Abstracts of DALTCP REPORTS--"H" Titles
This section gives abstracts for reports produced through DALTCP-funded
research or through research done by DALTCP staff. Links to Executive Summaries
and/or Full Reports immediately follow most descriptions, as well to Project
Descriptions (if available). (We are working towards putting ALL Full
Reports online.) Reports can be ordered from the Office of Disability, Aging
and Long-Term Care Policy, unless stated otherwise. Requests can be made
by Fax (202-401-7733) or through email (webmaster.DALTCP@hhs.gov).
NOTE: Because of the large number of DALTCP reports, abstracts are divided into several files.
Remember, the Site Index section includes an alphabetic list of keywords you can choose to find information that is referenced throughout the DALTCP website.
ABSTRACT: Head Start programs provide comprehensive child development, educational, health, nutritional, social and other services to predominantly low income preschool children and their families. In recognition of the important role parents play in their child's development, Head Start programs are required to provide for the direct participation of parents in the development, conduct and direction of local programs. This technical analysis paper, prepared for the Office of Management and Budget, discusses many aspects of Head Start research: (a) past projects; (b) what is still needed; and (c) current and planned efforts. The final section describes additional topics related to Head Start's effectiveness. [Order this report from National Technical Information Service (NTIS), Department of Commerce, 5285 Port Royal Road, Springfield, VA 22161, Website http://www.ntis.gov, Accession #PB92-105212, 22 pages]
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AUTHORS |
Sharon M. McGroder |
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DATE |
March 29, 1990 |
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AVAILABLE ONLINE |
Full Report |
ABSTRACT: 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. No such analysis had been performed before, because SIPP was the first survey to collect extensive data on income, participation in AFDC and health and disability. The prevalence of functional disability among women on AFDC was found to be high (22%) compared to only 9% among women not on AFDC. [Order this report from National Technical Information Service (NTIS), Department of Commerce, 5285 Port Royal Road, Springfield, VA 22161, Website http://www.ntis.gov]
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AUTHORS |
Michele Adler |
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DATE |
1988 |
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AVAILABLE ONLINE |
Full Report |
ABSTRACT: Increasing rights for people with disabilities, expanded definitions of eligibility for government assistance, growing impetus for health care reform, and an overall climate of fiscal retrenchment in state and federal legislatures have combined to create new and challenging questions concerning the delivery of services for medically fragile children. These converging policy currents will determine the nature of the service system for medically fragile children in the future. This study seeks to provide a clearer understanding of the issues. [Order this report from National Technical Information Service (NTIS), Department of Commerce, 5285 Port Royal Road, Springfield, VA 22161, Website http://www.ntis.gov]
ABSTRACT: This report gives a description of the policies and practices, residents, and staff in the segment of the assisted
living facility (ALF) industry that provides the highest level of services and privacy. It reports data on a nationally representative sample of residents and staff in ALFs classified as providing relatively high services or offering a high privacy environment. These facilities, which comprise about two-fifths (41%) of the places calling themselves assisted living, were selected for more extensive and in-depth data collection because they seemed to most effectively exhibit key elements of the philosophy of assisted living.
HIGHLIGHTS: Inventory of Consumer-Directed Support Programs
ABSTRACT: "Consumer-direction" is a philosophy and orientation to the delivery of home and community-based long-term care that
puts informed consumers and their families in the driver's seat with respect to
making choices about how best to meet their disability-related supportive
service needs. At a minimum, the consumer-directed services model allows
persons with disabilities of all ages or others, such as family members, acting
as their representatives to select and dismiss the individuals -- generally
termed personal assistants, aides, or attendants -- who are paid to provide
assistance with basic and instrumental activities of daily living and other
disability-related supportive services. In June 2001, the Home and Community-Based Resource Network at Boston College, with support from the U.S.
Department of Health and Human Services (the Office of the Assistant Secretary
for Planning and Evaluation and the Centers for Medicare and Medicaid Services)
contracted with EP&P Consulting to develop a descriptive inventory of
publicly-funded programs offering home and community-based personal assistance
services through consumer-directed service delivery models.
ABSTRACT: This paper focuses on the elderly, aged 65 and over, who are the primary users of long-term care in the U.S. It examines their use of long-term care services, particularly home and community-based care. It describes the kinds of data available on the functionally impaired elderly and their use of such care. [Order this report from National Technical Information Service (NTIS), Department of Commerce, 5285 Port Royal Road, Springfield, VA 22161, Website http://www.ntis.gov]
ABSTRACT: In 1985 there were about 5.5 million functionally disabled elderly persons (65+) in the U.S. living in the community and an additional 1.3 million in nursing homes. By 2020, these figures are expected to almost double to 10.1 million and 2.5 million respectively. The long-term care system in the U.S. is large and complex. Fundamentally, it consists of: (a) informal care, provided voluntarily by one's family, friends, neighbors, and community organizations; (b) home and community-based care, covering formal (paid) services provided in one's own home or other community-based settings; and (c) nursing homes, which provide specialized
medical, nursing, and social services in an institutional setting. Home and community-based care includes a variety of services and financing streams, including Medicare home health care, Medicaid home health services, Medicaid home and community-based services, programs and services under the Older Americans Act, state sponsored social services funded by the Social Services Block Grant, Supplemental Security Income payments, and a range of supportive housing arrangements. Data on the long-term care system are available from several key sources: national surveys, administrative records, inventories, state and local data systems, and demonstration programs. The long-term care
system remains decentralized. The frail elderly want dignity and independence in the latter years, plus access to needed services and an acceptable quality of life. In policy terms, their caregivers and the taxpaying public continue to struggle to find the appropriate mix of public and private support to meet the needs of the long-term care populations. (Canadian Journal on Aging, Volume 15, Supplement 1, 1996, Pages 91-102) [Order this report from National Technical Information Service (NTIS), Department of Commerce, 5285 Port Royal Road, Springfield, VA 22161, Website http://www.ntis.gov, 12 pages]
ABSTRACT: This paper--which is one of a series of Appendices which will be included in the demonstration's final report--begins
with a description of Wisconsin's Homecoming Project, followed by a summary of the program's results. The report then discusses how project staff responded to barriers to nursing home transitions, how nursing home transitions continued after the Demonstration project ended, and how the project informed requests for 2001 Systems Change Grants for Nursing Facility Transitions from the Centers for Medicare and Medicaid Services.
ABSTRACT: This study is part of a larger project exploring the use of hospice benefits and services provided by the Medicare
program and to those who are privately insured. The MEDSTAT Group's contribution to the larger study is an examination of hospice benefits in
commercial plans and the use of hospice benefits by persons commercially insured. In particular, this report focuses on hospice benefits in plans offered by large employers in the U.S. and the utilization of hospice benefits by the employees of these large companies, their dependents, and in some cases early retirees. The authors draw upon MEDSTAT's proprietary MarketScan® data base for all of the analyses in this
study. MarketScan® includes approximately 70 employers and 200 insurance carriers/claims administrators.
ABSTRACT: This project reviewed the recent literature on Medicaid managed care and proposed a research agenda that would help to guide future program and policy development. To manage this review, the authors focused on four key stakeholder groups: (1) working-age Medicaid beneficiaries who have disabilities and chronic illnesses; (2) the state working-age Medicaid programs; (3) the managed care organizations that accept Medicaid risk contracts; and (4) the providers who deliver the care. They also examined two critical research issues. One is the need for widely accepted and accurate outcome measures that are specific to people with disabilities or chronic illnesses. The other is the design and implementation of evaluations that can produce accurate estimates in the face of constantly changing programs and considerable variation among states. On the basis of this review, the authors outline a research agenda that will help policymakers develop a more precise sense of how managed care practices affect different subgroups of people with disabilities and chronic illnesses and how those practices could be altered to improve Medicaid managed care's ability to meet their needs.
Last revised: February 25, 2003
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