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This report provides a quantitative analysis of three states’ use of therapeutic foster care, an intensive, treatment-focused form of foster care provided in a family setting by trained caregivers. The initial phase of this study examined how TFC is defined, implemented and supported across different states.

This 2018 report highlights participating states’ CCBHC activities that have been associated with improving access to a comprehensive range of treatment and recovery support services. The range of services includes delivery of mental health, addiction, and either screening for general medical conditions or onsite access to primary care during th

This project evaluated needs assessment methodologies for substance use disorder (SUD) treatment capacity, highlighting best practices and identifying gaps and opportunities for improvement. In 2017, 7.6% of the population age 12 or older needed treatment for an SUD treatment, as defined by the National Survey of Drug Use and Health; however only

The purpose of this research project was to provide the Office of Science and Data Policy at ASPE with some informed observations concerning the use of new data sources and data management strategies in policy research, evaluation, and decision-making at the federal level. A secondary goal was to identify successful training models in data science

This Report responded to a request from the House and Senate Committees on Appropriations. Published estimates of the cost of new drug development range from $1.2 billion to $2.6 billion and are highly sensitive to assumptions about pre-clinical and clinical development time, cost of capital, the likelihood of reaching approval following the start

This report compares the risk of nursing home entry, hospitalization rates, and Medicaid long-term care costs, among people with disabilities who faced widely-varying waiting times (ranging from 3 to 25 months), depending on when they applied for home and community-based services (HCBS) though Iowa Medicaid 1915(c) waivers. The three waivers--Brai

The main purpose of this study was to investigate the barriers to and facilitators of licensing, credentialing, and insurance reimbursement for substance use disorder (SUD) treatment providers across the nation. The study included an environmental scan of key issues, reviews of credentialing, licensing, and reimbursement policies in the 50 states

This brief summarizes the challenges involved in serving rural child welfare-involved families with substance use issues. We highlight differences between rural and non-rural areas and discuss strategies that could help alleviate difficulties in addressing child welfare cases in rural communities. Key findings include:

Electronic health records (EHRs) have been widely adopted in the United States, but there is growing concern that they have unintentionally burdened clinicians, inhibiting their ability to deliver health care efficiently and effectively. In response to these concerns, the Office of the Assistant Secretary for Planning and Evaluation (ASPE) contrac

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms. This tool, Under

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

The paper addresses four areas of work-family policy with particular relevance for the wellbeing of low-income working parents and their families: (1) unpaid family and medical leave, (2) paid parental or family leave (extended leave), (3) paid sick leave (short-term leave), and (4) workplace flexibility or initiatives to expand employees’ contr

This compendium is an effort to understand and document the data collected by ACF that is or could be used for evidence-building purposes. It includes summaries of twelve major ACF administrative data sources and seven surveys.

Access to services, particularly behavioral health and substance use disorder (SUD) treatment services, is challenging in rural and other underserved areas. Some of the reasons for these challenges include lack of specialty providers and local primary care providers without experience in behavioral health treatment as well as concerns over stigma

As required by the IMPACT Act, the second Report to Congress examines the effect of individuals’ social risk factors on quality measures, resource use, and other measures under the Medicare program, as well as analyses of the effects of Medicare’s current value-based payment programs on providers serving socially at-risk beneficiaries and simu

This research summary and brief describe nine programs and highlight ways they have addressed challenges to serving child welfare-involved parents with substance use issues, with a particular focus on their applicability to rural communities. These programs offered various types of services, including parent mentoring, case management, home visiti

Trauma-informed approaches provide a framework for preventing and addressing childhood trauma and building resilience in children and families.

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS DEMONSTRATION PROGRAM: REPORT TO CONGRESS, 2019 Mathematica Policy Research RAND Corporation September 2020 HTML Format (32 PDF pages)