Other Populations

This paper presents some preliminary findings on board and care at the national level. The data indicate that there were about 34,000 licensed board and care homes in 1991. Over three fifths were run on a for profit basis. Non profits and government sponsored board and care homes were more likely than for profits to serve the mentally ill and MR/DD populations.

According to the 1987 National Medical Expenditure Survey, elderly persons with severe disabilities (defined as needing assistance with one or more activities of daily living) had out-of-pocket health care expenses nearly four times greater than persons without disabilities. Approximately 9% of the elderly population was categorized as having a severe disability.

    U.S. Department of Health and Human Services   Disability, Health Insurance Coverage, and Utilization of Acute Health Services in the United States Executive Summary

Board and care homes are non-medical community-based facilities that provide at least two meals a day and routine protective oversight to one or more residents with functional limitations. Unweighted data from the 1991 National Health Provider Inventory (NHPI) indicate that there were about 30,000 licensed board and care homes in the United States serving over half a million persons.

Three studies sponsored by HHS confirm previous research linking health impairment levels, advanced age, and various indicators of caregivers' physical burden and emotional stress with individual caregivers' decisions to stop giving care and increased likelihood of nursing home placement.

Services For Migrant Children in the Health, Social Services, and Education Systems. Nancy M. Pindus, Fran E. O'Reilly, Margaret Schulte, and Lenore Webb The Urban Institute March, 1993

Since 1984, a number of welfare reform proposals intended to lessen dependence on AFDC have been enacted. The current Administration is continuing to address welfare dependency. The purpose of this paper is to update results on the disability status of women of AFDC based on the 1990 SIPP with welfare reform in mind.

Landmark legislation has the power to change people's lives for many years to come. The Americans with Disabilities Act (ADA), signed into law on July 26, 1990, is landmark legislation for Americans with disabilities. The four goals of the ADA — equality of opportunity, full participation, independent living, and economic self-sufficiency — are broad in scope and bold in nature.

This booklet of long-term care and disability research has been prepared by the Division of Long-Term Care and Aging Policy, Office of Family, Community and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation. It summarizes the results of the Division's research projects from 1989 through the present and highlights future plans.

The number of persons with no health insurance coverage rose by 4% between 1989 and 1990, while the number with insurance rose less than 1%. The increase in insurance coverage was due primarily to increases in Medicaid coverage for children under 15.