One of the challenges facing the U.S. in the 21st Century will be to ensure that individuals throughout their life will have the supports they need and will be treated with dignity. For the growing population of the elderly and people with disabilities, ensuring the adequacy and availability of direct care workers is key to meeting this ideal.
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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Advanced SearchState Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report
U.S. Department of Health and Human Services State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report Executive Summary
Literature Review
State-Initiated Nursing Home Nurse Staffing Ratios: Annotated Review of the Literature
The purpose of this project is to inform federal and state policymakers about what can be learned about the implementation and enforcement of state minimum nursing staff ratios for nursing homes, and related issues, such as labor shortages and resident casemix.
Toward a National Health Information Infrastructure: A Key Strategy for Improving Quality in Long-Term Care
Marcelline R. Harris, RN, Ph.D., Mayo Clinic Christopher G. Chute, MD, Dr.P.H., Mayo Clinic Jennie Harvell, M.Ed., U.S. Department of Health and Human Services Alan White, Ph.D., Abt Associates
Addressing the New Health Care Crisis: Reforming the Medical Litigation System to Improve the Quality of Health Care
Many Americans enjoy high quality health care. However, we can do better. A number of efforts are currently being initiated to increase access to care, while enhancing even further the quality of care and constraining cost increases. This report summarizes the current issues surrounding the current medical liability system.
Enabling Personal Preference: The Implementation of the Cash and Counseling Demonstration in New Jersey
U.S. Department of Health and Human Services
Does Consumer Direction Affect the Quality of Medicaid Personal Assistance in Arkansas?
U.S. Department of Health and Human Services Does Consumer Direction Affect the Quality of Medicaid Personal Assistance in Arkansas? Executive Summary
Changes in Elderly Disability Rates and the Implications for Health Care Utilization and Cost
Brenda C. Spillman Urban Institute February 3, 2003 This report was prepared under contract #HHS-100-97-0010 between the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy and the Urban Institute.
State Experiences with Minimum Nursing Staff Ratios for Nursing Facilities: Findings from the Research to Date and a Case Study Proposal
This paper reports on (1) what is known about the status of minimum nursing staff ratios, and (2) gaps in knowledge about this type of nursing staff standard and its implementation.
Using MSIS Data to Analyze Medicaid Eligibility and Managed Care Enrollment Patterns in 1999
In this report, the new MSIS enrollment data are utilized to provide detailed information on Medicaid eligibility patterns and managed care participation in calendar year 1999. A series of 14 tables were constructed for each of the 50 states and the District of Columbia, and then summarized at the national level.