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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.

Helpful Information:

Reports

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Research Brief

Meeting Substance Use and Social Service Needs in Communities of Color

November 23, 2022
In this brief, we highlight experiences and practices from substance use treatment providers and their human services partners when serving people of color. We selected providers that focused on serving people of color, and this study was not intended to assess outcomes or effectiveness of any of the practices highlighted.
ASPE Issue Brief

National and State Estimates of Children Living with Parents Using Substances, 2015–2019

November 14, 2022
This brief presents estimates of the number and percentage of children whose parents engage in problematic substance use, including past-year substance use and SUD by substance type and child demographics. Key findings include:
ASPE Issue Brief

Racial/Ethnic Differences in Children’s Mental Health Services Use Before and During the COVID-19 Pandemic Issue Brief

November 9, 2022
Using a national Medicaid database, the report shows significant racial/ethnic disparities in mental health service use among children during the COVID-19 pandemic.
ASPE Issue Brief, Research Brief

Nursing Home Staffing and the COVID-19 Pandemic

October 6, 2022
It is well known that in the early weeks of the COVID-19 pandemic in the United States much of the devastation was concentrated in nursing homes. In addition to the staggering death toll, isolation and suffering from COVID-19 among nursing home residents, the pandemic introduced new challenges for nursing home staff and exacerbated ongoing challenges.
ASPE Issue Brief

Resident and Facility Factors Associated with High Risk of Discharge from Nursing Facilities, 2012-2017: Issue Brief

September 29, 2022
This project tracked resident and facility factors associated with high risk of live discharges from nursing facilities.
Report

Resident and Facility Factors Associated with High Risk of Discharge from Nursing Facilities, 2012-2017: Final Report

September 29, 2022
This project tracked resident and facility factors associated with high risk of live discharges from nursing facilities.
ASPE Issue Brief, Report

High Risk of Discharge from Nursing Facilities

September 29, 2022
People can be discharged from nursing homes for many reasons. Discharges may be a positive outcome and at an individual’s choice. In other cases, discharges may be at the direction of the facility and against the will of the resident. There are strict rules about when involuntary facility-initiated discharges (FIDs) are allowed.
Research Brief

Long-Term Services and Supports for Older Americans: Risks and Financing, 2022

September 27, 2022
This Brief presents information about the risk of needing care and associated costs to provide content for policymakers and others considering long-term care financing proposals. It revises a brief that was written in October 2020.
ASPE Issue Brief

HHS Roadmap for Behavioral Health Integration

September 16, 2022
This brief introduces the HHS Roadmap for Behavioral Health Integration, which advances the President’s Strategy to Address our National Mental Health Crisis. It provides a general overview of the approach HHS is taking to drive toward integrated care within the three pillars of the President’s Strategy and highlights selected programs and policy actions that will get us there.
ASPE Issue Brief

State Use of Value-Based Payment in Nursing Facilities Issue Brief

September 6, 2022
Payers across the health care spectrum have begun transitioning from paying for quantity toward paying for quality. These value-based payment (VBP) programs vary in scope and focus, but generally share the goals of improving cost-savings and linking payments to value rather than volume.