Featured Research

  • Evaluating the Statewide Stigma and Discrimination Reduction Initiative in California

    Mar 5, 2014

    A coalition of California counties formed the Stigma and Discrimination Reduction Initiative to combat stigma and discrimination against people dealing with mental illness. RAND evaluated first-year progress toward program goals and objectives, as well as content, reach, and short- and long-term outcomes.

  • Promise of Value-Based Purchasing in Health Care Remains to Be Demonstrated

    Mar 4, 2014

    After a decade of experimentation with reforms that give health providers financial incentives to improve performance, relatively little is known about how to best execute such strategies or judge their success.

  • Evaluating Statewide Mental Health Prevention and Early Intervention in California

    Mar 3, 2014

    The California Mental Health Services Authority (CalMHSA) formed a statewide prevention and early intervention program to reduce adverse outcomes for people experiencing mental illness. Experts evaluated the program's first-year progress across three initiatives: suicide prevention, student mental health, and stigma and discrimination reduction.

  • How New Deeper Learning Tests Measure Up

    Mar 3, 2014

    English language arts and mathematics items from a group of nationally and internationally administered “deeper learning” tests were more cognitively demanding than previously studied state tests. Demand also varied by subject and item format. These and other findings provide a benchmark for comparing how well new tests assess deeper learning.

  • Early Education Plays Role in Bridging the 'Digital Divide'

    Mar 3, 2014

    Digital literacy plays an important role in a child's ability to succeed in school and later life. Incorporating technology into early childhood education help close the “digital divide” that separates low-income students and their more-advantaged peers.

  • Can New Tests Lead to Better Teaching and Deeper Learning?

    Feb 28, 2014

    New “deeper learning” tests tied to the Common Core State Standards could improve teaching practice. Tests that mirror high-quality instruction, that are part of a systemic change effort, and that are accompanied by training and support to help teachers interpret and use test scores effectively could have the best chance at positive impact.

  • 'Small Footprint' Counterinsurgency Strategies Work Best with Narrow Range of Partners

    Feb 26, 2014

    Future U.S. efforts should focus on finding areas of agreement with partner nations and possibly convening networks of people in those nations who can implement changes and then providing the necessary resources and technical expertise.

  • The Monetary Costs of Dementia in the United States

    Feb 26, 2014

    The average annual market cost attributable to dementia is estimated to be $28,501: $13,900 for nursing-home care, $6,200 for out-of-pocket expenditure, and $5,700 for formal home care; Medicare spent $2,700 of the total.

  • Limited Quality Improvement and No Cost Containment Found in a Medical Home Demonstration

    Feb 25, 2014

    A three-year pilot of a “medical home” model of primary care yielded few improvements in the quality of care and no reductions in hospitalizations, emergency department visits, or total costs of care.

  • Tools Can Help Policymakers Increase Coastal Resilience to Rising Seas and Storm Surge

    Feb 21, 2014

    Two key analytic tools can be used to evaluate how coastal protection and restoration decisions made now will play out over time, even given an uncertain future. For example, a community weighing whether to implement a marsh-building project can see how the project fares against different rates of rising sea levels over time.

  • Prison-Based Education Declined During Economic Downturn

    Feb 18, 2014

    Large states cut spending on prison education programs by an average of 10 percent between the 2009 and 2012 fiscal years, while medium-sized states cut spending by 20 percent. While the drop appears to have resulted from budget cuts prompted by the economic downturn, evidence suggests that the curtailment of prison education could increase prison system costs in the longer term.

  • Regulating Quality and Safety of Health and Social Care

    Feb 13, 2014

    Many Western countries have health and social care standards but implement and apply these standards in different ways. Different regulatory mechanisms and policy instruments encourage and ensure continuous quality improvement.

  • Evaluating the Statewide Stigma and Discrimination Reduction Initiative in California

    Feb 11, 2014

    A coalition of California counties formed the Stigma and Discrimination Reduction Initiative to combat stigma and discrimination against people dealing with mental illness. RAND evaluated the initiative's first-year activities, reach, and outcomes.

  • Evaluating the Statewide Suicide Prevention Initiative in California

    Feb 11, 2014

    A coalition of California counties formed the Suicide Prevention Initiative to improve crisis response, access to care, community awareness and programs for individuals at risk of suicide. RAND evaluated the initiative's first-year activities, reach, and outcomes.

  • Evaluating the Statewide Student Mental Health Initiative in California

    Feb 11, 2014

    A coalition of California counties formed the Student Mental Health Initiative to target student mental health issues in K-12 schools and higher education. RAND evaluated the initiative's first-year activities, reach, and outcomes.

  • Evaluating Statewide Prevention and Early Intervention Initiatives in California

    Feb 11, 2014

    The California Mental Health Services Authority formed a statewide prevention and early intervention program to reduce adverse outcomes for people experiencing mental illness. RAND evaluated first-year progress toward program goals and objectives, as well as resources, capacities, and short- and long-term activities.

  • Economic Burden of Childhood Autism Spectrum Disorders

    Feb 10, 2014

    Compared to their peers, children with autism spectrum disorders have higher annual costs for health care appointments and prescriptions ($3,000 on average) and non-health care costs ($17,000 on average), such as special education at school. Previous analyses underestimated this economic burden, particularly for school systems.

  • Development and Pilot Test of the RAND Suicide Prevention Program Evaluation Toolkit

    Feb 7, 2014

    The RAND Suicide Prevention Program Evaluation Toolkit draws from the scientific literature to guide evaluations of suicide prevention programs. This report is a companion to the toolkit and provides background on its development and testing.

  • RAND Suicide Prevention Program Evaluation Toolkit

    Feb 7, 2014

    The RAND Suicide Prevention Program Evaluation Toolkit translates scientific research on suicide prevention to help program staff assess whether their programs produce beneficial effects and identify needed improvements.

  • National Efforts to Lower Health Care-Associated Infections Are Having Success

    Feb 6, 2014

    Infections that strike patients are one of the most preventable leading causes of death in the United States. A federally sponsored plan to lower health care-acquired infections was successful in addressing the challenges of prioritizing and coordinating strategies.