This compendium is published by the Office of Disability, Aging and Long Term Care Policy within the Office of the Assistant Secretary for Planning and Evaluation/HHS. It summarizes the status of current research, the results of research projects sponsored from 1992 1996, and highlights future research plans. Previous editions of this booklet were
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The purpose of this paper is to describe the diverse strategies that have been proposed for long-term care reform (for persons age 65+), and to present a balanced discussion of the points that have been made in support of, and in opposition to, each proposal. What the authors believe is "balanced" may not be perceived to be so by those who advocat
Service Utilization and the Individual, Family, and Neighborhood Characteristics of Children with Disabilities in Illinois
This report describes the demographic characteristics and human services utilization of all children and adolescents who are identified as having a disability in Illinois. It also seeks to understand the stability of care that these children receive through childhood and adolescence.
This report to Congress responds to a mandate of the Orphan Drug Act (P.L.97-414, January 4, 1983), which called for the Secretary of HHS to conduct demonstration projects to test methods for identifying individuals at risk of institutional placement who could be treated more cost-effectively with home health and other non-institutional services.
This report discusses the parameters of the model and provides examples of how these parameters can be changed to simulate alternative scenarios of the utilization and financing of nursing home and home care by elderly persons for the period 1986-2020. [94 PDF pages]
This report provides pertinent details about the variables, data, and equations on which the Brookings/ICF Long Term Care Financing Model is based. It is designed for those interested in learning precisely how the model generates its results. The Brookings/ICF Long Term Care Financing Model is a microsimulation model which ages a large file of ind
This project generated estimates of benefits, costs and premiums for prototype long-term care insurance policies to provide the federal, state and local government and private insurance companies with an independent means of estimating the potential for long-term care insurance coverage. The modeling techniques to be used in this study have been t
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.
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
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
The primary objective of the research in the National Long-Term Care Channeling Demonstration was to determine the impacts of the demonstration on service utilization, public and private costs, clients and caregivers. The demonstration employed a randomized experimental design with random assignment of eligible participants to either treatment gro
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
Concern about inappropriate nursing home placement and rising long-term care costs led to a series of government-financed demonstrations to study whether substituting care at home for care in nursing homes could reduce costs and improve the quality of life for the frail elderly. Based on the evaluation of these demonstrations, the authors conclude