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The Title IV-E Guardianship Assistance Program (GAP): Use of Guardianship is Growing, but Lags Adoption Assistance and is Unevenly Used Across States
This brief provides an overview of the Title IV-E Guardianship Assistance Program (GAP) and analyzes the geographic reach, caseload information, and the cost of the program. Key findings include:
Research Brief
Child Welfare Ombudsman Offices Provide System Oversight That Can Lead to Policy and Practice Reforms
This brief provides an overview of child welfare ombudsman offices, describes the landscape of state child welfare ombudsman programs and their common functions, reviews the effectiveness of their oversight, and identifies successes in improving child welfare processes and procedures. Key findings include:
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:
Report
Integrated Care and Health Outcomes for Dual Eligible Individuals
This report examines how integrated care models served full-benefit dually eligible Medicare‑Medicaid beneficiaries in 2021. It compares three types of integrated plans—PACE, FIDE‑SNPs, and D‑SNPs—to standard Medicare Advantage plans, with a focus on hospitalizations, emergency department visits, nursing facility use, home‑ and community‑based services, and mortality.
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.
Research Brief
States Increasingly Promote Kinship Care, though Significant Opportunity Remains for Improving Licensing, Definitions, and Reach: Nearly Two-Thirds of Jurisdictions Have Not Yet Amended Title IV-E Plans to Adopt Separate Licensing Standards
This brief explores how states are approaching kinship care by examining states’ definitions of kinship caregivers, the prevalence of children in foster care living with relatives or kin, states’ adoption of separate licensing standards for kinship homes, and states’ participation in kinship navigator programs through the Title IV-E Prevention Services Clearinghouse. Key findings include: