The Pennhurst Longitudinal Study was a five year, in-depth review of the effects of the court-ordered deinstitutionalization of Pennhurst residents. Its aim was to provide federal and state officials and others with information to make better policy decisions regarding the processes related to the deinstitutionalization which is underway in many p
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Persons With Mental Retardation and Related Conditions in Mental Retardation Facilities: Selected Findings From the 1987 National Medical Expenditure Survey
This report presents selected statistics gathered on residential facilities designated as mental retardation facilities and their residents as part of the 1987 National Medical Expenditure Survey Institutional Population Component (NMES/IPC). In addition to presenting a general background and overview of NMES the design of NMES/IPC, data avail
Prepared by: R. William Thomas Abt Associates Prepared for: Office of the Assistant Secretary for Planning and Evaluation Department of Health, Education, and Welfare Contract: HEW-100-76-0179 Each chapter of the Report is in PDF format. Download a copy of the reader .
The evaluation of the 2001 OPM policy of parity for mental health and substance abuse (MH/SA) health care insurance benefits in the FEHB Program was conducted primarily to assess the impact of this policy on utilization and cost. Would increases be within reasonable limits or would the increase to utilization and cost render MH/SA parity unafforda
This report investigates the availability of data with which to construct a typology of homeless families with the hope that such a typology would foster a better understanding of these families' characteristics, service needs, interactions with human services systems, and the dynamics of their use of emergency shelter and other services and assis
The Assistant Secretary for Planning and Evaluation in collaboration with the Centers for Medicare and Medicaid Services contracted with RAND to conduct an environmental scan of hospital outpatient performance measurement for visits, services, and procedures paid under the Medicare Outpatient Prospective Payment System.
This report supplements information gathered through a review of the literature with stakeholder discussions to describe: (1) the amount, duration and scope of physician (and/or non-physician) visits to nursing homes; (2) the perceived impact of these visits; and (3) policy issues/concerns related to physician practice models in nursing homes. The
This is the campanion volume of papers to the Indicators of Child, Family, and Community Connections chartbook. Family indicators typically include measures such as family structure, employment and poverty status, and benefit receipt. However, these indicators do not fully portray how families function as a unit and as part of society. To lay the
Analysis of Risk Communication Strategies and Approaches with At-Risk Populations to Enhance Emergency Preparedness, Response, and Recovery: Final Report
In this report, the authors present the results of an assessment that involved review of the literature on emergency preparedness risk communication and public health messaging strategies; the compilation of educational and outreach materials for emergency preparedness communication with vulnerable populations; and site visits in three states and
Assessing the Economics of EMR Adoption and Successful Implementation in Physician Small Practice Settings
By: Moshman Associates, Booz, Allen, Hamilton This report is currently only available in PDF format.
This report summarizes findings from a multidimensional effort. It reflects the perspectives of experts in end-of-life care, advance directives and advance care planning, individuals with disabilities and other nationwide stakeholders. Advance care planning and the use of advance directives provide mechanisms for ensuring individual autonomy at th
Issues in Developing the Client Assessment Instrument for the National Long Term Care Channeling Demonstration
This preliminary report addresses a number of issues pertaining to the development of a combined research and clinical instrument for assessing the functional status of clients in the National Long-Term Care Channeling Demonstration. The report contains an extensive literature review, evaluation of existing instruments and appraisal of the experie
In this paper, the authors attempt to describe the current supply of institutional long-term care and to discuss the developments in the last 20 years that have affected that supply. The have not attempted to model quantitatively the growth of institutional care or its variation across areas. Earlier attempts to do so indicated the processes deter