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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
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
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 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]
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
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 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.
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
Issues in Developing the Client Assessment Instrument for the National Long Term Care Channeling Demonstration
U.S. Department of Health and Human Services Issues in Developing the Client Assessment Instrument for the National Long-Term Care Demonstration Barbara Phillips, Raymond J. Baxter and Susan A. Stephens Mathematica Policy Research, Inc. January 1981 PDF Version: http://aspe.hhs.gov/daltcp/reports/1981/instrues.pdf (122 P
Data are presented to defend the theory that families use the kind of care which is available to them and affordable. Survey of Income and Program Participation (SIPP) data on marital status, other adults in the home, hours the mother works, age of mother, region and city size (indicators of the availability of other care providers), in addition t
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.
This report describes the implementation of IndependentChoices by synthesizing information from in-person interviews with program staff, a mail survey of program counselors, and telephone interviews with consumers who had the opportunity to receive the program allowance. It discusses the program's goals and features, how consumers managed their r
This report documents IHSS Plus Waiver implementation and recipient Medicaid service use in calendar year 2005. Analyses compare recipients having a waiver-eligible provider (i.e., parents of children, spouses of adults) for any portion of 2005 with recipients in the regular IHSS program who received personal assistant services through other relat
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
The traditional system of providing Medicaid personal care services (PCS) through home care agencies gives consumers few choices about how and when their care is provided. Because some agencies do not provide care on weekends or outside business hours, consumers may not receive care when they need it. Moreover, worker shortages make it difficult t