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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.
National welfare reform legislation in 1996 created the Temporary Assistance for Needy Families (TANF) Program, which imposed time limits on cash assistance receipt and broadened and strengthened mandates for clients to work or engage in work-related activities.
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 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.
In this paper, the authors use data obtained from the first Cash and Counseling demonstration, Arkansas' IndependentChoices, to assess the experiences of directly hired workers. They describe the types and amount of care that paid workers provide, the training and supervision they receive, their working conditions, and their well-being.
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.