Reports

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

U.S. Department of Health and Human Services

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).

U.S. Department of Health and Human Services

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.

American Public Welfare Association

U.S. Department of Health and Human Services

Peter Kemper, Randall S. Brown, George J. Carcagno, Robert A. Applebaum, Jon B. Christianson, Walter Corson, Shari Miller Dunstan, Thomas Grannemann, Margaret Harrigan, Nancy Holden, Barbara R.

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.

U.S. Department of Health and Human Services

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.

MAXIMUS, Inc. April 1988 PDF Version

U.S. Department of Health and Human ServicesAn Evaluability Assessment of Child Care Options for Work-Welfare ProgramsMAXIMUS, Inc.April 1988PDF Version

U.S. Department of Health and Human Services

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

U.S. Department of Health and Human Services

This paper synthesizes findings on current and future trends in child care usage patterns among employed mothers of preschoolers (less than 6 years old).

The purpose of this study was to determine how PPS has affected the patterns of care received by Medicare beneficiaries with chronic disabling conditions.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

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

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

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

Data are presented to defend the theory that families use the kind of care which is available to them and affordable.