Long-Term Services & Supports (LTSS)

The purpose of the synthesis paper is to review, summarize, and discuss the significance of available research findings on the frontline long-term care (LTC) workforce since 1999, in both home and community-based and nursing home settings. This paper provides an updated review of the status of empirical findings, focusing on what has been learned between 1999 and 2003.

This paper provides the fundamental context of both the long-term care sector and the workforce investment system in order to build understanding among members of each system. It is not intended to be comprehensive but to provide enough information to stimulate dialogue. Section II briefly describes the characteristics of the long-term care paraprofessional workforce.

This literature review summarizes what is known about falls and fall prevention and identifies the components of effective strategies for reducing falls. Intertwined in the discussion are the results of interviews conducted with individuals representing nine fall prevention programs that have been identified as particularly successful.

U.S. Department of Health and Human Services U.S. Department of Labor Measuring Long-Term Care Work: A Guide to Selected Instruments to Examine Direct Care Worker Experiences and Outcomes Executive Summary

The purpose of this report is to describe five federal workforce development programs and how some long-term care agencies and service providers use them to improve the recruitment and retention of direct care workers.

The goal of this report is to identify the individual-level factors associated with nursing home and assisted living entry and determine whether and how they differ. While it is possible to estimate a simple model of entry into these facilities at some point in the observation period, a more useful model would make use of data on elapsed time until such a transition.

The Department of Health and Human Services awarded a contract to launch a national initiative designed to improve recruitment and retention of direct care workers in the long-term care field.

Alan White, Ph.D., Barbara Manard, Ph.D., Deborah Deitz, BSN, Terry Moore, MPH, RN, Donna Hurd, MSN, Christine Landino, MSW, MPH, Jennie Harvell, M.Ed. Abt Associates, Inc.

One of the challenges facing the U.S. in the 21st Century will be to ensure that individuals throughout their life will have the supports they need and will be treated with dignity. For the growing population of the elderly and people with disabilities, ensuring the adequacy and availability of direct care workers is key to meeting this ideal.

Marcelline R. Harris, RN, Ph.D., Mayo Clinic Christopher G. Chute, MD, Dr.P.H., Mayo Clinic Jennie Harvell, M.Ed., U.S. Department of Health and Human Services Alan White, Ph.D., Abt Associates