U.S. Department of Health and Human Services U.S. Department of Labor Measuring Long-Term Care Work: A Guide to Selected Instruments to Examine Direct Care Worker Experiences and Outcomes Executive Summary
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.
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Advanced SearchState Experiences with Minimum Nursing Staff Ratios for Nursing Facilities: Findings from Case Studies of Eight States
U.S. Department of Health and Human Services
Changes in Medicare Home Health Agency Supply: 1996-1999
This paper expands upon previous research addressing the question of how supply of Medicare Home Health Agencies (HHAs) changed after implementation of the interim payment system (IPS) in two important ways.
Report
A Compendium of Intervention and Descriptive Studies Designed to Promote the Health of Caregivers for Older Adults
An important component of the ASPE Health (Promotion and Aging Project is the development of such an inventory of health promotion, disease prevention, and health education activities targeted at informal caregivers for HHS.
Federal Workforce Development Programs: A New Opportunity for Recruiting and Retaining Direct Care Workers in the Long-Term Care Field
The purpose of this report is to describe five federal workforce development programs and how some long-term care agencies and service providers use them to improve the recruitment and retention of direct care workers.
Easing the Burden of Caregiving: The Effect of Consumer Direction on Primary Informal Caregivers in Arkansas
U.S. Department of Health and Human Services
Agency Closings and Changes in Medicare Home Health Use: 1996-1999
Implementation of the 1997 Balanced Budget Act's home health provisions dramatically reduced Medicare home health utilization and led to closures of many agencies. This paper examined the potential effects of the agency closings on beneficiary utilization rates. Findings suggest that agency closings, per se, had only a very small impact on changes in utilization rates between 1996 and 1999.
Estimates of the Risk of Long-Term Care: Assisted Living and Nursing Home Facilities
The goal of this report is to identify the individual-level factors associated with nursing home and assisted living entry and determine whether and how they differ. While it is possible to estimate a simple model of entry into these facilities at some point in the observation period, a more useful model would make use of data on elapsed time until such a transition.
State-Based Initiatives to Improve the Recruitment and Retention of the Paraprofessional Long-Term Care Workforce
The Department of Health and Human Services awarded a contract to launch a national initiative designed to improve recruitment and retention of direct care workers in the long-term care field.
Lessons from the Implementation of Cash and Counseling in Arkansas, Florida, and New Jersey
U.S. Department of Health and Human Services