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Office of Behavioral Health, Disability, and Aging Policy (BHDAP)

The Office of Behavioral Health, Disability, and Aging Policy (BHDAP) focuses on policies and programs that support the independence, productivity, health and well-being, and long-term care needs of people with disabilities, older adults, and people with mental and substance use disorders.

Note: BHDAP was previously known as the Office of Disability, Aging, and Long-Term Care Policy (DALTCP). Only our office name has changed, not our mission, portfolio, or policy focus.

The Division of Behavioral Health Policy is responsible for the analysis, coordination, research and evaluation of policies related to mental and substance use disorders, also referred to as behavioral health. The division is the focal point for policy development and analysis related to the financing, access/delivery, organization, and quality of services for people with mental and substance use disorders, including those supported or financed by Medicaid, Medicare, and the Substance Abuse and Mental Health Services Administration (SAMHSA).

The Division of Long-Term Services and Supports is responsible for the analysis, coordination, and research and evaluation of policies related to institutional and community-based long-term care and supportive services, including formal and informal caregiving. The Division is the focal point for policy development and analysis related to the financing, delivery, organization, and quality of long-term care services and supports, including those supported or financed by private insurers, Medicaid, Medicare, and the Administration for Community Living (ACL).

The Division of Disability and Aging Policy is responsible for policy and data development, coordination, research and evaluation of policies and programs focused on the functioning and well-being of persons with disabilities and older adults. The Division is the focal point for crosscutting disability and aging collaboration within the Department and across other federal agencies. Alzheimer’s disease and related dementias and intellectual and developmental disabilities, including Autism Spectrum Disorder, are notable areas of engagement and expertise.

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Reports

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Including People with Dementia and Their Caregivers as Co-Researchers in Studies of Dementia Care and Services

This is the PDF version of a Session Background Paper prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

Support and Services at Home (SASH) Evaluation: Highlights from the First Four Years Research Summary

This Research Summary describes the primary features of the SASH program and summarizes the main findings of the evaluation to date.  [7 PDF pages]

Research on Supportive Approaches for Family and Other Caregivers

This is the PDF version of a Session Background Paper prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

Challenges in Involving People with Dementia as Study Participants in Research on Care and Services

This is the PDF version of a Session Background Paper prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

Translation, Dissemination, Implementation, and Scaling Up of Effective Care, Services, and Supportive Approaches for Persons with Dementia and Their Caregivers

This is the PDF version of a Session Background Paper prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

Advancing Integrated Care: Lessons from Minnesota

This brief discusses how integrated care has taken shape in the State of Minnesota, highlights findings from a study of beneficiaries in the integrated care program in Minnesota, and discusses how the state is using demonstration authority to further build on this successful model.

The Use of 1915(i) Medicaid Plan Option for Individuals with Mental Health and Substance Use Disorders

Created by the Deficit Reduction Act of 2005 and amended by the Patient Protection and Affordable Care Act (ACA), Section 1915(i) of the Social Security Act gives state Medicaid programs the flexibility to cover home and community-based services (HCBS) through a Medicaid state plan amendment (SPA) without the need to seek a federal waiver.

Changes in Coverage in the Individual and Group Health Insurance Markets and the Effect of Health Status - Executive Summary

Bradley Herring, Ph.D. Johns Hopkins University, Bloomberg School of Public Health Xue Song, Ph.D. Thomson Medstat Mark Pauly, Ph.D. University of Pennsylvania, Wharton School

Transition Rates from the Community to Nursing Home Care among Older Adult Medicaid Enrollees, 2006-2009

This study is a follow-up to earlier research conducted with 2006 and 2009 Medicaid (MAX) data on interstate variations on the extent of the "re-balancing" of Medicaid long-term services and supports (LTSS) from nursing home care toward greater reliance on home and community-based services (HCBS).

Which Way for Long-Term Services and Supports Financing Reform?

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.