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This paper presents an overview of the results of the National Long-Term Care Channeling Demonstration, conducted in ten states to test the impact of a community-based system of long-term care upon the functionally disabled elderly. The study examines: program management; federal planning of the project; the objectives of the demonstration; the tw
Considerable evidence now suggests that the prevalence of disability among older Americans is declining; however, how best to implement intervention strategies to promote continued or accelerated declines in disability prevalence remains unstudied. The purpose of this report is to develop and begin to demonstrate a new framework for comparing the
This paper examines the role that states play in providing early childhood education. It reviews evidence on states’ level of support for pre-kindergarten programs, the quality and effectiveness of state-funded pre-kindergarten, and state efforts to build integrated, comprehensive, early childhood systems for children from birth through age five
The Antisocial Behavior of the Adolescent Children of Incarcerated Parents: A Developmental Perspective
By virtue of their developmental stage, it is the adolescents of incarcerated parents who have the potential to have the greatest impact on society at large, and in this paper, we focus on the most powerful problem that they can exhibit, antisocial behavior.
The goals of this study were to make the MDS compliant with CHI-endorsed content and messaging standards, and to produce a policy relevant report that describes the issues with integrating these HIT standards into federally-required patient assessment applications. This report summarizes the complete findings and recommendations of this study. [48
The Census Bureau's Current Population Survey (CPS) has long served as the most widely-cited source of statistics on the nation's uninsured. But over time, the CPS has undergone several methodological changes that create some inconsistency in the time series of uninsured date. This report presents the Acturarial Research Corporation's (ARC) adjust
Evaluation Design of the Business Case of Health Information Technology in Long-Term Care: Final Report
The purpose of this project was to help design a study to assess the business case for health information technology in post-acute care (PAC) and long-term care (LTC) settings. This effort is to inform providers, payors, policymakers and others regarding the costs and benefits (financial and non-financial) of health information technology in the
TANF Recipients as Potential Long-Term Care Workers: An Assessment of the Prospects in the District of Columbia, Illinois, Maryland and South Carolina
The LTC industry's need for workers and TANF recipients' need for jobs could be mutually beneficial if, indeed, recipients' characteristics, skills, and circumstances match the requirements, accessibility, and availability of LTC jobs. In this paper, the authors provide a brief overview of what is already known about the characteristics of long-te
Report on Study Methods: Analysis of the Effect of Regulation on the Quality of Care in Board and Care Homes
The goals of this project were to describe the quality of care in board and care homes and how it varies across licensure and regulatory systems. Accomplishment of these objectives required a study design that incorporated several activities, including a major collection of new data. This report provides a detailed discussion of methods used in th
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 contains six main sections. The first focuses on hospice coverage policies and reviews the history of the Medicare hospice benefit, its current structure, and its influence on care of the dying. Also included is a description of hospice care covered by other insurers including state Medicaid programs and private employers. The second s
Most adults with disabilities are in their working (not their elderly) years. According to the 1990 Survey of Income and Program Participation, among the civilian non-institutionalized population, 20,266,000 adults in their working years (18-64) and 15,413,000 elderly persons (65+) reported a disability. Disability rates were lower for the working
This guide provides practical advice to help program managers and evaluators understand, design, and perform cost-effectiveness (CE) evaluations of community public health prevention programs. Each chapter of the guide provides advice for addressing specific components of a CE analysis. The guide focuses on common concerns about how best to design
This report analyzes qualitative data to examine factors influencing changes in the health care systems for immigrants in these four cities, including immigrant eligibility changes under federal welfare reform, immigration enforcement issues, and language and cultural differences. [35 PDF pages]
The Office of the Assistant Secretary for Planning and Evaluation sponsored an expert meeting on research related to personal assistance services (PAS). This day long meeting was the first of three expert meetings on disability topic areas that DALTCP is considering for inclusion in its research agenda.
This study provides descriptions and information about overall application procedures under four major assistance programs in a variety of venues (e.g., welfare offices, hospitals, health clinics) at six sites (Arlington, VA; Dallas, TX; Raleigh, NC; New York, NY; Seattle, WA; and Sedalia, MO). The study also looks at how programs are addressing p