Reports

Contents Key Lessons Learned Summary of Findings Relating FBO Characteristics and Behavior to Agency Policies Areas for Further Research he welfare reform law of 1996?the Personal Responsibility and Work Opportunity Reconciliation Act?conta

Assessing the well-being of workers hired under consumer direction and addressing their concerns is critical, because the consumer-directed model is sustainable only if workers are satisfied with it.

This paper describes the work that will be undertaken to conform the MDS content with health information technology standards endorsed by the Federal Government through the Consolidated Health Information(CHI) Initiative. [3 PDF pages]

U.S. Department of Health and Human ServicesOffice of the Assistant Secretary for Planning and Evaluation

  This Research Brief presents findings from an analysis of child abuse and neglect reports for six states that use both traditional child maltreatment investigations and some other defined action that does not require a specific finding about whether the maltreatment occurred.

  This Research Brief presents key findings from a longitudinal analysis of child abuse reporting data, derived from nine states’ submissions to the National Child Abuse and Neglect Data System (NCANDS) for 1998 - 2002.

Stacy Dale, Randall Brown, Barbara Phillips and Barbara Carlson

U.S. Department of Health and Human Services Making MDS v.3.0 Compliant with CHI Standards: Project Summary Apelon, Inc. August 2005 PDF Version

Most children who are subjects of a report of maltreatment to the State or local child protective services (CPS) agency are involved just once with CPS during their lives. Other children are referred more than once and their referrals result in repeated investigations or assessments (rereporting). Some of these children are found to have been revictimized (recurrence).

This report presents findings from a longitudinal analysis of child abuse reporting data spanning five years, derived from nine states' submissions to the National Child Abuse and Neglect Data System, known as NCANDS.

By: John D. Fluke, Gila R. Shusterman, Dana Hollinshead, and Ying-Ying T. Yuan Walter R. McDonald & Associates

U.S. Department of Health and Human Services

    U.S. Department of Health and Human Services   How Cash and Counseling Affects Informal Caregivers: Findings from Arkansas, Florida, and New Jersey Executive Summary

Stacy Dale, Randall Brown, and Rachel Shapiro Mathematica Policy Research, Inc. July 2005 This report was prepared under contract #HHS-100-95-0046 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the University of Maryland.

    U.S. Department of Health and Human Services   Consumer and Consultant Experiences in the New Jersey Personal Preference Program Executive Summary

Child protective services (CPS) agencies face a large volume of reports, increasingly complex cases, and strained resources. Because of their belief that many CPS reports do not require a traditional investigative response, some States have developed practices and policies to differentiate how cases are handled.

This report assesses the appeal of the Cash and Counseling demonstration by: (1) estimating the proportions of eligible beneficiaries that participated and comparing the characteristics of participants and nonparticipants; (2) describing beneficiaries' most common reasons for agreeing or declining to participate; and (3) examining whether the demonstration affected the number of beneficiaries a

The report describes the implementation of Personal Preference by synthesizing information from in-person discussions with program staff, a mail survey of program consultants, telephone interviews with consumers in the treatment group, and program records.

This report describes the effects of Cash and Counseling on the caregivers who were providing the most unpaid assistance to adult beneficiaries when those beneficiaries volunteered to participate in the demonstration and completed a baseline telephone interveiw.

Technology plays a vital role in the lives of older individuals.

Alternative response systems are a new and quickly growing innovation in the child maltreatment field. More defined by what they are not (investigations) than by what they are, States have implemented a range of alternative response models.

By: Gila R. Shusterman, Dana Hollinshead, John D. FLuke, and Ying-Ying T. Yuan Walter R. McDonald & Associates

U.S. Department of Health and Human Services

    U.S. Department of Health and Human Services   Consumer and Consultant Experiences in the New Jersey Personal Preference Program

U.S. Department of Health and Human Services Assessing the Appeal of the Cash and Counseling Demonstration in Arkansas, New Jersey and Florida Stacy Dale, Randall Brown, and Rachel Shapiro Mathematica Policy Research, Inc. July 2005 PDF Version (56 PDF pages)

U.S. Department of Health and Human Services How Cash and Counseling Affects Informal Caregivers: Findings from Arkansas, Florida, and New Jersey

This report presents findings on the short-term impacts of a select group of Title V Section 510 abstinence programs on measures such as service receipt and intermediate attitudinal outcomes for participants.

Leslie Foster, Barbara Phillips and Jennifer Schore Mathematica Policy Research, Inc. June 2005 This report was prepared under contract #HHS-100-95-0046 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the University of Maryland.

This report describes the implementation of consumer directed care by synthesizing information from in-person discussions with program staff, a mail survey of program consultants, telephone interviews with consumers in the treatment group, and program records.

About this Research Brief

U.S. Department of Health and Human Services

Adoption subsidies are perhaps the single most powerful tool by which the child welfare system can encourage adoption and support adoptive families. The federal Adoption Assistance Program was created by Congress in 1980 to ensure that families adopting foster children with special needs could do so without reducing or exhausting their resources.

U.S. Department of Health and Human Services

This report examines the effects of the Cash and Counseling program in three states — Arkansas, Florida, and New Jersey — regarding how consumer direction affects the use and quality of both paid and unpaid personal care assistance received by consumers, as measured by consumers' satisfaction with care, the frequency of unmet needs, and the incidence of adverse health events arising f

U.S. Department of Health and Human Services

    U.S. Department of Health and Human Services   The Effect of Cash and Counseling on Medicaid and Medicare Costs: Findings for Adults in Three States Executive Summary

  U.S. Department of Health and Human Services

This report describes a range of approaches state Medicaid agencies use to coordinate health services and to coordinate long-term care services with health services for beneficiaries with chronic conditions. It then describes in detail two innovative programs: Georgia's SOURCE program and the Indiana Chronic Disease Management Program. [66 PDF pages]

Recent research suggests that Florida's Cash and Counseling model-Consumer Directed Care (CDC)-increased the well-being of children with disabilities and their parents in Florida and that the Cash and Counseling programs in Arkansas, Florida, and New Jersey similarly increased the well-being of adults.

As the population of the United States ages, it will consume more health care. Older people suffer diseases and other medical problems to a greater extent than younger people. And with health care prices continuing to rise much faster than other goods and services, the use and societal cost of health care is expected to soar in the future.

By: Katie Merrell Senior Analyst Center for Health Administration Studies University of Chicago Submitted to:Office of the Assistant Secretary for Planning and EvaluationU.S. Department of Health and Human Services

U.S. Department of Health and Human Services Coordinating Care in the Fee-for-Service System for Medicaid Beneficiaries with Chronic Conditions