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Department of Health and Human Services, Executive (1 - 10 of 63 items) in Custom Date Range
Elder Abuse: The Extent of Abuse by Guardians Is Unknown, but Some Measures Exist to Help Protect Older Adults
GAO-17-33: Published: Nov 16, 2016. Publicly Released: Nov 30, 2016.
The extent of elder abuse by guardians nationally is unknown due to limited data on key factors related to elder abuse by a guardian, such as the numbers of guardians serving older adults, older adults in guardianships, and cases of elder abuse by a guardian. Court officials from six selected states GAO spoke to noted various data limitations that prevent them from being able to provide reliable f...
Opioid Addiction: Laws, Regulations, and Other Factors Can Affect Medication-Assisted Treatment Access
GAO-16-833: Published: Sep 27, 2016. Publicly Released: Oct 27, 2016.
The Department of Health and Human Services (HHS) has stated that addressing opioid abuse is a high priority and is promoting access to medication-assisted treatment (MAT)--an approach that combines behavioral therapy and the use of medications--to combat the problem. Three medications are currently approved for use in MAT for opioid addiction--methadone, buprenorphine, and naltrexone. Methadone a...
Sexual Violence Data: Actions Needed to Improve Clarity and Address Differences Across Federal Data Collection Efforts
GAO-16-546: Published: Jul 19, 2016. Publicly Released: Aug 18, 2016.
Four federal agencies—the Departments of Defense, Education, Health and Human Services (HHS), and Justice (DOJ)—manage at least 10 efforts to collect data on sexual violence, which differ in target population, terminology, measurements, and methodology. Some of these data collection efforts focus on a specific population that the agency serves—for example, the incarcerated population—while...
Information Technology: Federal Agencies Need to Address Aging Legacy Systems
GAO-16-468: Published: May 25, 2016. Publicly Released: May 25, 2016.
The federal government spent about 75 percent of the total amount budgeted for information technology (IT) for fiscal year 2015 on operations and maintenance (O&M) investments. Such spending has increased over the past 7 fiscal years, which has resulted in a $7.3 billion decline from fiscal years 2010 to 2017 in development, modernization, and enhancement activities.Total Federal IT Spending by Ty...
Unaccompanied Children: HHS Should Improve Monitoring and Information Sharing Policies to Enhance Child Advocate Program Effectiveness
GAO-16-367: Published: Apr 19, 2016. Publicly Released: Apr 19, 2016.
In fiscal year 2015, the Department of Health and Human Services' (HHS) Office of Refugee Resettlement (ORR) expanded the child advocate program from two locations to five and added three more locations in fiscal year 2016. The child advocate program—operated by a contractor—was developed in 2004 to promote the best interests of especially vulnerable unaccompanied children in ORR custody. Advo...
Women in STEM Research: Better Data and Information Sharing Could Improve Oversight of Federal Grant-making and Title IX Compliance
GAO-16-14: Published: Dec 3, 2015. Publicly Released: Dec 14, 2015.
GAO's analysis of Science, Technology, Engineering, and Mathematics (STEM) research grant awards made between fiscal years 2009 and 2013 identified no disparities in success rates between women and men at three agencies selected for review, but data limitations provided limited insight into success rates at three other agencies selected for review. At two of the agencies with data limitations—th...
Child Welfare: Steps Have Been Taken to Address Unregulated Custody Transfers of Adopted Children
GAO-15-733: Published: Sep 16, 2015. Publicly Released: Sep 16, 2015.
Some adoptive families may consider giving their children to another family outside of the courts and child welfare system—an “unregulated child custody transfer”—because of a crisis within the adoptive family and difficulties accessing support services, according to officials GAO interviewed from selected states, child welfare and adoption organizations, and adoption agencies. Children ad...
Youth Athletes: Sports Programs' Guidance, Practices, and Policies to Help Prevent and Respond to Sexual Abuse
GAO-15-418: Published: May 29, 2015. Publicly Released: Jun 29, 2015.
Several federal agencies have roles in preventing and responding to the sexual abuse of a broad population of youth under age 18, which may include youth athletes. For example, the Department of Health and Human Services (HHS) and the National Center for Missing and Exploited Children, a nonprofit organization that receives Department of Justice (Justice) funding, published suggested practices for...
Mental Health: HHS Leadership Needed to Coordinate Federal Efforts Related to Serious Mental Illness
GAO-15-375T: Published: Feb 11, 2015. Publicly Released: Feb 11, 2015.
Agencies identified 112 federal programs that generally supported individuals with serious mental illness in fiscal year 2013. The majority of these programs addressed broad issues, such as homelessness, that can include individuals with serious mental illness. The programs were spread across eight federal agencies: Department of Defense (DOD), Department of Education, Department of Health and Hum...
Group Purchasing Organizations: Funding Structure Has Potential Implications for Medicare Costs
GAO-15-13: Published: Oct 24, 2014. Publicly Released: Nov 24, 2014.
According to representatives from the 5 large group purchasing organizations (GPO) in GAO's review, GPO contracting generally involves three phases: (1) issue requests for proposals or invitations for vendors to competitively bid for a contract, (2) review proposals, and (3) negotiate and award contracts. GPOs reported negotiating and awarding different types of contracts to vendors in different s...