According to the 1987 National Medical Expenditure Survey, elderly persons with severe disabilities (defined as needing assistance with one or more activities of daily living) had out-of-pocket health care expenses nearly four times greater than persons without disabilities. Approximately 9% of the elderly population was categorized as having a severe disability.
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 SearchConsumer Choice and the Frontline Worker
(Article prepared for GENERATIONS, Fall 1994, Volume 18, Number 3, pages 65-70.) [15 PDF pages]
The Medicaid Personal Care Services Option Part I: Cross-State Variations and Trends Over Time
The past decade or so has seen considerable growth in the number of Medicaid programs electing to cover personal care services--from only ten in FY 1979 to 29 in FY 1992. Substantial inter-state variation exists in Medicaid personal care services coverage.
Disability, Health Insurance Coverage, and Utilization of Acute Health Services in the United States
U.S. Department of Health and Human Services Disability, Health Insurance Coverage, and Utilization of Acute Health Services in the United States Executive Summary
An Exploratory Analysis of the Medicaid Expenditures of Substance Exposed Children Under 2 Years of Age in California
U.S. Department of Health and Human Services
Executive Summary: Analysis of the Effect of Regulation on the Quality of Care in Board and Care Homes
This report summarizes ASPE's analysis of the effect of regulation and licensure on the quality of care in board and care homes. Study purpose and methodology are described, major findings are presented, and implications of the study findings are discussed. [48 PDF pages]
Nursing Home Care in Five Nations
(Journal of the International Federation on Ageing, AGEING INTERNATIONAL Long-Term Care Challenges an Aging World supplement, Volume XX, Number 2) [10 PDF pages]
Licensed Board and Care Homes: Preliminary Findings from the 1991 National Health Provider Inventory
Board and care homes are non-medical community-based facilities that provide at least two meals a day and routine protective oversight to one or more residents with functional limitations. Unweighted data from the 1991 National Health Provider Inventory (NHPI) indicate that there were about 30,000 licensed board and care homes in the United States serving over half a million persons.
Informal Caregiver "Burnout": Predictors and Prevention
Three studies sponsored by HHS confirm previous research linking health impairment levels, advanced age, and various indicators of caregivers' physical burden and emotional stress with individual caregivers' decisions to stop giving care and increased likelihood of nursing home placement.
An Analysis of Long-Term Care Reform Proposals
The purpose of this paper is to describe the diverse strategies that have been proposed for long-term care reform (for persons age 65+), and to present a balanced discussion of the points that have been made in support of, and in opposition to, each proposal. What the authors believe is "balanced" may not be perceived to be so by those who advocate a particular proposal, but so be it.