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Shortage of Direct Care professionals a national concern

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Message herb weiss

Last week, at the Senate Dirksen Building, Room SD-562, Chairman Bob Casey of the U.S. Special Committee on Aging (D-PA) showcased S. 4120, legislation that he introduced with U.S. Senators Tim Kaine (D-VA) and Tammy Baldwin (D-WI). The Long-Term Care Workforce Support Act, introduced during the 118th Congress, would ensure that direct care professionals have a sustainable, lifelong career by providing substantial new funding to support these workers in every part of the long-term-care industry, from nursing homes to home care, to assisted-living facilities.

The Senate Aging Committee details a number of statistical findings showing the need for Congress to address the nation's severe ongoing direct care professional workforce shortage. "A recent survey revealed 92% of nursing facility respondents and nearly 70% of assisted living facilities reported significant or severe workforce shortages.

"In 2022, a survey of nursing facilities showed more than 50% of the facilities were limiting the number of new admissions due to staffing vacancies or shortages. Another recent survey of Home and Community Based Service providers showed that all 50 states were experiencing home care worker shortages, and 43 states reported that some HCBS provider groups have closed due to worker shortages," says the fact sheet.

Addressing the cause

By improving compensation, benefits, and support systems, S.4120 would ensure the United States has a "strong, qualified pipeline of workers to provide desperately needed care for older adults and people with disabilities", notes a statement announcing the introduction of Casey's legislative proposal.

Specifically, S. 4120 would increase the number of direct care professionals, especially in rural communities. It also would provide pathways to enter and be supported in the workforce for women, people of color, and people with disabilities.

S. 4120 would also improve wage compensation for direct care professionals to reduce vacancies and turnover. It ensures that direct care professionals are treated with respect, provided with a safe working environment, protected from exploitation, and provided fair compensation.

The legislative proposal also documents the need for long-term care, identify effective recruitment and training strategies, and promote practices that help retain direct care professionals. It also would strengthen the direct care professional workforce in order to support the 53,000,000 unpaid family caregivers who are providing complex services to their loved ones in the home and across long-term-care settings.

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During his 40 subsequent years as a journalist, he authored or co-authored more than 790 articles on aging, health care and medical issues. Weissà ‚¬ „ s columns regularly appear in newspapers throughout Rhode Island and news blogs. He writes (more...)
 
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Mary Elizabeth

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A few random thoughts from my experiences:

a) SCHOLARSHIPS/ TUITION REIMBURSEMENT: Direct Care work should be a gateway to scholarships for nursing and other medical education. Americorps offers Segal Scholarships for students who work in their communities with Americorps. This same system could benefit people who work in nursing homes and group homes.

Germany used to require community service as an alternative to being drafted for 18 year olds. One of the many available jobs was home health aide work. I knew an elderly German who received assistance weekly with bathing her stroke-impaired husband who was too heavy for her to lift. Germany has since repealed this requirement of its young people but it seems to have been educational and socially valuable in many, many ways.

b) TRAINING: My state has a computerized education system "RELIAS" for training DSPs. RELIAS that should be accessible through public libraries to families and students who might want night and weekend work, as well as to care workers.

One of the obstacles to care work locally is that agencies will tell potential workers that they cannot train during nights or weekends, even though they always need workers during nights and weekends. Training is important and necessary and the parts of training that are usually provided online (fire safety. infection control, non-discrimination, HIPAA etc.) should be public available at any time, not just through agency hiring.

c) PHYSICAL SAFETY: Direct care work can be physically dangerous, especially helping people with dementia or impulse control problems. Many direct care workers are asked to lift or help to lift clients without appropriate mechanical lifting equipment, leading to serious back injuries and chronic pain" which can also lead to opiate addiction. Working irregular day and night shifts is also detrimental to long term health. Some group homes are in neighborhoods where real estate is affordable but crime is abundant. You might leave a shift to find your tires removed or windows broken. This is time consuming and aggravating to fix.

Lots of other thoughts but thats all for now.

Submitted on Friday, Apr 26, 2024 at 2:25:58 PM

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