Products and Publications

Each of Insight’s products is designed to convey complex information clearly, effectively, and concisely, particularly to nontechnical audiences. Our white papers, policy briefs, reports, and other publications are tailored to ensure research evidence informs public policy and program implementation. We aim to exceed client expectations with every product delivered.

All Products and Publications

An Assessment of the Roles and Effectiveness of Community-Based Organizations in the Supplemental Nutrition Assistance Program

The purpose of this study is to describe the community-based organizations (CBOs) that conducted SNAP eligibility interviews in the four demonstration States; to describe the nature of the partnerships between those CBOs and SNAP personnel; and to examine any associations between the CPI demonstration projects and SNAP program outcomes, including timeliness, efficiency, and customer satisfaction.

Defense Advisory Committee on Women in the Services (DACOWITS) 2014 Report

The Defense Advisory Committee on Women in the Services (DACOWITS), hereafter referred to as “the Committee” or “DACOWITS,” was established in 1951 with a mandate to provide the Secretary of Defense (SECDEF) with independent advice and recommendations on matters and policies relating to service- women in the Armed Forces of the United States. Individual members of the Committee are appointed by the SECDEF and serve in a voluntary capacity for one- to four-year terms.

It has been the Committee’s approach since 2010, and again in 2014, to divide work into two areas of focus: Wellness and Assignments. The Committee selected speci c topics for study under each area of focus, and gathered both primary and secondary sources of information, including brie ngs from DoD and Service-level military representatives and subject matter experts (SMEs); data and other informa- tion collected from focus groups and interactions with Service members during installation visits; and literature reviews. These sources of information formed the basis for the Committee’s recommendations and reasoning.

The Committee voted on recommendations during its September 2014 business meeting and approved this annual report at its December 2014 business meeting.

Examining the Growth of the Zero-Income SNAP Caseload: Characteristics, Circumstances, and Dynamics of Zero-Income SNAP Participants

Volume I: Cross-Sectional, Longitudinal, and Policy Analysis Findings, 1993–2008

Volume I of this report presents findings from the repeated cross-sectional, longitudinal, and policy analyses designed to examine trends in this population over time, the dynamics of income and SNAP participation and how economic and policy changes may have affected the population and its representation in the SNAP caseload. Volume II addresses findings from the in-depth interviews designed to understand the circumstances of zero-income SNAP participants and how, with zero income, these participants are coping. Key study results from both volumes are presented below.

Examining the Growth of the Zero-Income SNAP Caseload: Characteristics, Circumstances, and Dynamics of Zero-Income SNAP Participants

Volume II: In-Depth Interview Findings

Volume I of this report addresses Objectives 1, 3 and 4. This volume addresses Objectives 1 and 2 based on findings from in-depth, semi-structured interviews with 50 zero-gross-income SNAP participants. The purpose of these interviews was to gather firsthand information about the circumstances that can lead zero-income SNAP participants to experience periods of no income and the strategies they use to survive during those periods. Respondents included SNAP participants living in Maryland, Virginia, West Virginia, or the District of Columbia who reported no income on their SNAP applications. Twenty-eight respondents were women and 22 were men, and more than three-quarters of respondents were unmarried. Approximately three-quarters of the respondents were between 18 and 49 years of age, which is the designated age range for able-bodied adults without dependents (ABAWDs). Almost one-quarter of those adults had full custody of dependent children and therefore were exempt from the work program requirements that apply to ABAWDs.

Department of Defense Recovering Warrior Task Force 2013-2014 Annual Report

This is the fourth and final Annual Report of the Department of Defense (DoD) Recovering Warrior Task Force (RWTF), which was established at Congress’ behest to examine the effectiveness of military Recovering Warrior (henceforth Recovering Warriors, or RWs) policies and programs and to recommend improvements.1 Congress specified more than a dozen RW matters that RWTF was to study each year; although these matters focused primarily on RW needs and resources prior to signing a Certificate of Release or Discharge from Active Duty form (known as the DD2142), Congress also charged RWTF to address RWs’ transition to the Department of Veterans Affairs (VA) and civilian status. Drawing upon a comprehensive research plan encompassing a wide variety of data sources and collection methods (see Appendix D, Methodology), RWTF produced a total of 77 recommendations in its first three years of effort. These recommendations can be found in RWTF’s Fiscal Year (FY) 2011, FY2012, and FY2013 Annual Reports, which are available at http://rwtf.defense.gov/. The present FY2014 Annual Report makes 10 recommendations, for a total of 87 RWTF recommendations over four years of operation.

Evaluation of the Impact of Wave 2 Incentives Demonstrations on Participation in the Summer Food Service Program (SFSP): FY 2012

This report presents final findings from the Wave 2 demonstrations using administrative data reported to FNS by SFSP sites and sponsors. Key outcome measures include the total number of meals served and the total number of children served (as measured by average daily attendance, or ADA). Additional outcome measures are illustrated as appropriate to the demonstration including the number of backpacks or meals delivered. This report also presents findings from a sample of non-demonstration sites that served as comparison sites to examine the effectiveness of the demonstrations. Key results for the Wave 2 demonstrations follow.

WIC Participant and Program Characteristics 2012 Final Report

This publication is the 13th report in the WIC Participant and Program Characteristics (PC) study series.

Managing Personal Health Information: An Action Agenda

This report presents key recommendations and an action agenda developed during a 2-day workshop convened by the Agency for Healthcare Research and Quality (AHRQ) on July 27-28, 2009, entitled “Building Bridges: Consumer Needs and the Design of Health Information Technology.‖ The purpose of this event was to develop a framework for characterizing personal health information management (PHIM) that would inform the design of effective consumer health information technology (health IT) systems. The workshop brought together leaders from multiple disciplines, including health sciences, health informatics, information science, consumer health IT, and human factors research, with specific expertise in the fields of PHIM and/or health IT. The workshop moderator was Patricia Flatley Brennan, who also served as an advisor on this report.

Through small-group discussions and presentations, the participants considered the diverse needs of different consumer groups with respect to managing their personal health information and how consumer health IT solutions can be designed to better meet those needs. Based on these discussions and presentations, the participants were asked to set an agenda for advancing the field of consumer health IT that would include specific recommendations for research, industry, and policy.

Results of the Combating Autism Act Initiative: HRSA’s Efforts to Improve ASD Service Delivery Through Research, Training, and State Implementation Grants

In 2006, the U.S. Congress passed the Combating Autism Act (P.L. 109–416). The Act appropriated a total of $168 million, including $42 million for the Health Resources and Services Administration (HRSA), to focus on autism and related developmental disability education, early detection, and intervention. Under the authority of this Act, HRSA’s Maternal and Child Health Bureau (MCHB) launched the Combating Autism Act Initiative (CAAI) in September 2008, with the long-term goal of developing a system of services that includes: 1) early developmental screening; 2) conducting early, interdisciplinary diagnostic evaluations to confirm or rule out ASD and other DD; and 3) providing early, evidence-based interventions for children with a confirmed ASD diagnosis.

In accordance with the objectives specified in the legislation, the CAAI awarded grants to:

  •  Increase awareness of ASD and other DD
  •  Reduce barriers to screening and diagnosis
  •  Support research on evidence-based interventions for ASD and other DD
  •  Promote the development of evidence-based guidelines and tools for interventions
  •  Train professionals to use valid and reliable screening and diagnostic tools and provide evidence-based interventions for ASD and other DD

Additionally, MCHB introduced a broad-based objective for the CAAI aimed at creating systems- level improvements at the State level that would improve access to comprehensive, coordinated health care and related services for children with ASD and other DD.

To accomplish these objectives, MCHB awarded grants to three distinct but complementary program areas that are responsible for 1) training health and allied health professionals, 2) conducting research, and 3) improving State systems of care. Over the course of the 3-year grant period, CAAI funds were awarded to 39 Leadership Education in Neurodevelopmental Disabilities (LEND) Training Program grantees, 6 Developmental-Behavioral Pediatrics (DBP) Training Program grantees, 9 MCH Autism Intervention Research Program grantees, and 9 State Implementation Program grantees.

This report presents the results of a 3-year study to assess the performance of these grant programs in meeting the objectives of the CAAI. The study did not attempt to measure long-term outcomes, such as changes in the average age of first screening, because these impacts would generally not be discernible within 3 years. Instead, the study measured results of the grantees’ efforts in the areas of training, awareness building, research, and building comprehensive systems of care for ASD, all of which are expected to contribute to the realization of the CAAI’s long-term goal.

Results of the Combating Autism Act Initiative: HRSA’s Efforts to Strengthen State Systems of Care for Children With ASD Through the State Implementation Grant Program

Under the authority of the 2006 Combating Autism Act (CAA) (P.L. 109–416), the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB) introduced the Combating Autism Act Initiative (CAAI) in September 2008. The goal of the CAAI is to enable all children to reach their full potential by developing a system of services that includes a) screening children early for possible autism spectrum disorders (ASD) and other developmental disorders (DD); b) conducting early, interdisciplinary evaluations to confirm or rule out ASD and other DD; and c) if a diagnosis is confirmed, providing evidence-based, early interventions. As part of the CAAI, MCHB awarded State Implementation grants to nine States for the purpose of improving access to comprehensive, coordinated health care and related services for children and youth with ASD and other developmental disabilities. This report presents the results of a 3-year study to assess the State Grantee’s performance in meeting the goals and objectives of the CAAI.

In accordance with the CAAI, the State Implementation grantees worked to fulfill the following objectives:

  • Create State service systems that will improve access to comprehensive, coordinated health care and related services for children with ASD and other DD
  • Increase awareness of ASD
  • Reduce barriers to screening and diagnosis
  • Train professionals to use valid and reliable screening and diagnostic tools and provide evidence-based interventions

This study collected and analyzed qualitative and quantitative data to assess the grantees’ performance and their progress in meeting the goals and objectives of the CAAI during the grant period.

The grantees were expected to implement State plans that encompassed six system components: 1) partnerships among professionals and families with children and youth with ASD; 2) access to culturally competent, family centered medical homes; 3) access to adequate health insurance and financing of services; 4) early and continuous screening for ASD and other developmental disabilities; 5) community services organized for easy use by families; 6) and transition to adult health care.

In this report, we have cross-referenced the CAAI’s goals, six system components and numerous infrastructure building activities and created six overarching areas of system capacity: 1) collaborative statewide planning structures and partnerships; 2) regional and community-based service networks; 3) integrated, family-centered medical homes; 4) statewide data systems for system planning and improvement; 5) funded access to high-quality services; and 6) communication tools and channels for ASD awareness building and training. This report documents the grantees’ achievements in these six overarching areas of system capacity, highlighting innovative practices that proved particularly effective and that have potential for becoming best practices in other States. We also note where system gaps continue to exist and what more can be done to fill those gaps through future CAAI grants.