This brief assesses whether and how rates of substance use and substance use disorder (SUD) among adults (ages 18 and older) differ by race and ethnicity. The authors combine five years of data, 2015-2019, from the National Survey on Drug Use and Health (NSDUH) to create sample sizes large enough to examine specific racial and ethnic groups for specific categories of drug use.
Public Health
Access up-to-date ASPE research on key public health topics including emerging and re-emerging infectious diseases, such as influenza and COVID-19; health equity; antibiotic resistance; rural health; opioids, opioid use disorder and overdose prevention; maternal health; public health and health care workforce and infrastructure; immunization and vaccines; Indian health; HIV/AIDS; tobacco; and emergency preparedness, response, and recovery. Also find data on prevention, social determinants of health, and more.
Noteworthy
HHS Initiative to Improve Maternal Health
The Department’s Action Plan lays out a vision for improving maternal health that applies a “life course” approach organized around four goals and it sets three ambitious targets to achieve this vision. Each of the four goals includes multiple objectives and action items to drive progress. The Action Plan also describes the current state of maternal health outcomes in the U.S., challenges in reducing maternal mortality and morbidity, recent efforts to improve maternal health within and beyond the federal government, and it discusses various forums in which HHS leadership sought input from key stakeholders.
Reports
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HHS Call to Action: Addressing Health-Related Social Needs in Communities Across the Nation
The U.S. Department of Health and Human Services (HHS) envisions a future in which everyone, regardless of their social circumstances, has access to aligned health and social care systems that achieve equitable outcomes through high-quality, affordable, person-centered care. This Call to Action complements the companion U.S.
Report
Community Care Hubs: A Promising Model for Health and Social Care Coordination
ASPE, in partnership with the Administration for Community Living, commissioned the RAND Corporation to better understand existing approaches to coordinating health and social care services through backbone organizations, with a focus on one particular model, community care hubs (Hubs).
Report
Contingency Management for the Treatment of Substance Use Disorders: Enhancing Access, Quality, and Program Integrity for an Evidence-Based Intervention
Contingency management (CM) is an evidence-based psychosocial therapy for the treatment of stimulant use disorder, as well as a variety of other substance use disorders (SUDs), that is supported by three decades of research. Despite CM’s great potential and demonstrated effectiveness in improving the health and well-being of many people with SUDs, this proven treatment remains underutilized.
Research Brief
Behavioral Health Diagnoses and Treatment Services for Children Involved with the Child Welfare System
This research brief uses claims data from the Medicaid and Children's Health Insurance Programs to examine the behavioral health diagnoses and treatment services received by children and youth involved with the child welfare system in 2019.
ASPE Issue Brief, Report
Early Childhood Workforce Data for Impact: Convening Brief and Data Snapshots
The Early Childhood Workforce Data project highlights exemplary state activities that drive data use to address early childhood workforce issues, including the national early childhood workforce shortage. A U.S.
ASPE Issue Brief, Report
Reimbursement Mechanisms in Team-Based Behavioral Health Care
Team-based behavioral health care can effectively address clinical needs and mitigate behavioral health workforce shortages. Despite the demonstrated benefits of team-based care models, experts in the fields of behavioral health workforce and network adequacy have noted that existing reimbursement models do not adequately support team-based care.
Policy Brief
Refugee and Asylee Data on the Utilization of Medicaid
This brief describes a joint project of the ASPE and the Office of Refugee Resettlement in the Administration for Children and Families to enhance the data infrastructure of agencies managing refugees and Medicaid services. This project is funded by the Patient-Centered Outcomes Research Trust Fund.
Report
Linking State Medicaid Data and Birth Certificates For Maternal Health Research
This report presents the set of guiding principles for linking state Medicaid data with birth certificates that was developed by state and national experts and leaders. These guiding principles can be implemented to create a multistate linked database that researchers would be able to access and use for research on maternal health, including patient-centered outcomes research (PCOR).
ASPE Issue Brief
Identifying and Classifying Medicaid Home and Community-Based Services Claims in the Transformed Medicaid Statistical Information System, 2016-2020 Issue Brief
Home and community-based services (HCBS) are a range of medical and non-medical services provided in the home and community that support individuals with functional limitations, enabling them to reside in the community rather than in institutional settings.