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Rural Research Needs and Data Sources for Selected Human Services Topics
(Report)
Volume 1: Research Needs; Volume 2: Data Sources |
Author(s): Volume 1: Debra A. Strong, Patricia Del Grosso, Andrew Burwick, Vinita Jethwani, & Michael Ponza. Volume 2: Debra A. Strong, Jigar Bhatt, Shannon Phillips, & Kate Scheppke |
Organization(s): Mathematica Policy Research, Inc. |
This research project provides a descriptive overview of the social and economic conditions in rural America, including persistent and emerging trends. A literature review of three key human service conditions in rural areas (substance abuse, work supports for low-income families and child welfare) describes their prevalence and the availability and utilization of services to ameliorate the conditions. The final report includes a compilation of 20 national surveys and 60 state administrative data sources that could be used by rural researchers and policymakers to study one or more of the selected focal conditions. The compilation summarizes the content of each database, includes information on the rural identifiers in each data set, and identifies any requirements researchers must meet in order to have access to the data. |
Published: August, 2005 |
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Research Summary
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Executive Summary
PDF Executive Summary
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Using Medicaid to Support Working Age Adults with Serious Mental Illnesses in the Community: A Handbook
(Report)
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Author(s): Gary Smith, Cille Kennedy, Sarah Knipper, John O'Brien and Janet O'Keeffe |
Organization(s): Research Triangle Institute |
This Handbook is designed to improve understanding and provide greater clarity concerning Medicaid's contribution in supporting working-age adults with serious mental illnesses in the community. The Handbook focuses on working-age adults between the ages of 21 and 64 with serious mental illnesses, whose need for support extends beyond mental health services that can be effectively provided by primary care physicians or periodic visits to outpatient settings. [188 PDF pages] |
Published: January, 2005 |
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Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report
(Report)
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Author(s): Parity Eavluation Research Team |
Organization(s): Northrop Grumman Information Technology, Harvard Medical School, RAND Corporation, University of Maryland-Baltimore, Westat |
The evaluation of the 2001 OPM policy of parity for mental health and substance abuse (MH/SA) health care insurance benefits in the FEHB Program was conducted primarily to assess the impact of this policy on utilization and cost. Would increases be within reasonable limits or would the increase to utilization and cost render MH/SA parity unaffordable? Would implementation of MH/SA parity have an effect on the quality of MH/SA care? Analysis of claims data from 1999-2002 for nine FEHB plans, which cover over 3.2 million lives, showed that both utilization and cost increased after parity. However, when compared to a matched set of claims drawn from the Medstat Group MarketScan® Benefit Plan Design database, the increase in FEHB plans was not statistically significantly different from the Medstat plans that were not included in the parity policy. The increase could not be attributed to the parity policy. Further analysis of the FEHB claims on the impact of the parity policy on quality of care, found that there was no negative impact on quality when looking at care in comparison to published professional standards. [258 PDF pages] |
Published: December, 2004 |
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Privacy Issues in Mental Health and Substance Abuse Treatment:
(Report)
Information Sharing Between Providers and Managed Care Organizations: Final Report |
Author(s): Suzanne Felt-Lisk, Jennifer Humensky |
Organization(s): Mathematica Policy Research |
This report clarifies the sources of the tension between providers and payers with regard to what personal information should be shared for patients receiving mental health or substance abuse treatment. It also provides information to support a more consistent application of privacy-sensitive approaches to collecting personal health information in the future. It does not attempt to resolve the tension between providers and payers or specify what information should be shared. The study on which the report is based was conducted during the period September 2001October 2002. It included a comprehensive literature review and discussions with 32 individuals in the mental health and substance abuse fields. Those interviewed included clinicians, patient advocates, experts on privacy issues, and representatives of provider associations, managed care trade associations, managed behavioral health organizations, and HMOs. |
Published: January, 2003 |
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Intensive Case Management Improves Substance Abuse and Employment Outcomes of Female Welfare Recipients:
(Report)
Preliminary Findings |
Author(s): Jon Morgenstern, Kimberly A. Blanchard, Katharine H. McVeigh, Annette Riordan, and Barbara S. McCrady |
Organization(s): The National Center on Addiction and Substance Abuse at Columbia University, Rutgers University, and the New Jersey Department of Human Services |
Many of the families remaining on welfare caseloads face significant barriers to employability. Among the most significant of these is substance abuse. This report is based on a study conducted in New Jersey comparing two contrasting intervention approaches for substance abusing women on welfare: Care Coordination and Intensive Case Management. Earlier reports indicated that providing Intensive Case Management services compared to a more limited triage and referral system increased rates of entry and retention in substance abuse treatment during the first 3 months post admission. The purpose of this report is to present treatment entry and retention rates 9 months post admission as well as preliminary substance abuse and employment outcomes. |
Published: September, 2002 |
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Barriers to Employability Among Women on TANF with a Substance Abuse Problem
(Report)
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Author(s): Jon Morgenstern, Annette Riordan, Barbara S. McCrady, Kimberly Blanchard, Katherine H. McVeigh, and Thomas W. Irwin |
Organization(s): The National Center on Addiction and Substance Abuse at Columbia University (CASA), New Jersey Department of Human Services (NJDHS), Rutgers University, and Mount Sinai School of Medicine |
Substance abuse has been identified as an important problem to address among hard-to-employ TANF recipients. The purpose of this study was to learn more about the substance abuse problems and other barriers to employment of women on TANF who were identified as being dependent on alcohol or other drugs. The study examined the nature, severity, course, and treatment needs for substance abuse problems in this population. The study also assessed problems in seven other areas thought to be barriers to employment. Because most women on TANF experience some barriers to employment, the study compared women with a substance abuse problem to those without a problem. This comparison allowed us to study and determine whether substance-abusing women were more impaired than other women on welfare across important domains related to employment. Finally, the study examined the well-being of children based on mother's self-report. |
Published: September, 2001 |
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Evaluation of the New Jersey Substance Abuse Research Demonstration
(Website)
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Organization(s): Mount Sinai School of Medicine, New Jersey Dept. of Human Services, and Rutgers University |
This evaluation assesses the effectiveness of two contrasting intervention approaches implemented in New Jersey to treat substance abuse and related problems in welfare recipients. The two interventions are care coordination (a limited triage and referral system) and intensive case management in which more extensive services are provided to encourage entry and retention in substance abuse treatment. The evaluation uses a random assignment design and outcomes are assessed related to employment and earnings, substance use, and related family issues (such as involvement with child protective services). |
Published: July, 2000 |
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