Reports

Here are demographic, employment, and income characteristics of one of the largest and fastest-growing workforces in the country. Due to this dynamic, understanding the direct care workforce is critical for effective service delivery and policy making in areas from health reform to economic growth. Key figures include job titles and responsibilities, employment status, work setting, wages and benefits.

Long-term care services for the elderly and for younger populations with disabilities are a significant component of national health care spending. In 2006, long-term care spending was almost $174 billion, most of it paid by the federal-state Medicaid program. This report focuses on concerns about the financing, the already substantial public role, which presages rapid spending increases as the “baby boom” population ages may lead policymakers to revisit these issues.

Since 1963, the Developmental Disabilities Assistance and Bill of Rights Act has steered federal funds to support research, advocacy, best practices, and demonstration projects. It set the ground for other groundbreaking legislation. Here you will find the text of the 2000 renewal of the Act and a free online repository housing a legislative history and older analyses and relevant technical assistance documents.

This cross-disability synthesis white paper presents an overview of direct service workforce (DSW) challenges and practices across sectors and provides a call to action regarding these issues. Little has been written about how DSW jobs vary by population served. Beyond demographics and challenges, the authors also examine the development of different service models, promising practices and areas for planning and action. The appendix catalogs core competencies for each group.

Models, innovations, and best practices in case management and support coordination for persons with disabilities are described here. Policy issues, the CMS Quality Framework, and types of case management and differences in service by waiver group are given. The brief also links to innovative programs in 7 states and England.

The Quality Management Committee has released this second draft on the quality management plan for the last eight to ten months. A first draft was prepared and disseminated to a series of public forums. Based on the comments from the forums a second draft has been developed, which is what the Panel referred to for this report.

This quality services review consists of direct feedback from individuals who receive services, record reviews, observations, and discussions with agency staff. Agencies are reviewed against clear benchmarks and receive feedback from review staff throughout the process. Quality Action Plans address areas for improvement and are completed by each agency with technical assistance provided by the Quality Management Unit.

This report presents findings of a national review—or environmental scan—of caregiver training programs and curricula, conducted by the International Longevity Center (ILC) as an initiative of the Caregiving Project for Older Americans, a joint project of the ILC and the Schmieding Center for Senior Health and Education.

This report is the first product of the newly launched Caregiving Project for Older Americans, a multiyear, joint project of the International Longevity Center-USA (ILC) and the Schmieding Center for Senior Health and Education (SCSHE). The report focuses on integrating what is known about both the paid and the family caregiving worlds.

This report provides an overview of the activities of n4a, in partnership with AoA and CMS, and the contracts provided to 31 community-based organizations to implement community-based low-income subsidy enrollment campaigns. It contains helpful information on outreach techniques, including how to reach specific populations, including low income and rural groups.