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This report provides information on departures from assisted living, the reasons for departure, and those resident and facility characteristics that affected the likelihood of various resident outcomes associated with departure. The report focuses on a nationally-representative sample of assisted living facilities in 1998 that offered either a rel

This paper provides a broad overview of the issues affecting the long-term care frontline workforce. The first section provides a profile of the workers and describes the nature of their jobs across the continuum of long-term care settings. That section is followed by a discussion of the urgency and magnitude of the problem from both short and lon

The Adoption and Safe Families Act of 1997 directed the Secretary of HHS to develop this report to Congress. This report was prepared with the input of the Advisory Panel on Kinship Care which met in October 1998 and January 1999. The report has two parts. Part I reviews the academic and related research literature on kinship care, including what

The purpose of this brief is to present summary findings from a comprehensive review of the literature and published data about buyers and non-buyers of private long-term care insurance, including members of the federal family. Understanding the motives behind peoples' choices can help to inform public policy as well as focus current and future m

Foster homes are a critical resource within the child welfare system, with more than 260,000 children in non-relative foster care at the end of FY2001. Child welfare agencies are continually challenged to provide adequate numbers of foster homes that are stable, can accommodate sibling groups, and are located in proximity to family members. Resear

This report summarizes a methodological review of the 1988 National Incidence of Child Abuse and Neglect Study (NIS-2) and highlights the review's implications. The review includes an analysis by two expert statisticians concerning the validity of NIS-2 and the reliability of its results, alternative explanations of the data posed by several child

This study adds to understanding by updating information on trends in use of disability equipment and exploring how disability and other characteristics differ for equipment users and nonusers. Data are from the 1984-1999 rounds of the National Long Term Care Survey, which has been a key source of earlier information on trends in equipment use.

The purpose of the synthesis paper is to review, summarize, and discuss the significance of available research findings on the frontline long-term care (LTC) workforce since 1999, in both home and community-based and nursing home settings. This paper provides an updated review of the status of empirical findings, focusing on what has been learned

Findings presented in this report are based on information derived from three sources — a review of the literature, discussions with national experts on naturally occurring retirement communities (NORCs), and case studies of NORCs and their associated services programs in five Agency on Aging demonstration sites. In each of the five demonstrati

This report examines the differences in estimates of the older population in residential care by analyzing key national surveys. In it the authors present results of a review of existing estimates of the number of residential care settings, generally divided into nursing homes and alternative residential care settings, and the number of persons r

In this paper, the authors use data obtained from the first Cash and Counseling demonstration, Arkansas' IndependentChoices, to assess the experiences of directly hired workers. They describe the types and amount of care that paid workers provide, the training and supervision they receive, their working conditions, and their well-being. They als

This report examines the role of "trigger events" — primarily changes in the family economic situation or family composition — in bringing about these changes in health insurance coverage. In short, we ask whether there are other changes in the family that may explain the occurrence of these changes in coverage or their timing. We examine a

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 groundwork for addressing this issue, ASPE contracted with Mathematica Policy Research and Child Trends to produ

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

ASPE funded the Urban Institute to synthesize trends and issues with Medicare post-acute care benefits. Rapidly rising expenditures for home health, skilled nursing facility, and rehabilitation and long-term care hospital services have caused policymakers to focus considerable attention on these benefits. The Balanced Budget Act (BBA) of 1997 mand

This project, which resulted in both a key highlights issue brief and a full report, examines how a state's ability to fund social welfare programs affects its state spending choices on programs to support low-income populations. The project includes a two-part study of state spending on social services. The first part uses existing data sources t

Between 1996 and 2001, welfare cases declined nationally by 52 percent, while child-only cases declined by much less. Thus, while the number of child-only cases has fluctuated over time, their proportionate share of the TANF caseload has increased. Children in TANF child-only cases with relative caregivers occupy uncertain territory between the TA

The report analyzes the experiences of welfare "cyclers" (those who received welfare benefits during three or more discrete spells during a four-year observation period) using five MDRC studies of welfare reform initiatives during the mid- to late-1990s. Overall, cyclers constituted a relatively small portion of the welfare caseload (9 percent). C

This study of Maryland's Temporary Assistance to Needy Families (TANF) caseload was undertaken to provide policy makers and program managers with empirical data on the characteristics, circumstances, and prospects of the adults and children who currently receive cash assistance. As caseloads have declined across the country, most research and poli

This report presents findings on the characteristics and employment barriers of families receiving TANF benefits in South Carolina's Family Independence (FI) Program. The study included in-depth telephone interviews with 1,120 case heads of families receiving TANF benefits in South Carolina during June 2002, in a research design stratified to incl