Reports

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.

This report presents the analysis of the effect of regulation and licensure on the quality of care in board and care homes.

Catherine Hawes, Judith Wildfire, Vincent Mor, Victoria Wilcox, Diana Spore, Vince Iannacchione, Linda Lux, Rebecca Green, Angela Greene and Charles D. Phillips Research Triangle Institute and Brown University

U.S. Department of Health and Human Services

Prepared by Lewin-VHI, Inc. This study was prepared for the Department of Health and Human Services , Office of the Assistant Secretary for Planning and Evaluation. November 1, 1995 Executive Summary

U.S. Department of Health and Human Services Subacute Care: Policy Synthesis and Market Area Analysis Proponents of subacute care claim that subacute care is a cost-effective alternative to acute care services, that is, it can be provided in lower cost settings with no diminution of quality.

European Union Restreint ECO 291 CODEC 92 Common Position (EC) No /95 Adopted by the Council on 20 February 1995 With a View to Adopting Directive 94/ /EC of the European Parliament and of the Council on the Protection of Individuals With Regard to the Processing of Personal Data And on the Free Movement of Such Data

U.S. Department of Health and Human Services

Adolescent Time Use, Risky Behavior and Outcomes: An Analysis of National Data Nicholas Zill, Christine Winquist Nord, and Laura Spencer Loomis Westat, Inc. September 11, 1995   For the Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services

After discusion about the possible approaches for conducting the international analysis, the International Collaborative Effort on Age research team concluded that the initial step in analysis should be to establish the 'context' of the research on outcomes of nursing home care.

U.S. Department of Health and Human Services Overview of Long-Term Care in Five Nations: Australia, Canada, the Netherlands, Norway, and the United States RESEARCH FROM THE INTERNATIONAL COLLABORATIVE EFFORT ON AGING

SOURCES OF SUPPORT FOR YOUNG LATINA MOTHERS Joan R. Kahn and Rosalind E. Berkowitz The Urban Institute August 16, 1995

The 1989 National Long Term Care Survey is the first nationally representative survey to collect data on weekly hours of assistance received by ADL and/or IADL disabled elders living in the community by individual caregivers, both formal and informal.

The Office of the Assistant Secretary for Planning and Evaluation sponsored an expert meeting to advise DALTCP on policy issues and available data related to several populations of persons with disabilities: working age adults, children, persons age 65 and older, and special populations (e.g., persons with developmental disabilities, persons with mental illness).

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Long-Term Care Insurance Issued August 1995 Eldercare: The Impact of Family Caregivers' Employment on Formal and Informal Helper Hours

U.S. Department of Health and Human Services

Report of the U.S. Public Health Service Public Health Data Policy Coordinating Committee Prepared by: Roz D. Lasker, M.D. Deputy Assistant Secretary for Health (Policy Development) Office of the Assistant Secretary for Health

U.S. Department of Health and Human Services Use of the 1989 National Long-Term Care Survey for Examining Cognitive Impairment Eligibility Criteria

U.S. Department of Health and Human Services

by: Kristin A. Moore, Brent C. Miller, Barbara W. Sugland, Donna Ruane Morrison, Dana A. Glei, Connie Blumenthal,

A REVIEW OF FAMILY PRESERVATION AND FAMILY REUNIFICATION PROGRAMS By Westat, Inc. in association with James Bell Associates, Inc., and The Chapin Hall Center for Children at the University of Chicago May 30, 1995 For the Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services

This report examines the issues involved in seeking to address the long-term care service needs of persons with severe mental illness (SMI) in a generic long-term care financing and service delivery system, as was proposed in the home and community-based services provisions of the Health Security Act.

U.S. Department of Health and Human Services

Robert L. Mollica, KerenBrown Wilson, Barbara S. Ryther and Heather Johnson Lamarche LTC Resource Center University of Minnesota

From 1972 to 1994, Aid to Families with Dependent Children (AFDC) benefits declined in constant dollars almost without interruption from $8,735 for a mother and two children with no earnings to $4,738. Since food stamps are indexed for inflation, AFDC benefits became a significantly smaller share of the combined total of benefits.

by Julia H. Littell and John R. Schuerman Westat, Inc., in association with James Bell Associates, and the Chapin Hall Center for Children at the University of Chicago. A part of the National Evaluation of Family Preservation Servcies For the Office of the Assistant Secretary for Planning and Evaluation Department of Health and Human Services