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Human Services

Reports

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Substance Use, the Opioid Epidemic and the Child Welfare Caseloads: Methodological Details from a Mixed Methods Study

This brief describes the research methods used to produce the findings in Substance Use, the Opioid Epidemic, and Child Welfare Caseloads: A Mixed Methods Study. It is a part of a series of briefs that discuss different aspects and issues surrounding the relationship between substance use disorders and the child welfare system.
ASPE Issue Brief

Substance Use Disorder Workforce Issue Brief

Many barriers to accessing evidence-based treatment for substance use disorder (SUD), particularly medication assisted treatment, are related to the workforce. Barriers include workforce shortages for certain providers, insufficient training, education and experience, lack of institutional and clinician peer support, provider stigma and inadequate or burdensome reimbursement.

Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities

This report summarizes strategies Indian Health Service (IHS) clinics have used to implement the Patient-Centered Medical Home (PCMH) model of care, challenges they faced during implementation, and lessons learned that might benefit IHS clinics that have not yet received PCMH recognition.  Common strategies to address challenges include use of telemedicine and partnerships with academic me

Strategies by Federally-Funded Health Centers to Facilitate Patient Access to Specialty Care

This report summarizes findings from a small qualitative study of six health centers that are pursuing a diverse range of approaches to facilitating specialty care for patients.
Report to Congress

Welfare Indicators and Risk Factors, Seventeenth Report to Congress

This report provides welfare dependence indicators through 2015 for most indicators and through 2016 for some indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.

Development and Testing of Behavioral Health Quality Measures for Health Plans: Final Report

Many people with behavioral health disorders receive suboptimal care and suffer poor health outcomes, including premature death. States, health plans, providers, and other stakeholders need a strong set of measures targeting this population to improve the quality of their care.

Indian Health Service Programs—A Retention Analysis

This study expands upon the analysis of the National Health Service Corps (NHSC) begun in “Provider Retention in High Need Areas and continued in “The National Health Service Corps:  An Extended Analysis” by using the same techniques used in these earlier studies to examine retention patterns in Indian Health providers..  The study finds about 81% of the IHS program participants serve

The Relationship between Substance Use Indicators and Child Welfare Caseloads

This research brief describes how select indicators associated with substance use prevalence relate to the changing trend in child welfare caseloads. It is part of a series describing findings of a mixed methods study undertaken to better understand how parental substance use relates to child welfare caseloads, which began rising in 2012 following years of sustained declines.

Substance Use, the Opioid Epidemic and the Child Welfare System: Key Findings from a Mixed Methods Study

This study examined the relationship between parental substance misuse and child welfare caseloads, which began rising in 2012 after more than a decade of decline.

Aging, Reentry, and Health Coverage: Barriers to Medicare and Medicaid for Older Reentrants

Linkage to health coverage upon release from prison or jail is a critical aspect of the reentry process that may promote greater personal stability and productivity, as well as better care coordination in the community health care system and subsequent reductions in state expenditures.