Reports

This paper was presented at the 42nd Annual Meeting of the Gerontological Society of America, November 17-21, 1989. It focuses on several problems associated with making estimates using activities of daily living and highlights some of the methodological work carried out or sponsored by HHS to overcome these problems. [14 PDF pages]

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This report summarizes the results of a special experiment in the collection (from 347 mothers) of detailed current and retrospective child care information carried out in conjunction with the 1989 (11th round) wave of the National Longitudinal Survey of Youth.

The activities of daily living (ADLs) are the basic task of everyday life: eating, bathing, dressing, toileting, and transferring. Although persons of all ages may have problems performing ADLs, disability prevalence rates are much higher for the elderly — rising steeply with advancing age.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This report uses interviews with HHS staff, pertinent legislative committees, and children and youth advocacy organizations in order to express how each group would like to change the existing foster care system.

U.S. Department of Health and Human Services

This collection of brief issue papers uses diverse data to describe 15 major problems facing American children and families. Each paper summarizes the state of knowledge about the scope of the problem, trends, current government expenditures, costs per case, effectiveness of current intervention strategies and public attitudes about the problem areas.

This report summarizes a methodological review of the 1988 National Incidence of Child Abuse and Neglect Study (NIS-2) and highlights the review's implications.

U.S. Department of Health and Human Services A Partial Listings of Problems Facing American Children, Youth and Families SysteMetrics/McGraw-Hill August 1989 PDF Version

U.S. Department of Health and Human Services

This report examines a variety of data regarding current trends in adolescents' sexual, fertility, and marital behavior and discusses evidence regarding the permanence of these trends. Behavioral data are compared with attitudinal measures to conclude that there are significant differences between the conduct and values of young adults.

U.S. Department of Health and Human Services Changes in Marriage and Fertility Behavior: Behavior Versus Attitudes of Young Adults Kristin A. Moore, Ph.D. and Thomas M. Stief Child Trends, Inc. July 1989 PDF Version

This speech, given at the Family Impact Seminar, briefly describes several issues concerning the regulation of child care including: who should regulate child care, whether standards effectively improve quality, how child care has been regulated since the late 1800s, current regulation practices, and how current child care legislation addresses regulation.

U.S. Department of Health and Human Services

This paper summarizes the problems with and suggestions for improving the National Long-Term Care Survey (NLTCS) files. It incorporates many of the concerns and ideas users stated at a Forum on the NLTCS. It outlines concrete areas where improvements and increased technical support are needed so that the research community can conduct the most useful and credible studies possible.

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

This compendium is published by the Division of Disability, Aging and Long-Term Care Policy within the Office of the Assistant Secretary for Planning and Evaluation, Office of Social Services Policy. It summarizes the results of the Division's research projects from 1986 through the present and highlights future plans.

This study describes community and institutional service use patterns over a five year period (1982-1987), based on secondary analyses of longitudinal data for over 4,000 Massachusetts elderly. Emphasis was placed on community service use of persons judged to be at high risk of institutional placement.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

Health planning efforts for the elderly have been hampered by the lack of reliable estimates of the non-institutionalized long-term care population. Until recently national estimates were virtually non-existent, and reliable local estimates remain unavailable.

William G. Wesssert, Jennifer M. Elston, Gary G. Koch, Jane D. Darter and William D. Kalsbeek University of North Carolina, Chapel Hill School of Public Health

To better understand the actual nature of quality problems in home care and the difficulties that home care agencies and state officials face in assuring quality of care, DALTCP sponsored a practitioners conference on quality assurance in home care. The conference included researchers and federal and state regulatory officials and emphasized the experience of practitioners in the field.

This study uses the 1985 National Nursing Home Survey to examine the use and cost of nursing home care among the elderly population of the United States. The following questions are addressed: How many persons aged 65+ use nursing homes in a given year? How do they stay and what are their annual charges? How often, and to what extent, do residents "spenddown" to Medicaid?

This paper presents results of a descriptive analysis of the effects of nursing home use of Medicaid eligibility status. Data from the 1982 and 1984 National Long-Term Care Surveys were used to "track" a cohort of disabled elderly persons residing in the community in 1982 over the following two years.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This report analyzes the impact of current federal policies and programs on the growth of community living arrangements and supportive services for people with mental retardation and other developmental disabilities (MR/DD).

U.S. Department of Health and Human Services

A study was conducted on elderly long-term care population characteristics and service use; it focused on functional transitions at advanced ages and the impact of long-term care services on these transitions.

American Public Welfare Association

U.S. Department of Health and Human Services

Peter Kemper, Randall S. Brown, George J. Carcagno, Robert A. Applebaum, Jon B. Christianson, Walter Corson, Shari Miller Dunstan, Thomas Grannemann, Margaret Harrigan, Nancy Holden, Barbara R.

MAXIMUS, Inc. April 1988 This report was prepared under contract #HHS-100-85-0004 between HHS's Office of Social Services Policy (now the Office of Disability, Aging and Long-Term Care Policy) and MAXIMUS, Inc. For additional information about this subject, you can visit the ASPE home page at http://aspe.hhs.gov.

U.S. Department of Health and Human Services

The final report (Volume I) presents the results of an evaluability assessment of child care options for work-welfare programs. The project examined current work-welfare programs in selected states across the country and explored the evaluative issues regarding the role of child care in these programs.

This study examined the approaches used in six states (Arkansas, Illinois, Maine, Maryland, Oregon and Wisconsin) to make their long-term care systems more responsive to the needs of older people. According to the study, each of the states was able to expand community-based care services without generating runaway costs in total long-term care spending.

MAXIMUS, Inc. April 1988 PDF Version

U.S. Department of Health and Human ServicesAn Evaluability Assessment of Child Care Options for Work-Welfare ProgramsMAXIMUS, Inc.April 1988PDF Version

U.S. Department of Health and Human Services

The goals of the study are to: define the issues related to providing care to children with AIDS; place parameters around the size and scope of the problem; and attempt to clarify some of the perceptions and approaches relevant to the problem. This project focuses on children with AIDS whose parents are, or have had sexual contact with, IV drug abusers.