Apprentice participation and completion varies across the sites visited, with total enrollment since 2005 ranging from 26 in Home Care Associates to 1,150 in Developmental Services (Table 9). Active participation or completion (as opposed to not actively participating and never finishing) at the five LTC RAPs varies considerably across sites. More than half of apprentices drop out at Developmental Services and Good Samaritan (57% and 54%, respectively) but only 4%, 5%, and 7% at Home Care Associates, Air Force Villages, and Agape, respectively, do so. The higher dropout rates at Developmental Services and Good Samaritan are typical of LTC RAPs nationally and may be attributable to the length of the programs operation as apprentices have more exposure to dropping out. A reason for the dropout rate unique to Developmental Services is that all direct support staff are or have been apprentices. To date, 651 apprentices have left Developmental Services and did not completedthe program. Staff indicated that most left in the first several weeks of the program because they were not suited to the occupation.
Developmental Services, Home Care Associates, Air Force Villages, and Agape have much lower dropout rates than other LTC RAPs in the same occupation. Home Care Associates and Air Force Villages were unusually successful in minimizing dropout rates, but the implementation and operation of the LTC RAP was not without challenges in each. Home Care Associates had to discontinue its program because of program costs. Thus, a low dropout rate does not make a LTC RAP immune from challenges.