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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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Guide to Assisted Living and State Policy - Executive Summary

Robert L. Mollica, KerenBrown Wilson, Barbara S. Ryther and Heather Johnson Lamarche LTC Resource Center University of Minnesota

Population Estimates of Disability and Long-Term Care

A large minority of Americans (42.7 million or 17.2%) have disabilities, 12.7 million of whom need long-term care. About 29.7% of all people with disabilities and 5% of the entire population need long-term care.

Disability Among Children

According to the 1990 Survey of Income and Program Participation (SIPP) and data from institutions, 4,536,000 children under 18 were reported as having a disability, with 4,444,500 living in the community and 91,800 residing in institutions.

Conditions and Impairments Among the Working Age Population with Disabilities

Most adults with disabilities are in their working (not their elderly) years. According to the 1990 Survey of Income and Program Participation, among the civilian non-institutionalized population, 20,266,000 adults in their working years (18-64) and 15,413,000 elderly persons (65+) reported a disability.

RESEARCH AGENDA: Managed Care

The Office of the Assistant Secretary for Planning and Evaluation sponsored an expert meeting on research related to managed care and people with disabilities. This day long meeting was the second of an ongoing series of expert meetings on disability topic areas that DALTCP is considering for inclusion in its research agenda.

Assisted Living Policy and Regulation: State Survey

In 1992, the National Academy for State Health Policy published ABuilding Assisted Living For The Elderly Into Public Policy: A Guide For States@ to help state policy makers examine an emerging concept for providing residential, home like settings for elders.

RESEARCH AGENDA: Personal Assistance Services and Related Supports

The Office of the Assistant Secretary for Planning and Evaluation sponsored an expert meeting on research related to personal assistance services (PAS). This day long meeting was the first of three expert meetings on disability topic areas that DALTCP is considering for inclusion in its research agenda.

An Examination of Issues Related to How HCBS Programs Operate Within Fixed Budgets and to the Administrative Linkages Between Eligibility Determination, Needs Assessment and Care Planning Functions

This paper reports the findings of an exploratory study to document and analyze selected best practices related to state-administered home and community-based services (HCBS) programs.