This article compares the organization and financing of long-term care for the elderly in the U.S. with that of other advanced industrial countries. While the article is based largely on the author's own research, including studies carried out from 1983 to 1986 under the auspices of the International Social Security Association and during 1987 and
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An analysis was made of the pre and post-patterns of Medicare Part A service use using the samples of the 1982 and 1984 National Long-Term Care Surveys linked to the Medicare Part A bill files and mortality reports. The analysis was conducted both for the total elderly Medicare beneficiary population and for the community resident disabled populat
Characteristics of Persons with Developmental Disabilities: Evidence from the Survey of Income and Program Participation
In spite of the growth in federal programs affecting the developmentally disabled, there is little comprehensive information about this population. The Survey of Income and Program Participation (SIPP) is one available source of information. SIPP is a nationally representative longitudinal survey of the adult civilian non-institutionalized populat
The activities of daily living (ADLs) are the basic tasks of everyday life. Reported estimates of the size of the elderly population with ADL disabilities differ substantially across national surveys. Differences in which ADL items are being measured and in what constitutes a disability account for much of the variation. Other likely explanations
This report provides an overview of the major federal assistance programs targeted on non-elderly persons with disabilities. Program descriptions include expenditures, trends, the number and characteristics of recipients, eligibility rules, recent program history and legislative changes, and interactions with other federal programs.
U.S. Department of Health and Human Services
Factors Associated with Ending Caregiving Among Informal Caregivers to the Functionally and Cognitively Impaired Elderly Population
This study investigated factors associated with the decisions of principal informal caregivers of the activity of daily living (ADL) dependent elderly living in the community to end caregiving. Data were from the 1982 National Long-Term Care Survey (NLTCS), the 1982 Informal Caregiver Survey and 1984 NLTCS Longitudinal Follow-up.
Head Start programs provide comprehensive child development, educational, health, nutritional, social and other services to predominantly low income preschool children and their families. In recognition of the important role parents play in their child's development, Head Start programs are required to provide for the direct participation of paren
This paper was presented at the National Council on Aging Annual Meeting, April 1990. As the U.S. debates reform of long-term care financing, examining other countries' approaches to long-term care for the elderly can help expand the range of reform options for consideration. To draw useful lessons from other countries' experiences, however, preco
U.S. Department of Health and Human Services Parents' Child Care Preferences: Patterns among Welfare Mothers Freya L. Sonenstein and Douglas A. Wolf The Urban Institute May 1990 PDF Version: http://aspe.hhs.gov/daltcp/reports/ccpref.pdf ( PDF pages)
This study investigates factors associated with changes in the child care arrangements of Aid to Families with Dependent Children (AFDC) recipients. To conduct the study, the authors interviewed a sample of AFDC recipients in 1984 and 1985, examined welfare case records, and developed models predicting AFDC mothers' transitions into and out of chi
This report examines the child care preferences of 382 mothers with children under age six who received Aid to Families with Dependent Children during the 14-month period beginning September 1983. The project included interviewing these women twice and using models to predict their satisfaction with child care arrangements.
U.S. Department of Health and Human Services Research on Successful Families Maria Krysan, Kristin A. Moore and Nicholas Zill Child Trends May 10, 1990 PDF Version
The study of family strengths has been pursued by researchers from a variety of disciplines, including psychiatry, sociology, psychology, and family/marriage counseling. This paper will present an overview of this growing literature, focusing on four topics: the definition of strong families; the characteristics of strong families as identified by
This is a body of research on families that are enduring, cohesive, affectionate, and mutually-appreciative, and in which family members communicate with one another frequently and fruitfully. They are families that raise children who go on to form successful families themselves. They are not necessarily families that are trouble-free. Some have e
This report contains information on the extent to which persons with disabilities rely on federal programs, based on the 1984 Survey of Income and Program Participation. Information on multiple program participation is also presented. The different levels of functional disability derived in Task I (Population Profile of Disability) are used. [87 P
This report analyzed the 1984 Medicaid experience of all children passing the Supplemental Security Income (SSI) disability test in California, Georgia, and Michigan to determine the enrollment, utilization, and expenditure patterns of these children. The study estimated the proportion of Medicaid expenditures attributable to SSI-related disabled
An Estimate of the Number of Persons with Developmental Disabilities Receiving Supplemental Security Income Benefits and Their Characteristics
This paper was prepared as part of the Project to Design a Survey of Persons with Developmental Disabilities. The overall purpose of this project was to develop a national survey design that would provide data on a nationally representative sample of persons. This paper was conducted to develop a National Survey of Mentally Retarded and Developmen
This analysis compares predictors of institutional residency in 1977 and 1985 among two national cohorts of individuals who responded to national surveys of nursing home and community-dwelling elderly persons. A state-level analysis of change in predictors of state nursing home use rates for 1976 and 1986 was also conducted using aggregate state
U.S. Department of Health and Human Services Research on Children, Youth, and Families: 1986-1990 Division of Children and Youth Policy Office of Family, Community and Long-Term Care Policy Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services August 1990 PDF Version: http://asp