The total number of Head Start Change in Scope requests increased from 104 in FY21 to 886 in FY24.The majority of Change in Scope requests were for enrollment reductions, with over 19 times as many requests in FY24 as compared to FY21.
Age, Gender & Gender Identities
Reports
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Welfare Indicators and Risk Factors, Twenty-Fifth Report to Congress
The Welfare Indicators Act of 1994 (Public Law 103-432) requires the Secretary of the Department of Health and Human Services to prepare an annual report to Congress on indicators and predictors of “welfare dependence.” That Act requires the report to include three programs: Temporary Assistance for Needy Families (TANF) program (which replaced the Aid to Families with Dependent Children (AFDC)
Report
Creating Effective Medicaid Data Linkages for Health Outcomes Research
Patients, clinicians, decision makers, and other stakeholders depend on robust, evidence-based information to make informed health care decisions. Linking Medicaid data to other sources enables a deeper understanding of how Medicaid services and interventions influence health outcomes.
Research Brief
The Title IV-E Guardianship Assistance Program (GAP): Use of Guardianship is Growing, but Lags Adoption Assistance and is Unevenly Used Across States
The Title IV-E Guardianship Assistance Program (GAP): Use of Guardianship is Growing, but Lags Adoption Assistance and is Unevenly Used Across States May 2026 Administration for Children and Families & Office of the Assistant Secretary for Planning and Evaluation
Report
Advancing an Operational Definition of Intellectual and Developmental Disabilities for Use in Research
Background. Accurately estimating the prevalence of intellectual and developmental disabilities (ID/DD) in the United States remains a challenge, with reported rates varying widely (3%-17%) based on the definitions and data sources used.
ASPE Issue Brief
While often similar in design, home visiting models eligible for MIECHV and Title IV-E Prevention Services reflect the different programmatic goals of child and family wellbeing versus foster care prevention.
This brief address the HHS programs that fund evidence-based home visiting models. It provides a high-level comparison of the primary federal funding streams supporting home visiting. Key points are:
ASPE Issue Brief, Visualization
Availability of Care for Older Adults in Outpatient Behavioral Health Facilities
Behavioral health (BH) conditions are rising among older adults, who are less likely to receive mental health (MH) or substance use disorder (SUD) treatment compared to younger adults. This study examined the availability of care for older adults in outpatient BH facilities across the United States both quantitatively and qualitatively.
Report
Environmental Scan of Pathways to Economic Self-Sufficiency for People with Disabilities
In the U.S., about 11 percent of people ages 18 to 64 living in the community have a disability. Health conditions that cause disability can negatively affect the human capital development of children and the ability of adults to engage in the labor force.
ASPE Issue Brief
Accelerating Innovative and Effective Pediatric Health Care Delivery Systems: Interventions and Value-Based Care Models for Children with Chronic Health Conditions and Complex Needs
Children, youth, and families have unique health needs, which set the foundation for health across the life course; chronic conditions now affect nearly one in three U.S. children, with disproportionate prevalence in those enrolled in Medicaid and CHIP.
Research Brief
CSBG Reporting Is Burdensome and Does Not Accurately Describe How Funds Are Actually Used
This brief describes the reporting practices used by the Community Services Block Grant (CSBG), the burden associated with the reporting process and the limitations of the resulting information for understanding how CSBG funds are used by eligible entities.