Reports

Dementia, including Alzheimer’s disease and related disorders, is a neurocognitive disease affecting an individual’s cognitive function and behavior. Dementia is a leading cause of death and is particularly prevalent at the end of life (EOL) in older adults.

As the nation ages and more individuals live longer with chronic illness and disabilities, the need for long-term services and supports (LTSS) will rise.

National health surveillance instruments are intended to monitor important health issues and health status of all populations in the United States. Several population subgroups present with disparities in health conditions and health care. To effectively create programs and policies to address these issues requires accurate identification of key population subgroups.

Electronic health records (EHRs) have been widely adopted in the United States, but there is growing concern that they have unintentionally burdened clinicians, inhibiting their ability to deliver health care efficiently and effectively.

The Foundations for Evidence-Based Policymaking Act of 2018 (Evidence Act) requires federal agencies to create an Evidence-Building plan, otherwise known as a learning agenda. The Evidence-Building Plan is an organization’s way to articulate priority questions and design an approach to developing evidence in support of those questions.

This brief summarizes the challenges involved in serving rural child welfare-involved families with substance use issues. We highlight differences between rural and non-rural areas and discuss strategies that could help alleviate difficulties in addressing child welfare cases in rural communities. Key findings include:

Analysis of State Efforts to Comply with Fair Labor Standards Act Protections to Home Care Workers Pamela J. Doty, Ph.D., and Marie R. Squillace, Ph.D. Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services Edward Kako, Ph.D.

The purpose of this study is to describe and document changes states have made to their Medicaid or other publicly-funded consumer directed home care programs for seniors and individuals with disabilities to comply with the 2013 update to Fair Labor Standards Act (FLSA) regulations.

STATE LICENSURE FOR SUBSTANCE USE DISORDER COUNSELING: IMPLICATIONS FOR BILLING ELIGIBILITY Human Services Research Institute November 2019 Printer Friendly Version in PDF Format (5 PDF

CREDENTIALING SUBSTANCE USE DISORDER COUNSELORS: THE NEED FOR UNIFORM STANDARDS ISSUE BRIEF Human Services Research Institute November 2019 Printer Friendly Version in PDF Format (6 PDF

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION Nilufer Isvan, Rachael Gerber, David Hughes, Kristin Battis, and Evan Anderson Human Services Research Institute John O'Brien

The main purpose of this study was to investigate the barriers to and facilitators of licensing, credentialing, and insurance reimbursement for substance use disorder (SUD) treatment providers across the nation.

The main purpose of this study was to investigate the barriers to and facilitators of licensing, credentialing, and insurance reimbursement for SUD treatment providers across the nation.

The main purpose of this study was to investigate the barriers to and facilitators of licensing, credentialing, and insurance reimbursement for substance use disorder (SUD) treatment providers across the nation.

November 2019 Printer Friendly Version in PDF Format (37 PDF pages)

The objective of this environmental scan is to summarize the peer-reviewed and grey literature on oversight of residential care for mental health and substance use care in the United States, excluding inpatient hospital care.

This file shows the progression of work done on each Action included in the National Plan to Address Alzheimer's Disease. Due to formatting changes and changing Actions titles, descriptions that have been updated, and new Actions that have been added, information below has been grouped by Action Description within the Plan's Implementation Milestones chart.

This report builds on a workshop sponsored by ASPE, titled Addressing the Opioid Epidemic: Harnessing the Power of Data for Patient-Centered Research in December 2018, which showcased projects working to build the data infrastructure for patient-centered outcomes research around opioids.

This research brief presents findings using national data from child care subsidy administrative records that states submit to the U.S. Department of Health and Human Services (HHS). The analysis shows that a greater percentage of subsidized care occurred in licensed child care centers in FY 2016 than in FY 2005.

Child support programs use various strategies called “enforcement tools” to collect critical monetary support for custodial families from noncustodial parents. The enforcement of child support is intended to encourage parental responsibility so that children receive financial, emotional, and medical support from both parents, even when they live in separate households.

This factsheet provides descriptive information on child care eligibility and receipt. Of the 13.3 million children eligible for child care subsidies under federal rules, 15 percent received subsidies. Of the 8.5 million children eligible for child care subsidies under state rules, 24 percent received subsidies. Poorer children were more likely to receive subsidies than less poor children.

Printer Friendly Version in PDF Format (117 PDF pages)

This is the PDF version of the 2019 Update of the National Plan to Address Alzheimer's Disease. There have been updates yearly since this report was originally published in 2012.

This report details takeaways and next steps from the HHS Health and Human Trafficking Symposium on November 28–29, 2018.

This Report responded to a request from the House and Senate Committees on Appropriations.

The Secretary of Health and Human Services (HHS) has been directed to submit a drug pricing report containing information requested by the House Committee on Appropriations.

The purpose of this research project was to provide the Office of Science and Data Policy at ASPE with some informed observations concerning the use of new data sources and data management strategies in policy research, evaluation, and decision-making at the federal level. A secondary goal was to identify successful training models in data science for the federal workforce.

This analysis, which used data on participation in Project ECHO provided by New Mexico’s ECHO Institute, explored two retention-related hypotheses: Participation in an ECHO intervention results in increased provider retention at the individual practitioner level; and

Needs Assessment Methodologies in Determining Treatment Capacity for Substance Use Disorders: Final Report Human Services Research Institute September 2019 Printer Friendly Vers

Human Services Research Institute September 2019 Printer Friendly Version in PDF Format (105 PDF pages)

This project evaluated needs assessment methodologies for substance use disorder (SUD) treatment capacity, highlighting best practices and identifying gaps and opportunities for improvement.

This project evaluated needs assessment methodologies for substance use disorder treatment capacity, highlighting best practices and identifying gaps and opportunities for improvement.

U.S. Department of Health and Human Services September 2019 Printer Friendly Version in PDF Format (61 PDF pages)

Non-Fatal Opioid Overdose and Associated Health Outcomes: Final Summary Report Jon Zibbell, PhD, Jennifer Howard, PhD, Sarah Duhart Clarke, BS, Abigail Ferrell, BA, and Sarita L.

Non-fatal opioid overdose (NFOO) is a significant cause of opioid-related morbidity in the United States. As the number of NFOOs continues to grow, it is important to understand the short- and long-term consequences of NFOO.

Inpatient Bed Tracking: State Responses to Need for Inpatient Care Tami Mark, PhD, Shilpi Misra, BS, Jennifer Howard, PhD, Erin Mallonee, MS, and Sarita L.

States have begun to collect and post information on bed availability (i.e., create bed registries or bed tracking systems) as a tool for providers, patients, and caregivers to identify open beds more efficiently.

APPROACHES TO EARLY JAIL DIVERSION: COLLABORATIONS AND INNOVATIONS Sue Pfefferle, Sarah Steverman, Elle Gault, Samantha Karon, and Holly Swan Abt Associates July 2019 Printer Friendly Version in PDF Forma

People with behavioral health conditions such as serious mental illness (SMI) and substance use disorders (SUDs), including opioid use disorder (OUD), are 3-6 times more likely than the general population to be represented in the criminal justice system.

This is a shorter, summary version of ASPE’s full analytical report with a similar title, examining the characteristics and care trajectories of children in Illinois, New York, and Tennessee who receive Treatment Foster Care services compared with those receiving congregate care, traditional, non-kinship foster care, and kinship foster care.

This report provides a quantitative analysis of three states’ use of therapeutic foster care, an intensive, treatment-focused form of foster care provided in a family setting by trained caregivers.

While child support agencies have acknowledged the rise in substance use among noncustodial parents, there is little to no research that has looked specifically at this population with substance use issues and the effects of that use on child support outcomes, including payment patterns and arrears accumulation.

SUPPORT AND SERVICES AT HOME (SASH) EVALUATION: SASH EVALUATION FINDINGS, 2010-2016 Amy Kandilov, Vincent Keyes, Noëlle Siegfried, Kevin Smith, Patrick Edwards, Jenna Brophy, Aubrey Collins, and Martijn Van Hasselt RTI International Alisha Sanders and Robyn Stone

SUPPORT AND SERVICES AT HOME (SASH) EVALUATION: HIGHLIGHTS FROM THE EVALUATION OF PROGRAM OUTCOMES FROM 2010 TO 2016 Amy Kandilov, Vincent Keyes, Noëlle Siegfried, Kevin Smith, Patrick Edwards, Jenna Brophy, Aubrey Collins, Ann Larsen, and Martijn Van Hasselt RTI International Alisha Sanders and Robyn Stone

This document provides highlights of the evaluation of the Support and Services at Home (SASH) program for the first years of the program (2010-2016). The SASH program in Vermont is a promising approach to providing support services and care coordination to older adults and individuals with disabilities, using affordable housing properties as a platform for service delivery.

This paper describes the primary features of the SASH program and summarizes the main findings of the evaluation to date.

As part of the Administration’s focus on improving person-centered care, the U.S.

Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice Garrett Moran, Ph.D. West Virginia University (formerly Westat) Hannah Knudsen, Ph.D. University of Kentucky Caroline Snyder, M.P.H.

Westat Printer Friendly Version in PDF Format (3 PDF pages)

ABSTRACT This report was included as Appendix B of "Psychosocial Supports in Medication-Assisted Treatment: Site Visit Findings and Conclusions." That report's purpose was to gain a better understanding of the role and range of different models of psychosocial support in medication-assisted treatment for opioid use disorder.