ASPE contracted with The Lewin Group to conduct interviews regarding boarding of psychiatric patients in the Emergency Department (ED). The goal of the interviews was to gain the perspective of ED Directors/ED Physicians, Department of Psychiatry Chairs/on-call Psychiatrists, and Nurse Case Managers/Social Workers in nine hospitals.
Office of Behavioral Health, Disability, and Aging Policy (BHDAP)
The Office of Behavioral Health, Disability, and Aging Policy (BHDAP) focuses on policies and programs that support the independence, productivity, health and well-being, and long-term care needs of people with disabilities, older adults, and people with mental and substance use disorders.
Note: BHDAP was previously known as the Office of Disability, Aging, and Long-Term Care Policy (DALTCP). Only our office name has changed, not our mission, portfolio, or policy focus.
The Division of Behavioral Health Policy is responsible for the analysis, coordination, research and evaluation of policies related to mental and substance use disorders, also referred to as behavioral health. The division is the focal point for policy development and analysis related to the financing, access/delivery, organization, and quality of services for people with mental and substance use disorders, including those supported or financed by Medicaid, Medicare, and the Substance Abuse and Mental Health Services Administration (SAMHSA).
The Division of Long-Term Services and Supports is responsible for the analysis, coordination, and research and evaluation of policies related to institutional and community-based long-term care and supportive services, including formal and informal caregiving. The Division is the focal point for policy development and analysis related to the financing, delivery, organization, and quality of long-term care services and supports, including those supported or financed by private insurers, Medicaid, Medicare, and the Administration for Community Living (ACL).
The Division of Disability and Aging Policy is responsible for policy and data development, coordination, research and evaluation of policies and programs focused on the functioning and well-being of persons with disabilities and older adults. The Division is the focal point for crosscutting disability and aging collaboration within the Department and across other federal agencies. Alzheimer’s disease and related dementias and intellectual and developmental disabilities, including Autism Spectrum Disorder, are notable areas of engagement and expertise.
Helpful Information:
Reports
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Advanced SearchFederal Authority for Medicare Special Needs Plans and their Relationship to State Medicaid Programs
This Brief reviews the history and current status of federal special needs plans (SNPs) authority, with particular attention to provisions of interest to state Medicaid programs that have or are considering entering into contracts with SNPs to integrate or coordinate Medicaid long-term care services with Medicare primary, acute and prescription drug services for dually eligible beneficiaries.
Analysis of Risk Communication Strategies and Approaches with At-Risk Populations to Enhance Emergency Preparedness, Response, and Recovery: Final Report
U.S. Department of Health and Human Services
NAPA Public Comment Attachment: A Guide for GPs
This PDF was submitted as an attachment to a Public Comment sent to the Advisory Council on Alzheimer's Research, Care, and Services and/or the National Alzheimer's Project Act website.
Literature Review
A Literature Review: Psychiatric Boarding
This literature review explores the relevant literature on several key questions regarding boarding of psychiatric patients in the emergency department (ED). Is psychiatric boarding a problem? What are the reasons for boarding psychiatric patients? What kind of care is received while patients are boarded?
Home Modifications: Use, Cost, and Interactions with Functioning Among Near-elderly and Older Adults
U.S. Department of Health and Human Services
An Exploratory Study of Certified Nursing Assistants' Intent to Leave
High nursing assistant turnover is disruptive to quality of care and is costly. Findings from the first national probability survey of nursing assistants in nursing homes document the magnitude of potential turnover.
Report to Congress
Advance Directives and Advance Care Planning: Report to Congress
This report summarizes findings from a multidimensional effort. It reflects the perspectives of experts in end-of-life care, advance directives and advance care planning, individuals with disabilities and other nationwide stakeholders. Advance care planning and the use of advance directives provide mechanisms for ensuring individual autonomy at the end of life.