Reports

In spite of the growth in federal programs affecting the developmentally disabled, there is little comprehensive information about this population. The Survey of Income and Program Participation (SIPP) is one available source of information. SIPP is a nationally representative longitudinal survey of the adult civilian non-institutionalized population in the U.S.

An analysis was made of the pre and post-patterns of Medicare Part A service use using the samples of the 1982 and 1984 National Long-Term Care Surveys linked to the Medicare Part A bill files and mortality reports.

This article compares the organization and financing of long-term care for the elderly in the U.S. with that of other advanced industrial countries.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Dispelling Some Myths: A Comparison of Long-Term Care Financing in the U.S. and Other Nations Pamela Doty 1990 PDF Version

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This report presents selected statistics gathered on residential facilities designated as mental retardation facilities and their residents as part of the 1987 National Medical Expenditure Survey Institutional Population Component (NMES/IPC).

AbstractThis report presents selected statistics gathered on residential facilities designated as mental retardation facilities and on the residents of those facilities as part of the Institutional Population Component of the 1987 National Medical Expenditure Survey (NMES). The report is divided into 4 parts.

This document contains brief summaries of recommendations for survey items to be included in the Survey of Persons with Mental Retardation and Developmental Disabilities. The domains covered by these recommendations are based on the core set identified in consultation with the Technical Advisory Group and HHS. [49 PDF pages]

U.S. Department of Health and Human Services

Approximately 800 HIV-infected children nationally were in foster care placement as of June 1989. This study was designed to define the specific problems related to providing foster care to children with HIV infection.

U.S. Department of Health and Human Services A Report on Infants and Children with HIV Infection in Foster Care November 14, 1989 PDF Version

U.S. Department of Health and Human Services

This study assessed a variety of longitudinal models to examine the effect of different types of caregiver burden on outcomes important to policymakers: nursing home admissions, hospital use, and stability of the family and formal care networks.

This paper discusses the policy implications of allocating long-term care benefits to the elderly on the basis of objective functional criteria, particularly functioning in the activities of daily living (ADLs).

This paper was presented at the 42nd Annual Meeting of the Gerontological Society of America, November 17-21, 1989. It focuses on several problems associated with making estimates using activities of daily living and highlights some of the methodological work carried out or sponsored by HHS to overcome these problems. [14 PDF pages]

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This report summarizes the results of a special experiment in the collection (from 347 mothers) of detailed current and retrospective child care information carried out in conjunction with the 1989 (11th round) wave of the National Longitudinal Survey of Youth.

The activities of daily living (ADLs) are the basic task of everyday life: eating, bathing, dressing, toileting, and transferring. Although persons of all ages may have problems performing ADLs, disability prevalence rates are much higher for the elderly — rising steeply with advancing age.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This report uses interviews with HHS staff, pertinent legislative committees, and children and youth advocacy organizations in order to express how each group would like to change the existing foster care system.

U.S. Department of Health and Human Services

This collection of brief issue papers uses diverse data to describe 15 major problems facing American children and families. Each paper summarizes the state of knowledge about the scope of the problem, trends, current government expenditures, costs per case, effectiveness of current intervention strategies and public attitudes about the problem areas.

This report summarizes a methodological review of the 1988 National Incidence of Child Abuse and Neglect Study (NIS-2) and highlights the review's implications.

U.S. Department of Health and Human Services A Partial Listings of Problems Facing American Children, Youth and Families SysteMetrics/McGraw-Hill August 1989 PDF Version

U.S. Department of Health and Human Services

This report examines a variety of data regarding current trends in adolescents' sexual, fertility, and marital behavior and discusses evidence regarding the permanence of these trends. Behavioral data are compared with attitudinal measures to conclude that there are significant differences between the conduct and values of young adults.

U.S. Department of Health and Human Services Changes in Marriage and Fertility Behavior: Behavior Versus Attitudes of Young Adults Kristin A. Moore, Ph.D. and Thomas M. Stief Child Trends, Inc. July 1989 PDF Version

This speech, given at the Family Impact Seminar, briefly describes several issues concerning the regulation of child care including: who should regulate child care, whether standards effectively improve quality, how child care has been regulated since the late 1800s, current regulation practices, and how current child care legislation addresses regulation.

U.S. Department of Health and Human Services

This paper summarizes the problems with and suggestions for improving the National Long-Term Care Survey (NLTCS) files. It incorporates many of the concerns and ideas users stated at a Forum on the NLTCS. It outlines concrete areas where improvements and increased technical support are needed so that the research community can conduct the most useful and credible studies possible.

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

This compendium is published by the Division of Disability, Aging and Long-Term Care Policy within the Office of the Assistant Secretary for Planning and Evaluation, Office of Social Services Policy. It summarizes the results of the Division's research projects from 1986 through the present and highlights future plans.

This study describes community and institutional service use patterns over a five year period (1982-1987), based on secondary analyses of longitudinal data for over 4,000 Massachusetts elderly. Emphasis was placed on community service use of persons judged to be at high risk of institutional placement.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

Health planning efforts for the elderly have been hampered by the lack of reliable estimates of the non-institutionalized long-term care population. Until recently national estimates were virtually non-existent, and reliable local estimates remain unavailable.

William G. Wesssert, Jennifer M. Elston, Gary G. Koch, Jane D. Darter and William D. Kalsbeek University of North Carolina, Chapel Hill School of Public Health

To better understand the actual nature of quality problems in home care and the difficulties that home care agencies and state officials face in assuring quality of care, DALTCP sponsored a practitioners conference on quality assurance in home care. The conference included researchers and federal and state regulatory officials and emphasized the experience of practitioners in the field.

This study uses the 1985 National Nursing Home Survey to examine the use and cost of nursing home care among the elderly population of the United States. The following questions are addressed: How many persons aged 65+ use nursing homes in a given year? How do they stay and what are their annual charges? How often, and to what extent, do residents "spenddown" to Medicaid?

This paper presents results of a descriptive analysis of the effects of nursing home use of Medicaid eligibility status. Data from the 1982 and 1984 National Long-Term Care Surveys were used to "track" a cohort of disabled elderly persons residing in the community in 1982 over the following two years.

U.S. Department of Health and Human Services