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Neurological Disorders

Journal Article
The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization Among Youth with Autism Spectrum Disorder
Using 2008-2013 Medicaid files, this retrospective cohort study was to evaluate the effect of Medicaid home and community-based services waiver programs on emergency department utilizations among youth with autism spectrum disorder.
Nov 13, 2023
Journal Article
Evaluating the Pragmatic Characteristics of Advance Care Planning Outcome Measures in Dementia Clinical Trials: A Scoping Review
In this review of ACP RCTs enrolling PLWD or their care partners, we found that the majority of outcome measures were not highly pragmatic in nature and had high data capture burden, but over half were highly relevant to PLWD or their care partners.
Jul 31, 2023
Blog
Unidentified Aerial Phenomena, Neurodiversity, Russia's 'Forever War': RAND Weekly Recap
This weekly recap focuses on public reports of unidentified aerial phenomena, neurodiversity and national security, Ukraine's path to victory, and more.
Jul 28, 2023
Journal Article
Using Pulse Oximeters in Care Homes for Residents with COVID-19 and Other Conditions: A Rapid Mixed-Methods Evaluation
Through a rapid mixed-methods evaluation of care homes in England, this article explores whether use of pulse oximeters in care homes during the COVID-19 pandemic was beneficial to care home staff and residents.
Jul 26, 2023
Report
Modeling the Impact of Research Investment on Down Syndrome–Associated Alzheimer's Disease
The authors developed a multistate population simulation and projection model to study trends in Down syndrome–associated Alzheimer's disease and the associated impact on caregiving.
Jul 24, 2023
Commentary
In National Security, Autistic Employees Are in the Closet. Here's Why
Archaic U.S. military and federal policies, combined with decades-old understandings about autism spectrum disorder, create an environment where people hide their autism and other cognitive diagnoses. Our national security challenges are too difficult and too important to leave to the portion of the population who use their brains in only “typical” ways.
Jul 17, 2023
Journal Article
Changes in Nursing Home Use Following Medicaid-Supported Expanded Access to Home- and Community-Based Services for Older Adults With Dementia
New York State's Medicaid managed long-term care (MLTC) program expanded access to home- and community-based services. This cohort study evaluated changes in nursing home use among older adults with dementia following MLTC implementation.
Jul 11, 2023
Journal Article
Typologies of Dementia Caregiver Support Networks: A Pilot Study
This study suggests that there are different types of care and support networks available to caregivers to people with Alzheimer's Disease and Dementias, and that the size and structure of networks vary considerably among demographic groups.
Jun 13, 2023
Commentary
An Autistic Soldier Wants You to Read This
Despite the recruitment challenges it is currently facing, the Army continues to make personnel decisions based on last century's understanding of neurodivergent diagnoses. The loosening of stigma associated with these diagnoses could improve recruitment, and the Army might reap the benefits of neurodiversity.
Jun 1, 2023
Journal Article
Estimated Annual Spending on Lecanemab and Its Ancillary Costs in the US Medicare Program
To estimate annual Medicare spending on lecanemab, we performed a cost analysis using nationally representative survey data from the 2018 Health and Retirement Study (HRS).
May 17, 2023
Periodical
RAND Review: May-June 2023
The cover story commemorates RAND's 75th anniversary. One feature article explores what it would take to eliminate racial wealth disparities in the United States; another highlights a promising mental health first aid initiative in New York City.
May 12, 2023
Journal Article
Barriers and Facilitators to Home- and Community-Based Services Access for Persons With Dementia and Their Caregivers
Barriers to HCBS access for persons with dementia range from community and infrastructure barriers (e.g., clinicians and cultural differences), to interpersonal and individual-level barriers (e.g., caregivers, awareness, and attitudes).
May 4, 2023
Journal Article
A Pragmatic Parallel Arm Randomized-Controlled Trial of a Multi-Pronged Electronic Health Record-Based Clinical Decision Support Tool Protocol to Reduce Low-Value Antipsychotic Prescriptions Among Older Adults with Alzheimer's and Related Dementias
We designed a pragmatic randomized-controlled trial to measure the impact of a behavioral economic electronic health record (EHR) clinical decision support (CDS) intervention to reduce physician prescriptions of new antipsychotic medications among patients with ADRD.
May 4, 2023
Commentary
New Clinical Outcome Assessments Could Improve Treatment for Parkinson's
The prevalence of Parkinson's disease has doubled over the last 25 years, and over 8.5 million people are living with the disease worldwide, but treatment options are limited. The development of new clinical outcome assessments could lead to new treatments for the disease.
Apr 25, 2023
Report
Clinical Outcome Assessments and Digital Health Technologies Supporting Clinical Trial Endpoints in Early Parkinson's Disease: Roundtable Proceedings and Roadmap for Research
This document summarizes the proceedings of an event held to discuss challenges in clinical outcome assessment development for treatments in early Parkinson's disease and to identify priorities for the field and opportunities for collaboration.
Apr 24, 2023
Journal Article
Does Integration of Palliative Care and Infection Management Reduce Hospital Transfers Among Nursing Home Residents?
We evaluated integration of palliative care and infection management (i.e. merging the goals of palliative care and infection management at end of life) in nursing homes and its association with hospital transfers for residents with advanced illness.
Apr 11, 2023
Commentary
Advancing Women's Health Requires Better Evidence
For decades, advances in health and health care have had a bias toward the male body. By shifting the focus of research to women's bodies and building out this base of evidence on women's health, scientists and doctors can improve health outcomes and overall quality of life for women, all while also saving money.
Apr 10, 2023
Blog
Dementia and National Security, Finland Joins NATO, the Four-Day School Week: RAND Weekly Recap
This weekly recap focuses on the risk that dementia could pose to national security, Finland's NATO membership, the downside of a four-day school week, and more.
Apr 7, 2023
Commentary
Dementia in the National Security Workforce Could Create a Security Threat
Challenges associated with cognitive impairment in the workplace will increase as people continue to live longer and retire later. Individuals who work in national security and intelligence could become a security threat if they develop dementia and unwittingly share government secrets.
Apr 4, 2023
Report
Neurodiversity and National Security: How to Tackle National Security Challenges with a Wider Range of Cognitive Talents
This report provides research and analysis for national security managers and employees who seek to better understand neurodivergence and neurodiversity and desire simple steps to achieve neurodiverse inclusivity for national security workplaces.
Mar 27, 2023

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RAND Topic:
Neurological Disorders

Research conducted by

RAND Health Care

Researcher Spotlight

Sarah Dalton

Policy Analyst

Sarah Dalton is a senior policy analyst at the RAND Corporation. Her interests center on measuring and improving health care quality in the United States. Previously, Dalton managed the Development and Maintenance of Post-Acute Care Cross-Setting Standardized Patient Assessment Data project, a…
Zetianyu Wang

Assistant Policy Researcher, RAND, and Ph.D. Student, Pardee RAND Graduate School

Zetianyu (Zet) Wang is a Ph.D. student in the Research, Analysis, and Design stream at Pardee RAND Graduate School and an assistant policy analyst at RAND. He has an M.P.P from Georgetown University and a B.A. in sociology from the Central University of Finance and Economics, China.

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