) insurance, coverage is low.

Despite the high costs for long-term services and supports (LTSS), the current financing system inadequately protects people from the financial devastation of long-term disabling conditions such as Alzheimer's disease or stroke. Private long-term care (LTC) insurance coverage is low and Medicare does not cover LTSS.

This issue brief examines concerns individuals have about becoming disabled and needing long-term services and supports (LTSS), how these concerns vary by household income and assets, what actions people are willing to take to address their LTSS needs, and how homeowners who are willing to use home equity to finance LTSS differ from those who are not willing.

Previous research demonstrates that lack of planning for the potential need for long-term services and supports (LTSS) is associated with lack of knowledge about these services. People who do not have a firm understanding of their longevity risks, probability of needing and using LTSS, and the associated costs for services may be less likely to plan for their future LTSS needs.

Printer Friendly Version in PDF Format (93 PDF pages) Table of Contents Introduction

This is a one page summary of a report published in May 2016. The summary presents key takeaway messages from the report which describes the characteristics and experiences of the approximately 2.3 million U.S.

This is a one page summary of a research brief published in June 2016.  The study sought to determine whether children in counties that more frequently use alternative responses to respond to child maltreatment reports are more or less likely to be re-reported to child protective services and/or confirmed to have been victims of subsequent abuse or neglect.

This short research summary highlights findings to date from an ASPE study seeking to understand how states currently use treatment foster care to serve youth with serious emotional and behavioral disorders in the least restrictive possible setting.

This report provides welfare indicators through 2013 for most indicators and through 2014 for some indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.  The report analyzes the proportion of individuals who receive more than half of their total family income in one year from the Tempora

This report responds to a request from the Committees on Appropriations of the U.S. House of Representatives and the U.S. Senate. It examines the rapid proliferation of telehealth modalities when providing medical care and highlights HHS’s efforts to identify and address obstacles to e-health and telemedicine.

Carol Hafford, PhD and Kim Nguyen, PhD NORC at the University of Chicago Printer Friendly Version in PDF Format (116 PDF pages) ABSTRACT

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The Lewin Group Printer Friendly Version in PDF Format (67 PDF pages)

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In 2012, AoA awarded 5 cooperative agreements to test elder abuse prevention interventions to: Alaska Division of Senior and Disabilities Services (AK DSDS); New York State Office for the Aging (NYSOFA); University of Southern California-Irvine, Program in Geriatrics (USC); University of Texas Health Science Center at Houston (UTHSC); and, Texas Department of Family and Protective Services and

This is a follow-up to four earlier evaluation reports on the Balancing Incentive Program (BIP). The BIP, legislated in the 2010 Affordable Care Act, offered states temporary enhanced federal financial participation for Medicaid home and community-based services (HCBS).

To assess the financial impact on families of LTSS needs and the potential for families to set aside funds to cover future LTSS spending, this brief examines later-life household wealth before and after disability onset.

This brief assesses the adequacy of the income allowances granted to older Medicaid HCBS enrollees and their spouses.

The report Picture of Housing and Health (released by ASPE in 2014), found high prevalence of chronic conditions and higher health care utilization for HUD-assisted Medicare beneficiaries compared to unassisted beneficiaries. This second report seeks to understand whether the characteristics of the sample could explain the higher utilization.

This brief presents findings on family life during and after a father’s incarceration based on qualitative interviews conducted as part of the Multi-site Family Study on Incarceration, Parenting and Partnering (MFS-IP).

Family conflict is a key driver of youth homelessness, and most programs serving youth experiencing homelessness use some form of family intervention to address conflict and help reconnect youth when appropriate.

Since the early 1970s, the Office of the Assistant Secretary for Planning and Evaluation (ASPE) has used the Transfer Income Model (TRIM) to assess how social welfare programs affect family incomes and poverty. TRIM began as a tool to analyze proposed reforms to the nation’s cash welfare program during the Nixon administration.

New analysis of data from HUD's Family Options Study of adolescents’ experiences in shelter with their families and 20 months later shows that most adolescents continued to live with their families, and some continued to experience housing instability or live in overcrowded situations.

   

Differential response (DR) is an increasingly common model for how child protective services agencies address reports of child maltreatment. Differential response systems seek to be less adversarial than traditional child protective services by separating incoming referrals into two (or more) tracks.

 

This paper highlights the characteristics and experiences of the approximately 2.3 million U.S. children who live with neither biological nor adoptive parents, but instead live with relatives or non-relatives in foster care or less formal arrangements outside the foster care system.

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This is a follow-up to three earlier evaluation reports on the Balancing Incentive Program. The Balancing Incentive Program, legislated in the 2010 Affordable Care Act (ACA), offered states temporary enhanced federal financial participation for Medicaid home and community-based services (HCBS).

Understanding what supports strong relationship quality among formerly incarcerated men and their partners could have an impact on individual, interpersonal, and community safety and wellbeing.

The purpose of this issue brief is to highlight the importance of health insurance coverage for criminal justice involved individuals, particularly the importance of the expansion in Medicaid coverage made available through the Affordable Care Act.

Many community-based organizations serving men coming out of the criminal justice system recognize that their clients have serious physical, mental, and behavioral health needs.

This fact sheet explores eligibility for health care coverage, including through Medicaid and the Children’s Health Insurance Program (CHIP), for youth experiencing or at risk of homelessness. It provides information on subpopulations of youth who are likely to be eligible for health care coverage, which services are covered, and how to enroll.

New analysis of data from HUD's Family Options Study of families' experiences in shelter and 20 months later shows that families experiencing homelessness are generally connected to public benefits at similar rates to other families in deep poverty.

Brenda C. Spillman, Eva H. Allen, Nicole Lallemand, and Emily Hayes Urban Institute Printer Friendly Version in PDF Format (78 PDF pages)

This report presents findings from the first four years of the five-year evaluation of Medicaid health homes, a new integrated care model authorized in Social Security Act Section 1945 and created by Section 2703 of the Affordable Care Act. The model is designed to target high-need, high-cost beneficiaries with chronic conditions or serious mental illness.