Performance Improvement 2006. State-Based Initiatives to Improve the Recruitment and Retention of the Paraprofessional Long-Term Care Workforce


The Department of Health and Human Services (HHS) awarded a contract to launch a national initiative designed to improve recruitment and retention of direct care workers in the long-term care field. As part of this initiative, the Institute for the Future of Aging Services and the Paraprofessional Health Care Institute have identified a range of workforce improvement initiatives at the state and sub-state level to reduce high vacancy and turnover rates among direct care workers, and improve the quality of their jobs. This report summarizes the experiences of five states—California, Massachusetts, North Carolina, Pennsylvania, and Wisconsin—that have pursued several strategies to address this issue to inform policymakers, long-term care providers, organized labor and other worker groups, and consumers across the country grappling with serious shortages of direct care workers.

PIC ID: 8080; Agency Sponsor: ASPE-ODALTCP, Office of Disability, Aging, and Long-Term Care Policy; Federal Contact: Frank, Andreas, 202-690-6443; Performer: Institute for the Future of Aging Services, Washington, DC

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