Reports

U.S. Department of Health and Human Services

During the 1989 VISTA Reauthorization Hearings, Congress expressed interest in raising the proportion of VISTA volunteers with college degrees. As part of this effort, ACTION endeavored to make college students more aware of the VISTA program and increase applications from college campuses through a targeted marketing campaign. This campaign took place during the 1991-1992 school year.

Bob Clark and Michele AdlerOffice of Family, Community, and Long-Term Care Policy/ASPE/HHS

The purpose of this paper is to: (1) examine family definitions used in federal programs; (2) look at how family definitions are used in some broad policy areas; and, (3) suggest improvements in how families can be defined for policy research. This paper was presented at the American Statistical Association, Winter Conference. [25 PDF pages]

U.S. Department of Health and Human Services

Since 1984, a number of welfare reform proposals intended to lessen dependence on AFDC have been enacted. The current Administration is continuing to address welfare dependency. The purpose of this paper is to update results on the disability status of women of AFDC based on the 1990 SIPP with welfare reform in mind.

U.S. Department of Health and Human Services

Barbara Manard, William Altman, Nancy Bray, Lisa Kane and Andrea Zeuschner Lewin-VHI, Inc. December 16, 1992 This report was prepared under contract #HHS-100-89-0032 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Lewin Group.

Landmark legislation has the power to change people's lives for many years to come. The Americans with Disabilities Act (ADA), signed into law on July 26, 1990, is landmark legislation for Americans with disabilities. The four goals of the ADA — equality of opportunity, full participation, independent living, and economic self-sufficiency — are broad in scope and bold in nature.

U.S. Department of Health and Human Services

COMPREHENSIVE SERVICE INTEGRATION PROGRAMS FOR AT-RISK YOUTH By Martha R. Burt, Gary Resnick and Nancy Matheson The Urban Institute December 7, 1992 For the Office of the Assistant Secretary of Planning and Evaluation U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

This article discusses the cost of teenage childbearing as estimated by the Center for Population Options (CPO). The single-year cost for all families originating from a teen birth is estimated at approximately $25 billion in 1990, up from $16.6 billion in 1985.

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Teen Births Issued August 1992 Cost of Teenage Childbearing: Current Trends PDF Version:

Submitted to: U.S. Department of Health and Human ServicesAssistant Secretary for Planning and Evaluation (ASPE) Rm. 404E, HHH Bldg. 200 Independence Ave., SW

By Ariel Ahart, Ruth Bruer, Carolyn Rutsch, Richard Schmidt, and Susan Zaro. Macro International, Inc.   For the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services EXECUTIVE SUMMARY I. The Social and Policy Context A. The Family Reunification Problem

This booklet of long-term care and disability research has been prepared by the Division of Long-Term Care and Aging Policy, Office of Family, Community and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation. It summarizes the results of the Division's research projects from 1989 through the present and highlights future plans.

U.S. Department of Health and Human Services

This paper, prepared by a DALTCP student intern, provides an overview of assistive technology for the frail elderly. According to the Office of Technology Assessment, in 1985 there were over 18,000 devices available to aid the functionally impaired elderly. The number has grown since then. The devices range in sophistication from a modified eating utensil to computerized voice simulators.

U.S. Department of Health and Human Services Assistive Technology for the Frail Elderly: An Introduction and Overview Robert Elliot University of Pennsylvania August 15, 1991 Revised April 28, 1992 PDF Version (19 PDF pages)

Standard research literature reviews are the usual means of summing up and interpreting the accumulated findings of research studies in a given research field. Review results generally serve as the best guide for further research.

U.S. Department of Health and Human Services

The number of persons with no health insurance coverage rose by 4% between 1989 and 1990, while the number with insurance rose less than 1%. The increase in insurance coverage was due primarily to increases in Medicaid coverage for children under 15.

A number of proposals have been advanced to establish a uniform home care benefit for the frail elderly. Measures of disability using the Activities of Daily Living (ADL) have been used to estimate the numbers of persons potentially eligible under such proposals.

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Long-Term Care Issued April 1992 Estimating Eligibility for Publicly-Financed Home Care: Not a Simple Task... PDF Version:

The March 1991 Current Population Survey (CPS) shows that the number of uninsured persons was 34.7 million in 1990, up 1.3 million from 33.4 million in 1989 (Table 1) and up 3.7 million from 31.0 million in 1987 (not shown in the table).1 At the same time, the total number of insured persons also rose by 1.4 million from 212.8 m

The 1982 and 1984 National Long-Term Care Surveys (NLTCS) are household surveys of functionally impaired Medicare beneficiaries age 65+. The 1989 NTLCS is a resurveying of this population.

U.S. Department of Health and Human Services The National Long-Term Care Surveys (1982, 1984, 1989) Robert Clark March 1992 PDF Version: http://aspe.hhs.gov/daltcp/reports/nltcssum.pdf (12 PDF pages)

  U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

The purpose of this paper is to provide background information which summarizes various perspectives on the definitions, incidence and causes of abuse of elderly citizens in institutional and domestic settings. Also, this paper will describe the range of programs, both in HHS and in the states, that address elder abuse.

The purpose of this survey was to determine: (1) whether the Census provides a suitable frame for selecting board and care places; and (2) whether the questionnaire would elicit sufficient information to identify such places. Board and care places are housing units or group quarters which provide room, meals and one or more services to dependent persons.

A generally consistent finding of community-based long-term care demonstrations, including Channeling, is that these programs do not lead to net reductions in long-term care expenditures. Even though reducing nursing home costs was a goal of these demonstrations, none involved systematic managerial and resource allocation strategies specifically designed to research this goal.

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 available to interested researchers. However, access to a mainframe computer and significant amounts of computer time are required. The computer tape containing the code of the model and associated input data can be purchased through NTIS.

Vernon L. Greene, Ph.D., Mary E. Lovely, Ph.D., Mark D. Miller, M.S., and Jan I. Ondrich, Ph.D. Syracuse University

U.S. Department of Health and Human Services Report from the Secretary's Task Force on Elder Abuse Secretary's Task Force on Elder Abuse February 1992 PDF Version (25 PDF pages)

    U.S. Department of Health and Human Services   Brookings/ICF Long-Term Care Financing Model: User’s Guide to Specifying Simulations

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Brookings/ICF Long Term Care Financing Model: Model Assumptions David L. Kennell and Lisa Maria B. Alecxih, Lewin-ICF Joshua M. Wiener and Raymond J. Hanley, Brookings Institution February 1992 PDF Version (75 PDF pages)

U.S. Department of Health and Human Services Brookings/ICF Long Term Care Financing Model: Programmer's/Operator's Manual Peter Robertshaw and Lisa Maria B. Alecxih February 1992 PDF Version (69 PDF pages)

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

This study analyzes Connecticut nursing home data on a current resident cohort, with particular attention to how many residents began their stays as private pay, but eventually spent down to Medicaid eligibility. It also estimates how many residents were Medicaid eligible prior to admission or became eligible at admission.

The purpose of this paper was to provide a synthesis and critique of current research on Medicaid spenddown. The primary goal was to ask what these studies could tell us about the extent to which persons incurred catastrophic expenses in nursing homes. A corollary goal was to examine how the data and research methods used in the various studies affected the "results" reported.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services A Synthesis and Critique of Studies on Medicaid Asset Spenddown E. Kathleen Adams, SysteMetrics/McGraw-Hill Mark R. Meiners, University of Maryland Center on Aging Brian O. Burwell, SysteMetrics/McGraw-Hill January 1992 PDF Version

U.S. Department of Health and Human Services

The project examined how states have used Medicaid's Personal Care Services Optional Benefit (also called the PC Option), assessed whether coverage regulations for these services be revised, and discussed the ways in which the program might affect public debate about the expansion of public funding for long-term care.

By Alan M. Hershey