This is a public collection of knowledge funded and/or published by the W.K. Kellogg Foundation (WKKF). Views, opinions, findings, conclusions or recommendations expressed in these publications are those of the authors and their respective organizations. They do not necessarily reflect the views, policies or positions of WKKF.

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A Practical Resource Guide for Direct Care Workforce State Advocacy

February 21, 2023

PHI's state advocacy toolkit, reframed as a "practical resource guide," was drafted and designed in fall 2022 and released for national dissemination in February 2023. The guide includes 20 concrete strategies, based on lessons learned from the "Essential Jobs, Essential Care" initiative and organized across five dimensions of advocacy: strategizing, designing, persuading, advocating, and evaluating. Each strategy includes specific steps and key resources. Advocates can read the guide a whole, or sample individual strategies based on their needs and interests.

Employment Equity

Caring for the Future: The Power and Potential of America’s Direct Care Workforce

January 8, 2021

This report is the culmination of a year-long series of reports (released throughout 2020) providing a comprehensive, current-day analysis of the direct care workforce and its critical role in the long-term care system in the United States. By bringing these reports together, this final report provides: a detailed profile of these workers; a segmented look at the long-term care industry; a discussion on the evolving role of the direct care worker; a proposed framework for creating quality jobs in direct care; and a look forward at where this workforce and industry are heading. The report also offers concrete recommendations for policymakers, employers, advocates, and other long-term care leaders, and features stories of direct care workers from around the country, sharing their wisdom and ideas. In releasing this report, our goal is to strengthen the national dialogue on the direct care workforce, including what needs to change in policy and in practice.workforce,including what needs to change in policy and in practice.

Caring for the Future: The Power and Potential of America’s Direct Care Workforce (Executive Summary)

January 8, 2021

This executive summary describes the key points of our comprehensive, current-day analysis of the direct care workforce. This report is the culmination of a year-long series of reports (released throughout 2020) providing a comprehensive, current-day analysis of the direct care workforce and its critical role in the long-term care system in the United States. By bringing these reports together, this final report provides: a detailed profile of these workers; a segmented look at the long-term care industry; a discussion on the evolving role of the direct care worker; a proposed framework for creating quality jobs in direct care; and a look forward at where this workforce and industry are heading. The report also offers concrete recommendations for policymakers, employers, advocates, and other long-term care leaders, and features stories of direct care workers from around the country, sharing their wisdom and ideas. In releasing this report, our goal is to strengthen the national dialogue on the direct care workforce, including what needs to change in policy and in practice.

Essential Jobs, Essential Care North Carolina

September 28, 2020

Throughout North Carolina—in private homes, nursing homes, and a variety of residential care settings—older adults and people with disabilities rely on almost 120,000 direct care workers to meet their daily needs and participate in their communities. Further, when properly trained, supported, and integrated into care teams, these workers promote better care for consumers and prevent costly outcomes. Unfortunately, despite their enormous value, direct care workers struggle with low compensation, insufficient training, and limited career paths, which drive many workers out of this sector. The COVID-19 crisis has amplified these challenges, leaving many workers without safe, high-quality jobs—and consumers without the care they deserve.

Essential Jobs, Essential Care New Mexico

September 28, 2020

Throughout New Mexico—in private homes, nursing homes, and a variety of residential care settings—older adults and people with disabilities rely on nearly 36,000 direct care workers to meet their daily needs and participate in their communities. Further, when properly trained, supported, and integrated into care teams, direct care workers can promote better care for consumers and prevent costly outcomes. Unfortunately, despite their enormous value, direct care workers struggle with low compensation, insufficient training, and limited career paths, which drive many workers out of this sector. The COVID-19 crisis has amplified these challenges, leaving many workers without safe, high-quality jobs—and consumers without the care they deserve.

Essential Jobs, Essential Care Michigan

September 28, 2020

Throughout Michigan—in private homes, nursing homes, and a variety of residential care settings—older adults and people with disabilities rely on more than 120,000 direct care workers to meet their daily needs and participate in their communities. Further, when properly trained, supported, and integrated into care teams, direct care workers can promote better care for consumers and prevent costly outcomes. Unfortunately, despite their enormous value, direct care workers struggle with low compensation, insufficient training, and limited career paths, which drive many workers out of this sector. The COVID-19 crisis has amplified these challenges, leaving many workers without safe, high-quality jobs—and consumers without the care they deserve.

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