Reports

Federal policies implemented in the last decade, including the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act, have promoted insurance coverage for substance use disorders (SUDs). By providing funding for treatment services, these federal policies were intended to increase the proportion of individuals with SUDs who seek and receive evidence-based treatments.

The OS PCORTF Annual Report provides project descriptions for each of the OS-PCORTF portfolio’s 21 projects that were active in calendar year 2017.

ASPE analyzed Part D prescription drug event data from 2016 to estimate spending on brand drugs with generic therapeutic equivalents.

This Brief provides an examination of the amount of time that low-income families from 32 states received child care subsidies.  These families began receiving government-funded child care subsidies during Fiscal Year 2012, prior to the reauthorization of the Child Care and Development Block Grant (CCDBG) Act.  In general, families utilized child care subsidy programs for short time p

States have flexibility to require a person that receives SNAP or subsidized child care to cooperate with the child support program.  This infographic introduces the child support cooperation policy variation across the states and then presents characteristic information about the custodial and noncustodial parents that may be subject to cooperation requirements in SNAP and subsidized chil

This brief examines instability across key areas of family life for children and their households, and the characteristics of those most likely to experience instability.

This study examines relationships between indicators of economic opportunity and the prevalence of prescription opioids and substance use in the United States. We have three primary findings:

This brief describes the research methods used to produce the findings in Substance Use, the Opioid Epidemic, and Child Welfare Caseloads: A Mixed Methods Study. It is a part of a series of briefs that discuss different aspects and issues surrounding the relationship between substance use disorders and the child welfare system.

Many barriers to accessing evidence-based treatment for substance use disorder (SUD), particularly medication assisted treatment, are related to the workforce. Barriers include workforce shortages for certain providers, insufficient training, education and experience, lack of institutional and clinician peer support, provider stigma and inadequate or burdensome reimbursement.

Ellen Bouchery, Mathematica Policy Research Judith Dey, U.S. Department of Health and Human Services Printer Friendly Version in PDF Format (5 PDF pages)

An increasing number of child welfare agencies are considering using predictive analytics in their work. Typically they do so by contracting with a vendor to develop and maintain a predictive analytics model that is used by the agency to predict risk of a specified outcome.

This report summarizes strategies Indian Health Service (IHS) clinics have used to implement the Patient-Centered Medical Home (PCMH) model of care, challenges they faced during implementation, and lessons learned that might benefit IHS clinics that have not yet received PCMH recognition.  Common strategies to address challenges include use of telemedicine and partnerships with academic me

This report summarizes findings from a small qualitative study of six health centers that are pursuing a diverse range of approaches to facilitating specialty care for patients.

Main Summit Recommendations April 27, 2018Updated May 16, 2018

National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers

This is the PDF version of the 12 Recommendation Themes from National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers: Report to the National Advisory Council on Alzheimer's Research, Care, and Service.

This is the PDF version of the final Summit report, which includes the recommendations, prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care). Originally dated April 27, 2018; small changes were made on May 16, 2018.

This report provides welfare dependence indicators through 2015 for most indicators and through 2016 for some indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.

Treatment foster care (TFC; sometimes known as therapeutic foster care) is a family-based placement option for children with serious emotional, behavioral, or medical needs who can be served in the community with intensive support. This report describes how TFC is implemented and supported by states.

Printer Friendly Version in PDF Format (98 PDF pages)

Many people with behavioral health disorders receive suboptimal care and suffer poor health outcomes, including premature death. States, health plans, providers, and other stakeholders need a strong set of measures targeting this population to improve the quality of their care.

The 2014 U.S. Food and Drug Administration (FDA) final rule, “Food Labeling: Nutrition Labeling of Standard Menu Items in Restaurants and Similar Retail Food Establishments,” requires information on the calorie content of food items to be clearly displayed on menus.

This project developed methods and measures that can be used to quantify the public benefits that result from Interoperable Health Information Exchange (IEHI). In the first phase of this project, a literature review was conducted and discussions were held with subject matter experts to identify areas where evidence suggests that the greatest benefits resulting from IEHI might be found.

This study expands upon the analysis of the National Health Service Corps (NHSC) begun in “Provider Retention in High Need Areas and continued in “The National Health Service Corps:  An Extended Analysis” by using the same techniques used in these earlier studies to examine retention patterns in Indian Health providers..  The study finds about 81% of the IHS program participants serve

This study examined the relationship between parental substance misuse and child welfare caseloads, which began rising in 2012 after more than a decade of decline.

This research brief describes how select indicators associated with substance use prevalence relate to the changing trend in child welfare caseloads. It is part of a series describing findings of a mixed methods study undertaken to better understand how parental substance use relates to child welfare caseloads, which began rising in 2012 following years of sustained declines.

Rose Feinberg, Tasseli McKay, Joshua Green and Anupa Bir RTI International Printer Friendly Version in PDF Format (66 PDF pages)

Linkage to health coverage upon release from prison or jail is a critical aspect of the reentry process that may promote greater personal stability and productivity, as well as better care coordination in the community health care system and subsequent reductions in state expenditures.

The development of new drugs and biologics is critical to ensuring that the U.S. population continues to enjoy improvements in quality and length of life.

The Fostering Connections to Success and Increasing Adoptions Act of 2008 provided states with the option to operate guardianship assistance programs (GAP) as part of their child welfare permanency continuum under Title IV-E of the Social Security Act.  The first of these programs began operating in 2010, though some states had operated guardianship programs under title IV-E demonstration

This scan of public and private technical assistance (TA) initiatives synthesizes lessons, challenges, and best practices for providing federal TA to human services programs working to address poverty and child well-being. The scan, encompassing 18 TA initiatives, is intended to inform decisions about how best to target TA efforts for different situations, audiences, and objectives.

This is the PDF version of a Post-Summit Activity Paper prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

Summary

The U.S. Department of Health and Human Services (HHS) is required to assess the benefits and costs of its major regulations prior to promulgation. To support these assessments, in 2016 HHS issued its Guidelines for Regulatory Impact Analyses, developed under the leadership of its Office of the Assistant Secretary for Planning and Evaluation and its Department-wide Analytics Team.

This executive summary provides key takeaways from a longer report to a study that developed and pre-tested a Human Trafficking Screening Tool (HTST) with youth in runaway and homeless youth and child welfare settings. This document also includes both the full, 19-item HTST and a shorter, 6-question form of the tool.

To combat the public health crisis associated with the opioid overdose epidemic, HHS will host an Opioid Code-a-Thon on December 6-7, 2017 to develop data driven solutions to combat the opioid epidemic.  This Data Brief presents an overview of the data sources that could be leveraged to study the opioid crisis within each of the five HHS strategic areas, highlights some of the key res

This ASPE Research Brief describes the number and characteristics of children who in 2011 or 2012 lived with someone other than their parents and who had experienced the incarceration of a parent or guardian.

This ASPE Research Brief examines the courts’ role in overseeing psychotropic medication prescriptions for children who were subjects of child maltreatment investigations.

This research brief identifies characteristics of children and families who reunified with parents or family following the child’s stay in foster care, patterns regarding success or failure of reunification, as well as maltreatment re-reports among children reunified with their families.

Antibiotic resistance (AR) poses a significant threat to our Nation’s public health. To coordinate and enhance the public health response to the AR threat, the U.S. Government developed the National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB). The CARB Task Force is co-chaired by HHS, the U.S. Department of Agriculture, and the U.S. Department of Defense.

This research brief presents findings on the characteristics of Head Start children and families that experienced homelessness, as well as services Head Start programs reported providing to these vulnerable children and families, using data from the 2009 cohort of the Head Start Family and Child Experiences Survey.

This document introduces child welfare administrators and policy makers to the benefits and challenges faced in using predictive analytics to improve child welfare practice.

Child welfare agencies are interested in leveraging new and emerging techniques to help them harness data and technology to make dramatic improvements to child welfare practice and ultimately produce better outcomes for children and families.

This factsheet provides descriptive information on child care eligibility and receipt. Of the 13.4 million children eligible for child care subsidies under federal rules, 16 percent received subsidies. Of the 8.3 million children eligible for child care subsidies under state rules, 26 percent received subsidies. Poorer children were more likely to receive subsidies than less poor children.

This is the PDF version of a Stakeholder Group Paper prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

This is the PDF version of a Pre-Summit Activity Paper prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

This issue brief presents analysis of Qualified Health Plan (QHP) data in the individual market Exchanges for plan year 2018 for states that use the HealthCare.gov platform.  It examines issuer participation, plan options and premiums for individuals enrolling in coverage through the Exchanges.

This is the PDF version of the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers paper from the Recommendations Review Session. This Session was held on October 18 (Day 3), and was attended by the Summit Co-Chairs and each of the Session Chairs.

Studies in a range of disciplines document high levels of instability for many families and the negative effects this insecurity can have on child development, adult well-being, and family self-sufficiency. This study examines the nature and extent of instability for children and their families using nationally representative data on nearly 15,000 children.