This is a supplemental report to the final report of a study jointly funded by ONDCP and ASPE (Medicaid Substance Abuse Treatment Spending: Findings Report). This technical report provides more detail on the methods used to make estimates, and it also describes how MPR would make similar estimates of Medicare funding for substance abuse treatment,
Medical expenditures to treat a SA disorder were $3.4 billion in calendar year (CY) 2008, received by 1.1 million persons averaging $3,000 per service user per year. This spending amounted to slightly less than 1.0% of the total $334 billion spent on Medicaid, and provided care to about 1.9% of the 61 million persons covered by Medicaid. [131 PDF
Affordable Care Act Expands Mental Health and Substance Use Disorder Benefits and Federal Parity Protections for Over 62 Million Americans
The Affordable Care Act builds on the Mental Health Parity and Addiction Equity Act of 2008 to extend federal parity protections to 62 million Americans. The parity law aims to ensure that when coverage for mental health and substance use conditions is provided, it is generally comparable to coverage for medical and surgical care.
Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities
This Issue Paper describes the ways that Medicaid is being used now and might be used in the future under provisions of the Affordable Care Act of 2010 to serve chronically homeless people. [67 PDF pages]
This Issue Paper looks at innovative ways that public housing agencies are supporting housing for formerly homeless people in the communities the researchers visited. [29 PDF pages]
This Issue Paper describes three subgroups of the people experiencing chronic homelessness, and the services and housing configurations currently supporting them. [48 PDF pages]
This Issue Paper describes innovative approaches to establishing SSI eligibility. [33 PDF pages]
Overview and Inventory of HHS Efforts to Assist Incarcerated and Reentering Individuals and their Families
The purpose of this document is to help Department of Health and Human Services (HHS) agencies know the full range of programs and services in the Department that currently address the needs of incarcerated individuals and their families and to understand what research and evaluation efforts are underway to identify evidence-based practices.
Role of Religiosity in the Lives of the Low-Income Population: A Comprehensive Review of the Evidence
This report is a comprehensive literature review and descriptive synthesis of the state of the research on the influence of religiosity and spirituality in the lives of the US low-income population. Findings are presented in six main areas: marriage and relationships, parenting, youth, mental and physical health, substance use, and crime and viole
The evaluation of the 2001 OPM policy of parity for mental health and substance abuse (MH/SA) health care insurance benefits in the FEHB Program was conducted primarily to assess the impact of this policy on utilization and cost. Would increases be within reasonable limits or would the increase to utilization and cost render MH/SA parity unafforda
Providing Mental Health Services to TANF Recipients: Program Design Choices And Implementation Challenges in Four States
This report profiles the efforts of four states to address the mental health needs of welfare recipients. The study was designed (1) to identify and provide detailed information about the design and structure of mental health services developed by state and local welfare offices to address the mental health needs of welfare recipients, (2) to high
Potential Employment Liabilities Among TANF Recipients: a Synthesis of Data From Six State TANF Caseload Studies
ASPE funded a round of competitive state and local research grants to study the characteristics and circumstances of individuals and families receiving TANF cash assistance. In this report, ASPE staff merged survey data from all six studies (Colorado, the District of Columbia, Illinois, Maryland, Missouri, and South Carolina) and conducted a poole
This report presents results from an in-depth study of DC's TANF recipients. The study addresses the status of TANF recipients in 2002 and challenges to work that they may face. DC surveyed a representative sample of single-parent TANF caseheads who were on the TANF rolls in August 2002. In addition to questions about employment and income, the
This report presents findings on the characteristics and employment barriers of families receiving TANF benefits in South Carolina's Family Independence (FI) Program. The study included in-depth telephone interviews with 1,120 case heads of families receiving TANF benefits in South Carolina during June 2002, in a research design stratified to incl
This study of Maryland's Temporary Assistance to Needy Families (TANF) caseload was undertaken to provide policy makers and program managers with empirical data on the characteristics, circumstances, and prospects of the adults and children who currently receive cash assistance. As caseloads have declined across the country, most research and poli
Based on the summary report, Survey Design for TANF Caseload Project, Summary Report and Recommendations, that reviews existing survey questions and scales focused on potential barriers to employment among TANF recipients, ASPE finalized this survey instrument, the TANF Caseload Survey, for use in the six state studies.
This report presents research to assist states and counties in studying their current Temporary Assistance for Needy Families (TANF) caseloads. This research consists of a summary review of existing survey instruments that focus on welfare populations, especially those with sections covering barriers to employability and self-sufficiency, as well
This report utilizes survey and administrative data to examine the personal characteristics and situations, potential challenges for employment, compensating strengths and resources, and employment outcomes of TANF recipients in Illinois. Topics examined include physical and mental health, disability, child care, domestic violence, substance abuse