Reports

BACKGROUND AND OBJECTIVES

by Sandra J. Clark, Martha R. Burt, Margaret M. Schulte and Karen Maguire of the Urban Institute for the Office of the Assistant Secretary of Planning and Evaluation, October, 1996.

This paper was used as a handout at a workshop, held as a catalyst for DALTCP's major new initiative to study ways to expand consumer choice and empowerment in obtaining personal assistance services. [15 PDF pages]

Authors: Anne Gordon, Jonathan Jacobson, and Thomas Fraker. Mathematica Policy Research, Inc.,  

Despite the recent decline in the teen birth rate, teen pregnancy remains a significant problem in this country. Most teen pregnancies are unintended. Each year, about 200,000 teens aged 17 and younger have children. Their babies are often low birth weight and have disproportionately high infant mortality rates. They are also far more likely to be poor.

by Sandra J. Clark, Martha R. Burt, Margaret M. Schulte and Karen Maguire of the Urban Institute for the Office of the Assistant Secretary of Planning and Evaluation, October, 1996.

U.S. Department of Health and Human Services

Robert Goerge, Lucy Mackey-Bilaver, Bong Joo Lee, David Koepke and Allison Harris University of Chicago, Chapin Hall Center for Children

Robert Goerge, Lucy Mackey-Bilaver, Bong Joo Lee, David Koepke and Allison Harris

U.S. Department of Health and Human Services

This report describes the demographic characteristics and human services utilization of all children and adolescents who are identified as having a disability in Illinois. It also seeks to understand the stability of care that these children receive through childhood and adolescence.

Contact: HHS Press Office (202) 690-6343

PUBLIC LAW 104-191 104th Congress An Act

Executive SummaryIntroduction

Executive SummaryGovernments at all levels are realigning their health-services and human-services programs to keep pace with changing social and fiscal goals. Government initiatives with respect to the organization, financing, and availability of health services are adding impetus to changes that already are far advanced within the health-care industry.

Highlights The IssueHHS has a considerable investment in surveys and other data systems to support broad analytic and program objectives. These range from monitoring of the population and health system, to supporting biomedical, epidemiological, and health services research, to supporting the management and evaluation of HHS programs.

January 1990 through March 1996 448 Selected Citations Prepared by

The purpose of this study is to estimate and compare costs of care for children with 11 selected chronic conditions, to compare these costs with costs of care for children without any of these conditions, and to identify whether selected demographic variables are associated with cost variation.

U.S. Department of Health and Human Services

By Robert Goerge, John Van Voorhis, Lisa Sanfilippo, and Allen Harden Chapin Hall Center for Children at the University of Chicago April 8, 1996

The focus of this study is on the key events that individual children may experience in the public child welfare service system. This report discusses the importance of this type of research, the issues that can be addressed with the information produced, an initial set of analyses addressing key questions in child welfare and an agenda for future work. [27 PDF pages]

Final Report to the Office of the Assistant Secretary for Planning and Evaluation Grant Number HHS 100-93-0024   Robert Goerge

This paper addresses issues which arise at the juncture of welfare and disability policies. Using preliminary data from a recent survey of current and recent AFDC recipients in California, we find that disabilities and chronic health problems affect the mothers or children in 43% of all households in the AFDC system.

Mark L. Wolraich, E. Michael Foster, Sara C. Willis, and Lynne M. Cushing Vanderbilt University

ForewordForeword  (In PDF format) IntroductionIntroduction  (In PDF format)

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This research inventory was assembled in preparation for the National Conference on Managed Care for People with Disabilities.

In an effort to better understand the impact of managed care on disabled populations, staff from the Office of the Assistant Secretary for Planning and Evaluation's Office of Disability, Aging and Long-Term Care Policy and the Office of Health Policy, in collaboration with HCFA, have developed a series of research and evaluation efforts focused on managed care and people with disabilities.

ForewordThe Department of Health and Human Services (HHS) promotes and protects the health and well-being of all Americans and provides world leadership in biomedical and public health sciences.

U.S. Department of Health and Human Services Managed Care and People with Disabilities: Research Project Descriptions Andreas Frank U.S. Department of Health and Human Services February 1996 PDF Version (21 PDF pages)

U.S. Department of Health and Human Services Managed Care for People With Disabilities Research Inventory MEDSTAT Group February 1996 PDF Version: http://aspe.hhs.gov/daltcp/reports/inventry.pdf (73 PDF pages)

The JOBS Evaluation: How Well Are They Faring? AFDC Families with Preschool-Aged Children in Atlanta at the Outset of the JOBS Evaluation. Prepared by Kristin A. Moore, Martha J. Zaslow, Mary Jo Coiro, Suzanne M. Miller of Child Trends, Inc.and Ellen B. Magenheim of Swarthmore College. February 1996

The goals of this project were to describe the quality of care in board and care homes and how it varies across licensure and regulatory systems. Accomplishment of these objectives required a study design that incorporated several activities, including a major collection of new data. This report provides a detailed discussion of methods used in this project. [66 PDF pages]

U.S. Department of Health and Human Services Report on Study Methods: Analysis of the Effect of Regulation on the Quality of Care in Board and Care Homes

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

In 1992, Lewin-VHI produced the report Policy Synthesis on Assisted Living for the Frail Elderly in order to address: the policy concerns generated by a growing frail elderly population, rapid increases in costs of care, and growing interest in various types of supportive housing for the elderly.

In this article, the authors compare and contrast alternative approaches to administering programs, financed under the Medicaid personal care services (PCS) optional benefit, that make attendant services available to low-income elderly and disabled persons in need of help with daily living tasks.

In Chapter 14 (United States), the long development of long-term care policy is described, giving particular emphasis to the functioning of the main programs introduced in the 1960s, and their progressive modification up to the 1990s. Finally, an outline is given of the main reform debates of the late 1980s and 1990s. [38 PDF pages]

Federal disability programs, which provide services such as cash support, health care coverage, and direct supportive services to eligible people with disabilities, are typically limited to people under the age of 65.

In 1985 there were about 5.5 million functionally disabled elderly persons (65+) in the United States (U.S.) living in the community and an additional 1.3 million in nursing homes. By 2020, these figures are expected to almost double to 10.1 million and 2.5 million respectively. The long-term care (LTC) system in the U.S. is large and complex.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Caring for Frail Elderly People: Policies in Evolution Chapter 14: United States Pamela Doty, Ph.D. 1996 PDF Version (38 PDF pages)

U.S. Department of Health and Human Services Encyclopedia of Financial Gerontology: Federal Disability Programs Michele Adler U.S. Department of Health and Human Services 1996 PDF Version (17 PDF pages)

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services National Study of Assisted Living for the Frail Elderly: Literature Review Update Lewin-VHI, Inc. February 1996 PDF Version: http://aspe.hhs.gov/daltcp/reports/litrev.pdf (98 PDF pages)

This is the second in a series of four reports that summarize study findings and methods. This report presents descriptive findings on the characteristics of board and care facilities, operators, staff, and residents. Section 2 briefly describes the study design and sampling and analytic methodology; more detailed discussion is presented in the Technical Report Study Methods.