Cutler Institute for Health and Social Policy

Disability and Aging

Stuart Bratesman

Policy Analyst
Stuart Bratesman

Office

432D Wishcamper Center

Contact Information

Phone: (207) 780-4245

Stuart Bratesman is a Health Policy Analyst within the Disability and Aging program area.  Stuart has extensive knowledge of long term care and disability-related services and supports, the characteristics of long term care service users, and state and federal aging and disability policy.  He has applied this expertise to the analysis of Minimum Data Set assessment data and claims data for Medicaid and Medicare medical, behavioral, and long term care services.  Stuart is skilled at analyzing and designing complex relational databases, statistical analysis, and explaining and communicating complex data and relationships through easily understood charts, graphs and data maps.  In addition to interpreting claims and assessment data, Stuart has many years of experience analyzing Census Bureau data from the U.S. Census, American Community Survey, and Public Use Microdata Sample, as well as population forecasting data from proprietary sources.   He is proficient in Microsoft Office; Microsoft Access; Microsoft SQL Server; VisualBASIC, SAS; ArcGIS (geographical information systems) and iMMRS (integrated medical management research system).

Currently, Stuart is working with the Maine Adult Protective Services Information System (MAPSIS) database to analyze the characteristics and relationships of at-risk elders and adults with disabilities and perpetrators of abuse.   He is updating and expanding the Maine Long Term Care Forecasting Model for county-level projections of a variety of long term care services and supports and also analyzes the State’s hospital quality indicators data on behalf of the Maine Quality Forum.  He co-author’s the State’s Health-care Associated Infection Annual Report.

Stuart has a B.A. from Dartmouth College and an M.P.P. from Duke University.  

Publications

Date Title Typesort ascending
2007 Caring for People with Alzheimer's Disease or Dementia in Maine [Research & Policy Brief] Research and Policy Brief
2009 Cross-System Profile of Maine's Long Term Support System: A New View of Maine's Long Term Services and Supports and the People Served Report
2007 Assessment of Maine's Long-Term Care Needs. Baseline Report: Demographics and Use of Long Term Care Services in Maine Report
2005 Discovery Methods for Remediation and Quality Improvement in Home and Community Based Services Report
2006 Reporting: Managing and Using Home and Community-Based Services Data for Quality Improvement Report
2005 Compendium of Quality Indicators: Older Adults, Adults with Physical Disabilities, Adults with Mental Retardation/Autism Living at Home, in the Community or in Long Term Care Facilities Report
2008 Healthy IDEAS for Caregivers of People with Dementia in Maine: Evaluation Report Report
2010 Older Adults and Adults with Disabilities: Population and Service Use Trends in Maine Report
2004 Quality Indicators for Home and Community-based Services Report
2012 Children and Adults With Long Term Services and Support Needs: MaineCare and Medicare Expenditures and Utilization, State Fiscal Year 2010. Chartbook. Report
2012 Members Dually Eligible for MaineCare and Medicare Benefits: MaineCare and Medicare Expenditures and Utilization, State Fiscal Year 2010. Chartbook. Report
2012 Older Adults and Adults With Disabilities: Population and Service Use Trends in Maine, 2012 Edition. Chartbook. Report
2013 Dementia in Maine: Characteristics, Care, and Cost Across Settings [CHARTBOOK] Report
2014 Adults with Intellectual Disability or Autism Spectrum Disorder Report
2014 Adults with Intellectual Disability or Autism Spectrum Disorder. Executive Summary Report
2011 Maine Pediatric and Family Practice Survey Chartbook Report
2009 Profiling Maine's Long Term Support System [Project Brief] Project Brief
2016 Adults Using Long Term Services and Supports: Population and Service Use Trends in Maine, SFY 2014 Chartbook

Cutler Institute awarded $600,000 to help youth raised in foster system

Marty Zanghi

USM's Cutler Institute for Health and Social Policy has been awarded a $600,000 grant to help young people raised in Maine's foster system to prepare for college and the workforce.

The money comes from the Annie E. Casey Foundation as part of a $5.4 million national effort aimed at youth who are homeless or in either the foster care or juvenile justice systems.

"Many of these young people have suffered abuse or trauma and were raised in poverty and neglect," said Marty Zanghi, the Cutler Center's youth development director.

The money -- including an expected $400,000 more in matching funds -- will pay for contracted work with agencies in the target areas, starting with the greater Portland area and Penobscot, Kennebec and Somerset counties.

Nationally and in Maine, only about 3 percent of people who grow up in the foster care system achieve a college degree, he said.

"It's dramatically lower than the rate for the general population," Zanghi said. "It's a horrible outcome."

It doesn't have to be that way, though.

"There are young people that overcome these circumstances," he said. "I know people who have master's degrees and Ph.Ds."

The Casey Foundation's national effort is being called the "Learn and Earn to Achieve Potential" (LEAP) initiative.

The initiative is working on partnerships in Maine and nine other areas: Alaska, Arizona, California, Massachusetts, Michigan, Minnesota, Nebraska and New York. In each case, people will adapt two evidence-based models to meet the needs of these youth, including support to address the trauma they may have experienced in their lives.

In Maine, the work will include a pair of successful programs, Jobs for Maine Graduates (JMG) and Jobs for the Future. Results will be carefully tracked, Zanghi said.

After the first year, the program is expected to grow.

"Eventually, the additional help will be available to all children, 14 and over, in the foster care system in the state of Maine," Zanghi said.

Adults with Intellectual Disabilities or Autism Spectrum Disorder: Population and Service Use Trends in Maine 2014 Chartbook

Adults with Intellectual Diabilities or ASD Chartbook

Adults with Intellectual Disability or Autism Spectrum Disorder: Population and Service Use Trends in Maine, 2014 Edition provides a detailed look at the historical trends and current utilization and cost of institutional and community based services for adults with intellectual disability or autism spectrum disorder.

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Dementia in Maine

Dementia in Maine

As the oldest state in the nation, Maine faces the impending impact of Alzheimer’s disease on its social systems, community resources, and its health and long term care systems. This report provides a baseline picture of the current use of services by people with and without dementia in Maine. Learn more in Dementia in Maine: Characteristics, Care, and Cost Across Settings.

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Report on Maine's Older Adults

With the aging of Maine’s population and its status as the oldest state in the nation, the use of long term services continues to be a critical public policy issue in the state and nationally. Learn more in Older Adults and Adults With Disabilities: Population and Service Use Trends in Maine, 2012 Edition.

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