Reports

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

This paper analyzes the growth of day care center capacity in the U.S. over two points in time, 1976 and 1984, and compares it to the change in potential demand for day care caused by the increased number of mothers with young children who were in the labor force. It concludes that day care center supply increased more than the number of young children who have mothers in the labor force.

This report examines a small but key aspect of Channeling — the costs of operating the demonstration itself. The ten sites incurred costs of $23 million as they prepared for and later provided case management and long-term care services to clients between September 1980 and June 1984.

The principal finding of this report is that Channeling led to an increase in total costs for clients, including costs for medical and long-term care services and costs for shelter, food and other daily living expenses.

Over the past decade and a half, a series of demonstrations prior to the National Long-Term Care Channeling Demonstration have been fielded to test some form of case managed, community-based long-term care. Fourteen community care demonstrations funded through Federal Government waivers and similar to Channeling were identified.

U.S. Department of Health and Human Services Day Care Centers: 1976-1984--Has Supply Kept up with Demand? William R. Prosser Office of Social Services Policy, U.S. Department of Health and Human Services May 1986 PDF Version

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Tables Comparing Channeling to Other Community Care Demonstrations Robert A. Applebaum, Margaret N. Harrigan and Peter Kemper Mathematica Policy Research May 1986 PDF Version

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

Randall S. Brown Mathematica Policy Research, Inc.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

Randall S. Brown, Peter A. Mossel, Jennifer Schore, Nancy Holden and Judy Roberts

This report results from an investigation of the extent to which differential attrition from the research sample in the Channeling Demonstration might have led to biased estimates of program impact. Two analytical approaches were adopted--a heuristic approach and a statistical modeling approach.

Randall S. Brown, Peter A. Mossel, Jennifer Schore, Nancy Holden and Judy Roberts Mathematica Policy Research, Inc.

The Pennhurst Longitudinal Study was a five year, in-depth review of the effects of the court-ordered deinstitutionalization of Pennhurst residents. Its aim was to provide federal and state officials and others with information to make better policy decisions regarding the processes related to the deinstitutionalization which is underway in many parts of the country.

James W. ConroyTemple University Valerie J. BradleyHuman Services Research Institute PDF Version: http://aspe.hhs.gov/daltcp/reports/5yrpenn.pdf (267 PDF pages)

U.S. Department of Health and Human Services

    U.S. Department of Health and Human Services   Private Financing of Long Term Care: Current Methods and Resources Phase II ICF Incorporated January 1985 PDF Version: http://aspe.hhs.gov/daltcp/reports/1985/prvfin2.pdf (54 PDF pages)

U.S. Department of Health and Human Services

    U.S. Department of Health and Human Services   Differential Impacts Among Subgroups of Early Channeling Enrollees Six Months After Randomization Executive Summary

In the evaluation of the National Long-Term Care Channeling Demonstration, some members of the research sample were lost to the analysis due to sample attrition. Sample attrition could distort the treatment/control group comparison, depending on the type of attrition that occurred.

U.S. Department of Health and Human Services The Effects of Sample Attrition on Estimates of Channeling’s Impacts for an Early Sample Peter A. Mossel and Randall S. Brown Mathematica Policy Research, Inc. July 1984 PDF Version

In this paper, the authors attempt to describe the current supply of institutional long-term care and to discuss the developments in the last 20 years that have affected that supply. The have not attempted to model quantitatively the growth of institutional care or its variation across areas.

U.S. Department of Health and Human Services

This report analyzes the treatment and control groups in the National Long-Term Care Channeling Demonstration and concludes that the randomization procedure resulted in groups that are very similar on observable characteristics.

U.S. Department of Health and Human Services The Comparability of Treatment and Control Groups at Randomization Randall S. Brown and Margaret Harrigan Mathematica Policy Research, Inc. October 27, 1983 PDF Version (30 PDF pages)

Tables in this report were prepared in response to a contractual charge to analyze existing data sources for answers to as many long-term care questions as data and resources would permit. More than two dozen research papers containing roughly 500 tables were produced as a result of that effort. This report contains a substantial portion of those tables. [201 PDF pages]

Joel Cohen, Judith Feder, Carol Hamcke, Martha Krieger, Susan O’Loughlin, William Scanlon, Margaret Sulvetta, William Weissert, Sidney Katz, Denise Mahalak, Marilyn Moon, Joseph Papsidero, Beth Soldo and Allan Unger The Urban Institute, Health Policy Center July 29, 1983 PDF Version: http://aspe.hhs.gov/daltcp/re

The Seattle-Denver Income Maintenance Experiment (SIME/DIME) was the last in a series of four, large-scale income maintenance experiments undertaken in the late 1960s and early 1970s to measure the disincentive effects of cash transfers on the market work of those eligible for them.

U.S. Department of Health and Human Services

This paper considers ways to determine the ability of users to contribute to the costs of their care. When better estimates of the costs of long-term care are known, the figures developed here can be used to indicate where shares of the health expenditure burden could be borne privately by individuals.

Marilyn Moon Urban Institute  

This summary is intended to restate the major research questions being addressed in the Pennhurst Longitudinal Study and provide executives, decisionmakers, and lay persons, in an extremely abbreviated form some tentative answers based on the analysis of the data collected to date.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Clinical Baseline Assessment Instrument Set Temple University, Institute on Aging 1983 PDF Version (68 PDF pages)

The primary objective of the research in the National Long-Term Care Channeling Demonstration was to determine the impacts of the demonstration on service utilization, public and private costs, clients and caregivers. The demonstration employed a randomized experimental design with random assignment of eligible participants to either treatment group or control group status.

U.S. Department of Health and Human Services

This paper describes a practical step-by-step approach to negotiating memoranda of understanding. Although they were written for Channeling agencies, the techniques as described would be useful for any social service agency interested in developing formalized interagency agreements. The document includes model agreements. [26 PDF pages]

Agencies operating under the National Long-Term Care Channeling Demonstration program had complex assignments to assess the needs of older people requiring long-term care, to determine what services met such needs and to arrange for the delivery of services. Responsibility for a client was spread across several agencies, organizations, and individuals.

Elias S. Cohen, J.D., and Linda S. Staroscik, M.A. Temple University, Long Term Care Gerontology Center

U.S. Department of Health and Human Services

These Papers describe the current state of knowledge about long-term care in the U.S., and serve as a knowledge base for the difficult analytic tasks that lie ahead. They are based on the work of HHS's Task Force on Long-Term Care up to January 1981 and contain data that have not been available before.

U.S. Department of Health and Human Services