Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Studies of the Costs of Homelessness
Researchers and others have been interested in documenting the costs of homelessness because it is believed that demonstrating high costs will inspire investments in alternative housing and services. Indeed, as will be discussed in the next section, several investments in alternative housing and service models have included evaluations to examine
Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.
The authors summarize the progress made in the past decade toward making homeless assistance programs more accountable to funders, consumers, and the public. They observe that research on the costs of homelessness and cost offsets associated with intervention programs has been limited to people who are homeless with severe mental illness. But this
Regulatory Review of Adult Day Services: Final Report SECTION 2. STATE REGULATORY PROFILES
A fundamental challenge facing small communities is the high cost per capita of providing health services. 176 Investments to make services available in sparsely populated areas produce services for fewer people than do similar investments made in more populated areas.
Strategies for Integrating and Coordinating Care for Behavioral Health Populations: Case Studies of Four States
Strategies for Integrating and Coordinating Care for Behavioral Health Populations: Case Studies of Four States Executive Summary Kristin Andrews, Jonathan D. Brown, Tara Ferragamo, Rebecca Kleinman, Rebecca Newsham, and Allison Wishon Siegwarth Mathematica Policy Research January 2014
In January 2001, the Federal Employees Health Benefits (FEHB) Program, the largest employer-sponsored health insurance program in the Nation, instituted a mental health and substance abuse (MH/SA) parity policy in compliance with an earlier Presidential directive. This policy mandated that MH/SA services would be covered to the same extent as gene
Providing Mental Health Services to TANF Recipients: Program Design Choices and Implementation Challenges in Four States
Contents Policy Context Rationale for Providing Mental Health Services to Welfare Recipients Methodology Overview of the Study Sites Key Choices in Designing and Providing Mental Health Services Key Implementation Issues General Conclusions
Core Performance Indicators for Homeless-Serving Programs Administered by the U.S. Department of Health and Human Services
Contents Characteristics of the Four Homeless-Serving Programs Analysis of Measures Derived from Homeless Administrative Data Systems (HADS) Potential Core Performance Measures For Homeless-Specific Service Programs Application of Suggested Core Performance Measures To DHHS Mainstream Programs Serving Homeless Individuals
Privacy Issues in Mental Health and Substance Abuse Treatment: Information Sharing Between Providers and Managed Care Organizations: Final Report
Effective psychotherapydepends upon an atmosphere of confidence and trust in which the patient is willing to make a frank and complete disclosure of facts, emotions, memories, and fears. Jaffe vs. Redmond, US Supreme Court, 1996
HHS Guidelines for Ensuring and Maximizing the Quality, Objectivity, Utility, and Integrity of Information Disseminated to the Public. III. Types of Information Disseminated
All publications that carry the SAMHSA imprimatur, i.e., that are considered official SAMHSA publications or releases, must follow SAMHSA policy and procedures for preparation, review, approval, and distribution. The types of information disseminated by SAMHSA to the public include the following, however, the OMB guidelines are not directly applic
HHS Guidelines for Ensuring and Maximizing the Quality, Objectivity, Utility, and Integrity of Information Disseminated to the Public
This site describes the HHS Information Quality Guidelines as well as the supporting administrative mechanisms to request correction of information covered under the guidelines. The HHS Guidelines were developed in accordance with the provisions of P.L. 106-554 and OMB government-wide requirements directing all federal agencies to issue guidelines
Health, Housing, and Service Supports for Three Groups of People Experiencing Chronic Homelessness. 6.2. Service Structures and Agencies Uniquely Focused on People in Group 3
Frequent reference has been made throughout this paper to specialized mental health services. These may include a variety of service structures that serve or focus on chronically homeless people with SMI, including assertive community treatment (ACT) teams, structures in which a mental health agency is in the lead, and structures that integrat
Health, Housing, and Service Supports for Three Groups of People Experiencing Chronic Homelessness. 4.1. Supportive Services Funding for People in Group 1
Because they are not eligible for or enrolled in Medicaid, people in Group 1 will most likely receive health care and behavioral health services that will be less intense and less comprehensive than services that are available for people covered by Medicaid. In some cases, PSH service-providers use non-Medicaid funding to offer the same services t
Health, Housing, and Service Supports for Three Groups of People Experiencing Chronic Homelessness. 3.3. Some Supportive Housing Models Serve All Three Groups of People
In many communities, some PSH serves all three groups of chronically homeless people--whether or not people are eligible for or enrolled in Medicaid, and whether or not people have a SMI that makes them eligible to receive specialized mental health services. Before we describe the types of housing and services most often available to members of ea
This Issue Paper describes three subgroups of the people experiencing chronic homelessness, and the services and housing configurations currently supporting them.
Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. Notes
The Kaiser Commission on Medicaid and the Uninsured has published Medicaid: a Primer which explains key information about the Medicaid program. This publication, available at http://www.kff.org/medicaid/upload/7334-04.pdf provides clear explanations about Medicaid for readers who want more information about mandatory and optional benefits,
Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 7.1. How Does Managed Care Deliver Services Linked to Permanent Supportive Housing
Capitated financing and the quality or performance standards included in many managed care contracts change the financial incentives for health care providers. If reimbursement is no longer provided on a FFS basis for hospitalizations and emergency room visits, this creates incentives for the MCO or the network of health care providers under contr
Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 5.2. How is Substance Abuse Treatment Provided to Permanent Supportive Housing Residents?
Service-providers working in PSH help tenants with problems related to substance use, but they rarely receive Medicaid reimbursement for these services. PSH case managers work to motivate tenants to recognize and seek help for substance use problems and to achieve recovery goals. They connect tenants to other programs that offer treatment services
Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 5.1. Who is Eligible?
In most states persons with substance use disorders are not eligible for Medicaid enrollment unless they are part of a group with categorical eligibility for another reason. Among chronically homeless people this is most likely to be another disabling health conditions such as SMI, a physical disability or a disabling medical condition. When p