Content by Keyword: Mental Health

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North Carolina

Regulatory Review of Adult Day Services: Final Report - Section 2. North Carolina

Overview Providers of adult day care and day health services must meet certification standards. The Division of Aging and Adult Services in the Department of Health and Human Services oversees the standards, which are based on North Carolina Administrative Code. These standards are summarized in this profile.
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New York

Regulatory Review of Adult Day Services: Final Report - Section 2. New York

Overview New York State (NYS) law provides general standards under which some adult day programs operate, and the NYS Department of Health (DOH) is responsible for quality assurance of adult day programs. The standards to which the services must adhere relate to admission, assessment, staffing qualifications, and patients rights. There are thr
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New Hampshire

Regulatory Review of Adult Day Services: Final Report - Section 2. New Hampshire

Overview
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Nevada

Regulatory Review of Adult Day Services: Final Report - Section 2. Nevada

Overview All facilities offering adult day or adult day health care (ADHC) must be licensed by the Bureau of Licensure and Certification in the Department of Human Resources Division.
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Missouri

Regulatory Review of Adult Day Services: Final Report - Section 2. Missouri

Overview Missouri regulates adult day care by licensure through the Department of Health and Senior Services. Adult day health care is provided through the Medicaid Aged and Disabled Waiver with additional provider requirements. Licensure and Certification Requirements
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Michigan

Regulatory Review of Adult Day Services: Final Report - Section 2. Michigan

Overview Adult day care centers that are funded by the Office of Services to the Aging (OSA) are not licensed. The OSA provides Operating Standards for Service Programs to be followed by providers of services to older persons in Michigan. Services may be provided only under an approved area plan through a formal contractual agreement between t
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Alaska

Regulatory Review of Adult Day Services: Final Report - Section 2. Alaska

Overview There are no licensure requirements in the State of Alaska for adult day services. There is no oversight for adult day service programs that serve only private pay clients.
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Appendix: The U.S. Interagency Council on

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Appendix: The U.S. Interagency Council on Homelessness

Studies Summary of Cost Offset Studies Intervention Studies
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References

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. References

Caton, C. M., Dominguez, B., Schanzer, B., Hasin, D. S., Shrout, P. E., Felix A., et al. (2005). Risk factors for long-term homelessness: Findings from a longitudinal study of first-time homeless single adults.  American Journal of Public Health, 95,  1753–1759. Clark, C., & Rich, A. (2003).Outcomes of homeless adults with mental illness
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Case Study: The Community Columbus Shelter Board

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Case Study: The Community Columbus Shelter Board, Columbus, Ohio

Since 1997 the Community Shelter Board has conducted annual program evaluations for the Columbus and Franklin County Continuum of Care Steering Committee. The Steering Committee utilized evaluation of renewing projects as a means to make ranking decisions, adjust funding awards, and monitor program performance. The program evaluation has considere
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Case Study: The Arizona Evaluation Project on

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Case Study: The Arizona Evaluation Project on Homelessness

The Arizona Evaluation Project on Homelessness was designed to address the need to improve the measurement of program impacts at the client level. The Project was designed to use aggregate impact measures to assess the effectiveness of particular agencies as well as the overall effectiveness of the various continuums of care in the state.
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Administrative Data Linkages

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Administrative Data Linkages

Perhaps the most valuable use of HMIS data beyond its reporting functions is the data capacity it creates for longitudinal, multisite, multisystem research. The Congressional directive authorizing the HMIS initiative refers to the need to use HMIS data to determine if people served in homeless assistance programs are accessing mainstream social we
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Conclusion

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Conclusion

Research on the cost and cost-effectiveness of homeless assistance programs indicates that costly interventions are not likely to be cost-effective, except for the most costly clients.
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Case Management and Other Service Interventions

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Case Management and Other Service Interventions

Two experimental studies from St. Louis (Wolff et al., 1997) and Baltimore (Lehman et al., 1999) examined the cost offsets associated with providing case management services to people who are homeless and have a severe mental illness. In the St. Louis study, the authors found comparable housing outcomes when comparing two assertive community treat
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Some Observations on the Cost of Homelessness

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Some Observations on the Cost of Homelessness Among Families

Homeless families are relatively understudied when it comes to research on the costs of homelessness. A recent study of family shelter utilization patterns and costs has identified a long-stay population that is roughly analogous to the “chronic” shelter stayers identified in the single adult literature (Culhane et al., in press).
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Studies of the Costs of Homelessness

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
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Background

Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Background

In their 1998 paper,  Making Homelessness Programs Accountable to Consumers, Funders and the Public  (Culhane et al., 1999), the authors provide a framework for assessing program outcomes that addresses the information needs of the various constituencies for homelessness services (consumers, funders, and the public). Consumers, it was argued, ne
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Toward Understanding Homelessness: The 2007

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
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Regulatory Review of Adult Day Services: Final

Regulatory Review of Adult Day Services: Final Report - Section 2

Regulatory Review of Adult Day Services: Final Report SECTION 2. STATE REGULATORY PROFILES
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Certification

Regulatory Review of Adult Day Services: Final Report - Section 1. Certification

Ten states require certification in place of licensure. Of these, Alaska, Colorado, Ohio, Indiana, and Wisconsin require only Medicaid providers to be certified according to ADS certification standards; non-Medicaid providers do not have be certified. Adult day certification is voluntary for non-Medicaid providers in Wisconsin. The District of Col

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