This report analyzes the impact of current federal policies and programs on the growth of community living arrangements and supportive services for people with mental retardation and other developmental disabilities (MR/DD).
A study was conducted on elderly long-term care population characteristics and service use; it focused on functional transitions at advanced ages and the impact of long-term care services on these transitions.
MAXIMUS, Inc. April 1988 This report was prepared under contract #HHS-100-85-0004 between HHS's Office of Social Services Policy (now the Office of Disability, Aging and Long-Term Care Policy) and MAXIMUS, Inc. For additional information about this subject, you can visit the ASPE home page at http://aspe.hhs.gov.
The final report (Volume I) presents the results of an evaluability assessment of child care options for work-welfare programs. The project examined current work-welfare programs in selected states across the country and explored the evaluative issues regarding the role of child care in these programs.
This study examined the approaches used in six states (Arkansas, Illinois, Maine, Maryland, Oregon and Wisconsin) to make their long-term care systems more responsive to the needs of older people. According to the study, each of the states was able to expand community-based care services without generating runaway costs in total long-term care spending.
The goals of the study are to: define the issues related to providing care to children with AIDS; place parameters around the size and scope of the problem; and attempt to clarify some of the perceptions and approaches relevant to the problem. This project focuses on children with AIDS whose parents are, or have had sexual contact with, IV drug abusers.
U.S. Department of Health and Human Services AIDS Children and Child Welfare Stephen Margolis, Ph.D., Lela Baughman, M.S.W., J. William Flynt, M.D. and Martin Kotler Macro Systems, Inc. March 31, 1988 PDF Version
The purpose of this paper is to examine the health and disability status of AFDC families using information gathered in the 1984 Survey of Income and Program Participation (SIPP) and to assess the implications for welfare work programs.
This paper describes research to estimate the rates of nursing home admissions and to identify the determinants of long and short stays in nursing homes. The research employed data available from the 1982 and 1984 National Long-Term Care Surveys. Hence, the results are both nationally representative and indicative of nursing home use patterns by the disabled elderly population.
During the 1980s, HHS fielded several major surveys which substantially enhanced the breadth and quality of data available to the general public on the utilization and costs of long-term care services.
The findings of a study of long-term care policies in 18 countries are reported in this article. Initial data were collected by a questionnaire survey under the auspices of the International Social Security Association (ISSA).
This report--which summarizes a national conference held at the Ritz-Carlton Hotel, Washington, D.C. on May 21-22, 1987--was prepared by the Office of Social Services Policy with the U.S. Department of Health and Human Services.
U.S. Department of Health and Human Services Long-Term Care in International Perspective Pamela Doty Office of the Assistant Secretary for Planning and Evaluation, US Department of Health and Human Services 1988 PDF Version
This paper presents the Survey of Income and Program Participation data on child care for working guardians on AFDC. These guardians use care by relatives 58% of the time for their youngest children under 6. They are thus using informal care arrangements which are generally free or low cost instead of more formal arrangements, for which one generally must pay.
U.S. Department of Health and Human Services Child Care Used by Working Women in the AFDC Population: An Analysis of the SIPP Data Base Lorelei R. Brush, Ph.D. Analysis, Research and Training October 15, 1987 PDF Version
This report summarizes state-by-state data on the number of children and adults in foster homes administered by child welfare or social service agencies. As of December 1985, there were approximately 261,000 children in out-of-home foster care, including 54,000 handicapped children, of whom 14,000 were mentally retarded.
Bradley K. Hill, K. Charlie Lakin, Angela R. Novak and Carolyn C. White University of Minnesota, Center for Residential and Community Services October 1987 PDF Version: /daltcp/reports/fosteres.pdf (70 PDF pages)
This study analyzes how federal policies and programs influenced state policy choices with respect to expanding family and community care. The study presents an in-depth review of six state mental retardation/developmentally disabled service systems (Colorado, Illinois, Michigan, Nebraska, Texas and Virginia).
Michele Adler, Suzanne Kitchen, and Albert Irion June 1987 This report was prepared under task order contract #HHS-100-84-0036 between the U.S. Department of Health and Human Services (HHS) and Macro Systems, Inc.
Sandra Newman, Michelle Rice and Raymond Struyk The Urban Institute This report was prepared under contract between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Urban Institute.
Concern about inappropriate nursing home placement and rising long-term care costs led to a series of government-financed demonstrations to study whether substituting care at home for care in nursing homes could reduce costs and improve the quality of life for the frail elderly.
This project had two major goals: (1) To describe the workings of a successful, large-scale, case disability allowance program from an administrative perspective. The Veterans Administration (VA) allowance program is described in detail, to provide a benchmark for future research and program design.
This report to Congress responds to a mandate of the Orphan Drug Act (P.L.97-414, January 4, 1983), which called for the Secretary of HHS to conduct demonstration projects to test methods for identifying individuals at risk of institutional placement who could be treated more cost-effectively with home health and other non-institutional services.