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Adults caring for elderly parents, parents caring for children with special needs, family members and friends caring for veterans: Americans spend billions of hours each year providing emotional and physical support to their loved ones. RAND research explores the effects of caregiving duties on these individuals, how policy addresses their needs, and the broader social and economic impact of caregiving on people, communities, and organizations.

Commentary
How the Coronavirus Changed the Childcare Debate
Policymakers have long had evidence that childcare enables mothers to work. What the COVID-19 pandemic taught everyone is how the lack of childcare can be a disastrous constraint.
Jul 26, 2021
Report
Reimagining Policy Decisionmaking in Long-Term Care
Policies to mitigate the spread of COVID-19 in long-term care facilities were often mandated without input from residents and their family members, administrators, or staff. What can be done to make policy decisionmaking in these settings more inclusive?
Oct 20, 2022

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News Release
U.S. Opioid Crisis Best Viewed as Connected Ecosystem; Changing Policymakers' Approach Can Aid Solutions
The nation's opioid crisis, which kills thousands of Americans annually, is best viewed as an ecosystem where all parts of the vexing problem are interconnected, underscoring the need for holistic solutions that address the broad needs of those with substance use disorders, their families, and the communities where they live.
Mar 16, 2023
Report
America's Opioid Ecosystem
Patterns and consequences of opioid use are changing dramatically. Researchers provide a nuanced assessment of America's opioid ecosystem, highlighting how leveraging system interactions can reduce addiction, overdose, suffering, and other harms.
Mar 16, 2023
Visualization
The Ecosystem Approach to Opioid Policy
RAND researchers created a tool to help federal, state, and local policymakers better understand issues surrounding opioids as an ecosystem—and explore innovative policy ideas.
Mar 16, 2023
Journal Article
Low Tech, High Potential: Using Technology to Improve Communication Across Home Care Workers
Our findings suggest that a basic workflow process—communication among HCWs—is limited in many home care settings. Simple technologies could be developed to support HCWs to navigate the challenges of providing care to clients in their homes.
Mar 7, 2023
News Release
Care Experiences Are Worse in For-Profit Hospices Than in Not-for-Profit Hospices
Family caregivers of patients treated by more than 3,100 U.S. hospices reported worse care experiences on average from for-profit hospices across all of the domains assessed, including help for pain and getting timely care.
Feb 27, 2023
Report
Alternative Approaches for Expanding the Air Force's Task Force True North Program
This report identifies approaches to expanding the Air Force's Task Force True North program, which seeks to provide prevention and treatment programs to airmen in need by embedding health care providers directly into units.
Dec 22, 2022
Report
Evaluation of Flexible Spending Accounts for Active-Duty Service Members
This report presents an analysis of the implications of flexible spending accounts for active-duty service members and their families that would allow pre-tax payment of dependent care expenses, insurance premiums, and out-of-pocket medical expenses.
Dec 12, 2022
Research Brief
Infection Control in Long-Term Care: Decisionmaking Lessons from the COVID-19 Pandemic
The COVID-19 pandemic highlighted a need to transform the decisionmaking culture in long-term care to make it more inclusive of residents, staff, and others who are affected by infection-control policies in these facilities.
Nov 9, 2022
Report
A Scoping Review of Guidelines and Quality Measures to Screen for Social and Caregiver Support and Cognitive Impairment in Primary Care
The authors conduct a review to identify measures, guidelines, and tools that (1) assess social support, the need for caregiver support, and the need for referral to social services and (2) screen for cognitive impairment among high-risk patients.
Nov 2, 2022
Periodical
RAND Review: November-December 2022
Features explore an innovative fellowship for military veterans, spouses, and caregivers; how veterans fare in the civilian labor market after leaving the military; and the impact of racism on patient safety in health care settings.
Oct 31, 2022
Journal Article
Incorporating the Patient and Caregiver Voice in Palliative Care Quality Measure Development
As part of a national effort to develop palliative care quality metrics for use in accountability programs, we sought to develop survey items assessing patients' experiences of outpatient palliative care, incorporating the patient's voice.
Oct 24, 2022
Journal Article
Home Care Aide Safety Concerns and Job Challenges During the COVID-19 Pandemic
The goal of this study was to examine experiences of agency-employed home care aides during the COVID-19 pandemic and to identify ways to mitigate concerns.
Oct 19, 2022
Research Brief
Fellowship Program Supports the Transition from Military to Civilian Life
Dog Tag Inc.'s entrepreneurial fellowship program helps veterans, their spouses, and their caregivers prepare for careers in the civilian workforce. In addition to occupational training in a variety of business sectors, the program offers wellness activities and peer support.
Oct 12, 2022
Report
The Impacts of Dog Tag Inc. A Mixed-Methods Exploration of an Entrepreneurial Fellowship for Veterans, Military Spouses, and Military Caregivers
This report describes efforts to help Dog Tag Inc. better understand the impacts of its entrepreneurial fellowship program, which seeks to help veterans, their spouses, and those who serve as their caregivers reintegrate into civilian life.
Oct 12, 2022
Research Brief
Helping Caregivers Thrive? An Evaluation of a Direct Care Worker Retention Program
The 12-month program, Transformational Healthcare Readiness through Innovative Vocational Education, took a multipronged approach to addressing employment barriers for entry-level health care workers across three health systems from 2019 to 2021.
Sep 6, 2022
Report
An Evaluation of a Multisite, Health Systems–Based Direct Care Worker Retention Program: Key Findings and Recommendations
A mixed-methods evaluation of a program to help stem the loss of newly hired entry-level caregivers found no positive effect on retention or financial sustainability.
Sep 6, 2022
Journal Article
Effects of Medicaid Automatic Enrollment on Disparities in Insurance Coverage and Caregiver Burden for Children with Special Health Care Needs
We analyze how Medicaid automatic enrollment policies for children with special health care needs who are enrolled in Supplemental Security Income reduce disparities in health insurance coverage and caregiving burden.
Aug 23, 2022
Announcement
Novel Project Will Create Open Access to Detailed Information About Health and Well-Being for Older Californians
RAND and the Archstone Foundation will build and make publicly available a wide-ranging collection of data about the health and well-being of nearly six million older Californians. The data will aid providers, policymakers, and philanthropists in making smarter decisions.
Jun 14, 2022
Periodical
RAND Review: May-June 2022
The cover story explores what prison-based programs are available to help incarcerated parents and their children. Another feature examines ways to help social media users navigate the online extremist ecosystem.
May 11, 2022

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RAND Topic:
Caregivers

Topic Synonyms:
Care Givers;
Carer

Research conducted by

Researcher Spotlight

Allison Kirkegaard

Policy Analyst

Allison Kirkegaard (she/they) is a policy analyst at the RAND Corporation. Their research focuses on human development across the lifespan, especially in older adulthood.
Yael Katz

Policy Analyst

Yael Katz (she/her) is a policy analyst at the RAND Corporation. She most recently completed an IPA with the Consumer Financial Protection Bureau where she researched reservists and their SCRA rights. Katz is an IES WWC certified reviewer. She has worked on a variety of different topics at RAND,…

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