Long-Term Government Funded Programs


Book Description

Several policymakers, public administrators, the media, and others have celebrated the "success" of the latest anti-poverty policy reforms. Is success a type of economic form or an assessment of the quality of one s life? Success is often defined in some type of economic form, even though it does not always provide a true sense of the effect of policy changes. Assessing the human impact of policy change requires more. It requires knowing about the resources of beneficiaries of social services and their conditions of life from various perspectives; therefore, we must strive to understand the socio-cultural aspects of people s lives that create the whole person, which evaluates one s quality of life. This study examines long-term government funded social programs. More significantly, it answers the question: Have long-term anti-poverty policies alleviated poverty in the U.S.' This study also outlines poverty s major root causes, current strategies, and presents a brief historical background on poverty in the United States. Both qualitative and quantitative data were used for this study compiled by the U.S. Census Bureau and other affiliated agencies. Library resources included electronic and computer database searches. Policy analysis research studies from Democrat, Republican, and Independent Think Tanks, economists, and scholars were assessed. The main research question is: What is the impact of long-term anti-poverty policies in the United States? The sub-questions are: What are major historical perspectives and arguments on government funded anti-poverty policies? What are the major root causes of poverty in the United States? What is the relationship between the economy and government, and does it result in income disparity? What are major anti-poverty strategies implemented to decrease U.S. poverty? When the U.S. government waged war on poverty in the 1960s, poverty was defined by income. Therefore, the obvious solution was to correct the income shortfall. This brings us to an equation seen throughout this study: POVERTY + MORE MONEY = RELIEF. Decades of research and experience with antipoverty programs have made it clear that poverty involves more complex, interrelated and sometimes-intractable socioeconomic, family, and individual issues; in addition, putting millions of dollars into long-term government funded programs is not the absolute solution. In reality, this money put into social programs have in many ways led to more poverty, as well as state and federal deficits. John F. Kennedy once stated in the early 1960s: Ask not what your country can do for you, but what you can do for your country." The more long-term social programs are increased, the more chances generations of Americans will continue to be trapped in a continuous cycle of becoming more needy, dependent, and poor, which does not help the individual, their family, the American public, and certainly not the United States economy.







Federalism and Health Policy


Book Description

The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.




Treating Drug Problems:


Book Description

Treating Drug Problems, Volume 2 presents a wealth of incisive and accessible information on the issue of drug abuse and treatment in America. Several papers lay bare the relationship between drug treatment and other aspects of drug policy, including a powerful overview of twentieth century narcotics use in America and a unique account of how the federal government has built and managed the drug treatment system from the 1960s to the present. Two papers focus on the criminal justice system. The remaining papers focus on Employer policies and practices toward illegal drugs. Patterns and cycles of cocaine use in subcultures and the popular culture. Drug treatment from a marketing, supply-and-demand perspective, including an analysis of policy options. Treating Drug Problems, Volume 2 provides important information to policy makers and administrators, drug treatment specialists, and researchers.




The Future of Public Health


Book Description

"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.




Long Term Care Services in the United States: 2013 Overview


Book Description

Long-term care services include a broad range of services that meet the needs of frail older people and other adults with functional limitations. Long-Term care services provided by paid, regulated providers are a significant component of personal health care spending in the United States. This report presents descriptive results from the first wave of the National Study of Long-Term Care Providers (NSLTCP), which was conducted by the Centers for Disease Control and Preventions National Center for Health Statistics (NCHS). This report provides information on the supply, organizational characteristics, staffing, and services offered by providers of long-term care services; and the demographic, health, and functional composition of users of these services. Service users include residents of nursing homes and residential care communities, patients of home health agencies and hospices, and participants of adult day services centers.




Facing Addiction in America


Book Description

All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.




Medicaid Long-Term Care


Book Description

Pursuant to a congressional request, GAO reviewed three states' experiences in expanding government-funded home and community-based health care services, focusing on: (1) the extent to which these states have shifted their long-term care to home and community-based settings; (2) controls for managing the costs and growth of home and community-based programs; and (3) the impact the shifts and controls have had on long-term care services. GAO found that: (1) all three states have expanded federal and state funded home and community-based long-term care programs to better serve residents' long-term care needs and help control growing Medicaid costs; (2) the three states have had to limit program growth to meet federal Medicaid capacity limits and conform with constrained state budgets; (3) state agencies have had to limit access to home and community-based services and prioritize program recipients because funding needs have exceeded budget allocations; (4) limiting recipients' access to services has resulted in waiting lists for some programs; (5) states have been able to increase service coverage and lower the costs of providing services because home and community-based care is generally less expensive per person than Medicaid-funded institutional care; (6) home and community-based health services are an important alternative to nursing facility care; (7) although the total number of nursing facility beds increased by 20.5 percent between 1982 and 1992, the combined number of beds in the three states declined by 1.3 percent; and (8) the three states have accommodated all or most of the growth in their long-term care programs.




Defining Drug Courts


Book Description




Measuring Success in Substance Use Grant Programs


Book Description

The opioid epidemic, now several decades in the making, continues to cause pain and suffering for millions of Americans. Each year, thousands of individuals die from overdose, and thousands more grieve from these losses. Opioid use disorder (OUD) can lead to a complete interruption of day-to-day activities, including caring for one's family, maintaining a job or career, or keeping track of basic necessities, such as health care and finances. This report, the first in a series of three, examines four of the Substance Abuse and Mental Health Services Administration (SAMHSA)'s grant programs that help alleviate suffering due to opioids and improve treatment quality and access. It offers recommendations about the existing reporting tools used by these programs and and proposes additional metrics and outcomes that should be considered.