Reports

Michele Adler, Suzanne Kitchen, and Albert Irion June 1987 This report was prepared under task order contract #HHS-100-84-0036 between the U.S. Department of Health and Human Services (HHS) and Macro Systems, Inc.

Sandra Newman, Michelle Rice and Raymond Struyk The Urban Institute This report was prepared under contract between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Urban Institute.

Concern about inappropriate nursing home placement and rising long-term care costs led to a series of government-financed demonstrations to study whether substituting care at home for care in nursing homes could reduce costs and improve the quality of life for the frail elderly.

U.S. Department of Health and Human Services

Office of Social Services Policy

Office of Social Services Policy

U.S. Department of Health and Human Services

This project had two major goals: (1) To describe the workings of a successful, large-scale, case disability allowance program from an administrative perspective. The Veterans Administration (VA) allowance program is described in detail, to provide a benchmark for future research and program design.

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

This report to Congress responds to a mandate of the Orphan Drug Act (P.L.97-414, January 4, 1983), which called for the Secretary of HHS to conduct demonstration projects to test methods for identifying individuals at risk of institutional placement who could be treated more cost-effectively with home health and other non-institutional services.

U.S. Department of Health and Human Services December 1986 PDF Version: http://aspe.hhs.gov/daltcp/reports/1986/rptcong.pdf (47 PDF pages)

U.S. Department of Health and Human Services

The purposes of this report is to: describe the characteristics of elderly people who need long-term care and how these characteristics will change over time; assess the potential of private financing mechanisms to lessen the catastrophic impact of nursing home and home care expenses which can wipe out individual and family savings; develop actions that would increase the availability and use o

U.S. Department of Health and Human Services Report to the Secretary on Private Financing of Long-Term Care for the Elderly

This problem-specific approach describes various circumstances likely to be encountered among frail elderly persons in the community. Each problem area includes a comprehensive list of items that should be considered by a case manager. Model care plans are also included. This document can be used for training case managers in the specifics of effective assessment and case management.

U.S. Department of Health and Human Services

George Carcagno, Robert Applebaum, Jon Christianson, Barbara Phillips, Craig Thornton and Joanna Will Mathematica Policy Research, Inc. July 18, 1986 This report was prepared under contract #HHS-100-80-0157 between the U.S.

  U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

This paper analyzes the growth of day care center capacity in the U.S. over two points in time, 1976 and 1984, and compares it to the change in potential demand for day care caused by the increased number of mothers with young children who were in the labor force. It concludes that day care center supply increased more than the number of young children who have mothers in the labor force.

This report examines a small but key aspect of Channeling — the costs of operating the demonstration itself. The ten sites incurred costs of $23 million as they prepared for and later provided case management and long-term care services to clients between September 1980 and June 1984.

The principal finding of this report is that Channeling led to an increase in total costs for clients, including costs for medical and long-term care services and costs for shelter, food and other daily living expenses.

Over the past decade and a half, a series of demonstrations prior to the National Long-Term Care Channeling Demonstration have been fielded to test some form of case managed, community-based long-term care. Fourteen community care demonstrations funded through Federal Government waivers and similar to Channeling were identified.

U.S. Department of Health and Human Services Day Care Centers: 1976-1984--Has Supply Kept up with Demand? William R. Prosser Office of Social Services Policy, U.S. Department of Health and Human Services May 1986 PDF Version

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Tables Comparing Channeling to Other Community Care Demonstrations Robert A. Applebaum, Margaret N. Harrigan and Peter Kemper Mathematica Policy Research May 1986 PDF Version

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

Randall S. Brown Mathematica Policy Research, Inc.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

Randall S. Brown, Peter A. Mossel, Jennifer Schore, Nancy Holden and Judy Roberts

This report results from an investigation of the extent to which differential attrition from the research sample in the Channeling Demonstration might have led to biased estimates of program impact. Two analytical approaches were adopted--a heuristic approach and a statistical modeling approach.

Randall S. Brown, Peter A. Mossel, Jennifer Schore, Nancy Holden and Judy Roberts Mathematica Policy Research, Inc.

The Pennhurst Longitudinal Study was a five year, in-depth review of the effects of the court-ordered deinstitutionalization of Pennhurst residents. Its aim was to provide federal and state officials and others with information to make better policy decisions regarding the processes related to the deinstitutionalization which is underway in many parts of the country.

James W. ConroyTemple University Valerie J. BradleyHuman Services Research Institute PDF Version: http://aspe.hhs.gov/daltcp/reports/5yrpenn.pdf (267 PDF pages)

U.S. Department of Health and Human Services

    U.S. Department of Health and Human Services   Private Financing of Long Term Care: Current Methods and Resources Phase II ICF Incorporated January 1985 PDF Version: http://aspe.hhs.gov/daltcp/reports/1985/prvfin2.pdf (54 PDF pages)

U.S. Department of Health and Human Services

    U.S. Department of Health and Human Services   Differential Impacts Among Subgroups of Early Channeling Enrollees Six Months After Randomization Executive Summary

In the evaluation of the National Long-Term Care Channeling Demonstration, some members of the research sample were lost to the analysis due to sample attrition. Sample attrition could distort the treatment/control group comparison, depending on the type of attrition that occurred.