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Reports

Displaying 151 - 200 of 4075

State Residential Treatment for Behavioral Health Conditions: Regulation and Policy

ABSTRACT: Residential treatment facilities are a key component of states' behavioral health systems. They form part of the spectrum of treatment for both mental and substance use disorders (M/SUDs).

Measuring the Effectiveness of Virtual Human Services

The COVID-19 pandemic drove a large and rapid transition from in-person human service delivery to virtual approaches. Measuring the implementation and outcomes of virtual human services in a timely way is crucial to understanding the challenges and successes for a variety of participants across programs and services.

Measuring the Implementation and Outcomes of Emergency Economic Mobility and Recovery Waivers and Flexibilities: Key Lessons from Demonstration Waivers

Program managers can take clear steps during emergencies to initially assess the extent to which emergency flexibilities or waivers achieve intended outcomes and advance programmatic goals.

Workforce Implications of Behavioral Health Care Models: Final Report

March 2021 Link to Printer Friendly Version in PDF Format (57 PDF pages)

Crisis Services and the Behavioral Health Workforce Issue Brief

March 2021 Link to Printer Friendly Version in PDF Format (9 PDF pages)

COVID-19 and Economic Opportunity: Unequal Effects on Economic Need and Program Response

The COVID-19 pandemic has had an unprecedented economic and social impact on Americans, with particularly harsh effects on people in certain race and ethnic groups. Public programs intended to address these needs have also had uneven reach, with many less likely to benefit families of color.

Has Treatment for Substance Use Disorders Increased? Issue Brief

Has Treatment for Substance Use Disorders Increased? ASPE ISSUE BRIEF Ellen Bouchery Mathematica March 2021 Link to Printer Friendly Version in PDF Format (10 PDF pages)

Age Group Differences in Progress toward Reducing Substance Use Disorders, 2015-2018 Issue Brief

Age Group Differences in Progress toward Reducing Substance Use Disorders, 2015-2018 ASPE ISSUE BRIEF Ellen Bouchery Mathematica March 2021 Link to Printer Friendly Version in PDF Format (7 PDF pages)

Mental Health Treatment Need and Treatment System Capacity Issue Brief

Mental Health Treatment Need and Treatment System Capacity ASPE ISSUE BRIEF Ellen Bouchery Mathematica March 2021 Link to Printer Friendly Version in PDF Format (8 PDF pages)

Count Estimates of Zero- and Low-Premium Plan Availability, HealthCare.gov States Pre and Post ARP

These supplemental data tables are for the ASPE Issue Brief series, Access to Marketplace Plans with Low Premiums on the Federal Platform, that examines the availability of zero-premium and low-premium (defined as less than or equal to $50 per month) plans after application of advanced premium tax credits in states served by the federal Marketplace platform, HealthCare.gov, before and after the

COVID-19 and Economic Opportunity: Inequities in the Employment Crisis

The COVID-19 pandemic caused an unprecedented economic crisis with inequitable effects. Overall employment figures mask the disparate impacts on some communities of color, women, and low-wage workers. These groups were more likely to lose jobs, reduce hours worked, or withdraw from the labor market.

Access to Marketplace Plans with Low Premiums: Current Enrollees and the American Rescue Plan

The American Rescue Plan (ARP) enhances and expands Marketplace premium tax credits under the Affordable Care Act. Among the nearly 8 million current HealthCare.gov enrollees, we estimate 79 percent could find a zero premium health plan and 87 percent could find a low premium health plan under the ARP.

Medicaid Churning and Continuity of Care

Research shows that disruptions in Medicaid coverage are common and often lead to periods of uninsurance, delayed care, and less preventive care for beneficiaries.

Access to Marketplace Plans with Low Premiums: The Uninsured and the American Rescue Plan

The American Rescue Plan (ARP) enhances and expands eligibility for premium tax credits under the Affordable Care Act. Under the ARP, we estimate that the availability of zero-premium plans has increased by 19 percentage points and low-premium plans by 16 percentage points, respectively, among uninsured non-elderly adults potentially eligible for Marketplace coverage in HealthCare.gov states.

Social Determinants of Health Data Sharing at the Community Level

This report represents a landscape review of community-level efforts to address SDOH, followed by interviews with participants in three community-level initiatives that have built networks to coordinate clinical and social services.

Access to Marketplace Plans with Low Premiums on the Federal Platform

Many uninsured individuals can access zero-premium or low-premium health plans after application of premium tax credits under the Affordable Care Act.

Research Summit on Dementia Care 2020: Persons Living with Dementia Stakeholder Recommendations

This is the PDF version of the Research Recommendations from the Persons Living with Dementia Stakeholder Group prepared for the 2020 National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

The Remaining Uninsured: Geographic and Demographic Variation

The Affordable Care Act (ACA), signed into law on March 23, 2010, extended health coverage to millions of Americans through Medicaid (in the states participating in Medicaid expansion) and subsidized Marketplace coverage. However, research prior to enactment of the American Rescue Plan suggests many remaining uninsured people are not aware of their coverage options.

Persons in Low-Income Households Have Less Access to Internet Services

This factsheet presents estimates of access to internet services for low-income families, as well as differences by demographic characteristics and geography. Key takeaways include:

Risk of COVID-19 Infections, Hospitalization, and Death in Fee-For-Service Medicare

Experience during the first six months of the pandemic shows that the risks of Medicare fee-for-service (FFS) beneficiaries contracting COVID-19 and subsequent hospitalization and mortality vary significantly by demographic characteristics, health status, and nursing home residence. There are several factors that indicate significantly elevated risk.

Case Study of Father Engagement in Family Nutrition and Health Programs: California WIC Association

This case study focuses on how the nonprofit statewide California WIC Association supports local agencies to involve fathers in programming related to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Key lessons and considerations for human services programs include:

Case Study of Father Engagement in Healthy Start Programs: Northeast Florida Healthy Start Coalition Fatherhood PRIDE

This case study focuses on how the Northeast Florida Healthy Start Coalition engaged fathers in its programming through the development of a fatherhood program, Fatherhood PRIDE. Key lessons and considerations include how human services programs can promote father engagement by:

Case Study of Father Engagement in Substance Use Disorder Treatment Programs: ForeverDads

This case study focuses on how a fatherhood program in rural Ohio—ForeverDads—reaches a subpopulation of fathers through partnerships with area substance use disorder treatment programs. Key lessons and considerations include how human services programs can promote father engagement by:

Improving Programs, Policies and Services to Promote Healthy Development in Middle Childhood in Afterschool Settings

This project was a collaborative effort by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and the Office of Women’s Health (OWH). This work examines how investments by the U.S.

Health Disparities by Race and Ethnicity during the COVID-19 Pandemic: Current Evidence and Policy Approaches

The COVID-19 pandemic has highlighted stark health disparities among Black, Hispanic, Native American, and Native Hawaiian/Pacific Islander populations in several areas, including infections, hospitalizations, death rates, and vaccination rates.

State, County, and Local Estimates of the Uninsured Population: Prevalence and Key Demographic Features

State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau’s 2019 American Community Survey Methodological Description March 12, 2021

Medicaid Demonstrations and Impacts on Health Coverage: A Review of the Evidence

This issue brief examines the effects on coverage and access to care of policies in four major areas of state Medicaid section 1115 demonstrations:

Common Principles and Emerging Practices in Social Capital

Social capital – or the value that arises from connections, networks, and relationships – can help human services programs improve participant outcomes. The U.S.

Virtual Human Services for Different Populations

Interviews with program administrators and frontline workers across a range of human services programs early in the COVID-19 pandemic offered rich information about how well virtual service delivery worked for different types of participants.

Lessons Learned from Virtual Human Services during COVID-19

Interviews with program administrators and frontline workers across a range of human services programs early in the COVID-19 pandemic provided key takeaways to help promote effective, accessible, and equitable virtual service delivery.

Choosing Platforms for Virtual Human Services Delivery

Interviews with program administrators and frontline workers across a range of human services programs early in the COVID-19 pandemic provided great insight into the tradeoffs and relative advantages of choosing virtual platforms to administer services from.

Easy or Hard? Delivering Different Types of Human Services Virtually

In response to the COVID-19 pandemic, many human services programs rapidly shifted their service delivery from primarily or exclusively in person to mostly or entirely virtual (via phone, video call, text, email, etc.) with varying degrees of perceived success. Some services (e.g., emergency shelter, distribution of food/diapers) simply must be administered in person.

Trends in the Utilization of Emergency Department Services, 2009-2018

This report to Congress analyzed 10 years of data to look at trends in emergency department utilization at the national and state levels. The report analyzes three categories of utilization:

Health Conditions Among Individuals with a History of Homelessness Research Brief

Health Conditions Among Individuals with a History of Homelessness ASPE RESEARCH BRIEF Harper Sutherland, Mir M. Ali, and Emily Rosenoff U.S. Department of Health and Human Services

Health Conditions Among Individuals with a History of Homelessness Research Brief

Health Conditions Among Individuals with a History of Homelessness ASPE RESEARCH BRIEF Harper Sutherland, Mir M. Ali, and Emily Rosenoff U.S. Department of Health and Human Services

Freeing Children for Adoption within the Adoption and Safe Families Act Timeline

Permanency, that is ensuring children have long-term, enduring connections to family or other caring adults, is one of the three primary goals of the child welfare system, along with safety and child well-being.

Trends in the U.S. Uninsured Population, 2010-2020

Newly released estimates from the National Health Interview Survey show that 11.1 percent of U.S. residents (or 30.0 million) under age 65 lacked health insurance as of January-June 2020. This number reflects a sharp decline in the number of uninsured Americans since 2010, before implementation of the Affordable Care Act's large coverage expansions.

Welfare Indicators and Risk Factors: Eighteenth Report to Congress

This report provides welfare dependence indicators through 2016 for most indicators and through 2017 for some indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.

Welfare Indicators and Risk Factors: Nineteenth Report to Congress

This report provides welfare dependence indicators through 2017 for most indicators and through 2018 for other indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.

Initial Implementation of the 2014 Reauthorization of the Child Care and Development Block Grant

This project examines the initial effects of policy changes required by the 2014 reauthorization of the Child Care and Development Fund (CCDF) program as well as the subsequent CCDF final rule published in September 2016 by the U.S. Department of Health and Human Services (HHS).

The Risk and Costs of Severe Cognitive Impairment at Older Ages: Literature Review and Projection Analyses

The Risk and Costs of Severe Cognitive Impairment at Older Ages: Literature Review and Projection Analyses Melissa M. Favreault and Richard W.

The Risk and Costs of Severe Cognitive Impairment at Older Ages: Key Findings from our Literature Review and Projection Analyses Research Brief

The Risk and Costs of Severe Cognitive Impairment at Older Ages: Key Findings from our Literature Review and Projection Analyses

Most Older Adults Are Likely to Need and Use Long-Term Services and Supports Issue Brief

Most Older Adults Are Likely to Need and Use Long-Term Services and Supports ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

Economic Hardship and Medicaid Enrollment in Later Life: Assessing the Impact of Disability, Health, and Marital Status Shocks

Richard W. Johnson and Melissa M. Favreault Urban Institute January 2021 Link to HTML Version (50 PDF pages)

Risk of Economic Hardship Among Older Adults Issue Brief

Risk of Economic Hardship Among Older Adults ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

Extended LTSS Utilization Makes Older Adults More Reliant on Medicaid Issue Brief

Extended LTSS Utilization Makes Older Adults More Reliant on Medicaid Issue Brief ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

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