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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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Reports

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Long-Term Care Service Supply: Levels and Behavior

In this paper, the authors attempt to describe the current supply of institutional long-term care and to discuss the developments in the last 20 years that have affected that supply. The have not attempted to model quantitatively the growth of institutional care or its variation across areas.

The Comparability of Treatment and Control Groups at Randomization

This report analyzes the treatment and control groups in the National Long-Term Care Channeling Demonstration and concludes that the randomization procedure resulted in groups that are very similar on observable characteristics.

Source Book on Long-Term Care Data

Tables in this report were prepared in response to a contractual charge to analyze existing data sources for answers to as many long-term care questions as data and resources would permit. More than two dozen research papers containing roughly 500 tables were produced as a result of that effort. This report contains a substantial portion of those tables. [201 PDF pages]

Private Capacity to Finance Long-Term Care

This paper considers ways to determine the ability of users to contribute to the costs of their care. When better estimates of the costs of long-term care are known, the figures developed here can be used to indicate where shares of the health expenditure burden could be borne privately by individuals.

Private Capacity to Finance Long Term Care

Marilyn Moon Urban Institute  

Third Year Comprehensive Report of the Pennhurst Longitudinal Study

This summary is intended to restate the major research questions being addressed in the Pennhurst Longitudinal Study and provide executives, decisionmakers, and lay persons, in an extremely abbreviated form some tentative answers based on the analysis of the data collected to date.

Initial Research Design of the National Long Term Care Demonstration

The primary objective of the research in the National Long-Term Care Channeling Demonstration was to determine the impacts of the demonstration on service utilization, public and private costs, clients and caregivers. The demonstration employed a randomized experimental design with random assignment of eligible participants to either treatment group or control group status.

A Guide to Memorandum of Understanding Negotiation and Development

This paper describes a practical step-by-step approach to negotiating memoranda of understanding. Although they were written for Channeling agencies, the techniques as described would be useful for any social service agency interested in developing formalized interagency agreements. The document includes model agreements. [26 PDF pages]