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Worker and Family Assistance (101 - 110 of 1,682 items)
Military Child Care: DOD Is Taking Actions to Address Awareness and Availability Barriers
GAO-12-21: Published: Feb 3, 2012. Publicly Released: Feb 3, 2012.
Out-of-pocket costs for military families who use DOD-subsidized child care are largely driven by policies that vary by service. DOD establishes income-based fee ranges for on-installation child care, but each service sets its own fees and discounts within these parameters. As a result, in school year 2010 the per-child costs that families from the same income categories paid for on-installation c...
VA Enhanced Monthly Benefits: Recipient Population Is Changing, and Awareness Could Be Improved
GAO-12-153: Published: Dec 14, 2011. Publicly Released: Jan 13, 2012.
According to VA data during fiscal years 2000 to 2010, most enhanced monthly benefit recipients were veterans, over age 65, and receiving the A&A enhancement as part of their pension benefit. The recipient population is changing, however. In particular, the percentage of enhanced monthly benefit recipients age 65 or younger increased from 18 percent to 24 percent over the decade. Also, the percent...
Foster Children: HHS Guidance Could Help States Improve Oversight of Psychotropic Prescriptions [Reissued on December 15, 2011]
GAO-12-201: Published: Dec 14, 2011. Publicly Released: Dec 14, 2011.
Foster children in the five states GAO analyzed were prescribed psychotropic drugs at higher rates than nonfoster children in Medicaid during 2008. The higher rates do not necessarily indicate inappropriate prescribing practices, but according to research, experts consulted, and certain federal and state officials, could be due in part to foster children’s greater mental health needs, greater ex...
Homelessness: To Improve Data and Programs, Agencies Have Taken Steps to Develop a Common Vocabulary
GAO-12-302T: Published: Dec 15, 2011. Publicly Released: Dec 15, 2011.
Definitional differences of homelessness have posed challenges to providing services for children and youth. Children and youth living in precarious situations, such as living with others or in hotels, historically were excluded from receiving government-funded services. Congress enacted the Homeless Emergency Assistance and Rapid Transition to Housing Act of 2009 (HEARTH Act), which broadened the...
Foster Children: HHS Guidance Could Help States Improve Oversight of Psychotropic Prescriptions
GAO-12-270T: Published: Dec 1, 2011. Publicly Released: Dec 1, 2011.
Foster children have often been removed from abusive or neglectful homes and tend to have more mental health conditions than other children. Treatment may include psychotropic drugs but their risks to children are not well understood. Medicaid, administered by states and overseen by the Department of Health and Human Services (HHS), provides prescription drug coverage to foster children. This test...
Supplemental Security Income: Preliminary Observations on Children with Mental Impairments
GAO-12-196T: Published: Oct 27, 2011. Publicly Released: Oct 27, 2011.
The Social Security Administration's (SSA) Supplemental Security Income (SSI) program provides cash benefits to eligible low-income disabled individuals, including children, as well as certain others. Children may generally qualify for SSI benefits if they meet certain financial requirements and are deemed to have a qualifying medically determinable physical or mental impairment of a specified dur...
Indian Health Service: Continued Efforts Needed to Help Strengthen Response to Sexual Assaults and Domestic Violence
GAO-12-29: Published: Oct 26, 2011. Publicly Released: Oct 26, 2011.
The Justice Department has reported that Indians are at least twice as likely to be raped or sexually assaulted as all other races in the United States. Indians living in remote areas may be days away from health care facilities providing medical forensic exams, which collect evidence related to an assault for use in criminal prosecution. The principal health care provider for Indians, which opera...
TANF and Child Welfare Programs: Increased Data Sharing Could Improve Access to Benefits and Services
GAO-12-2: Published: Oct 7, 2011. Publicly Released: Oct 20, 2011.
In 2010, over 40 percent of families receiving cash assistance through the Temporary Assistance for Needy Families (TANF) program were "child-only," meaning the adults in the household were not included in the benefit calculation, and aid was provided only for the children. TANF and child welfare programs provide cash assistance and other services that support children living with nonparent caregi...
Temporary Assistance for Needy Families: HHS Needs to Improve Guidance and Monitoring of Tribal Programs
GAO-11-758: Published: Sep 15, 2011. Publicly Released: Oct 17, 2011.
The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) gives American Indian tribes the option to administer their own Temporary Assistance for Needy Families (TANF) block grant programs. GAO first reported on the use of this flexibility by tribes in 2002 (GAO-02-768), and given the upcoming expected reauthorization of TANF, GAO was asked to examine (1) how tribal TAN...
Veterans Disability Benefits: Clearer Information for Veterans and Additional Performance Measures Could Improve Appeal Process
GAO-11-812: Published: Sep 29, 2011. Publicly Released: Sep 30, 2011.
The Department of Veterans Affairs (VA) has struggled to provide timely reviews for veterans who appeal decisions on their disability compensation claims. A veteran appeals to the VA regional office that made the initial decision, and if still dissatisfied, to the Board of Veterans Appeals (Board). An appeal to the Board adds more than 2 years, on average, to the wait for a decision on the appeal...