Workforce Shortage

AARP recently released the “National Inventory of Self‑Directed Long-Term Services and Supports Programs,” building upon the 2023 LTSS State Scorecard and previous inventories to provide an overview of all publicly funded self-directed Long-Term Services and Supports (LTSS) nationwide. This inventory includes estimates of numbers of participants, populations served, funding sources, and other key variables, and covers significant trends influencing the overall LTSS landscape, such as the well-documented national shortage of direct care workers. This marks the first report released since the onset of the COVID-19 pandemic in March 2020, providing insight into the impact of the pandemic on self-direction programs...

Applied Self-Direction recently published a paper that aims to provide insights on the self-direction workforce from key stakeholders. With the support of Elevance Health, Applied Self-Direction held an Executive Roundtable Series with experts to discuss pertinent themes and issues. They then conducted a national survey of people who self-direct, representatives, and direct care workers to understand their experiences and ideas for addressing workforce challenges. This paper synthesizes the roundtable discussions and survey results to inform further research and dialogue on supporting the unique needs of the self-direction workforce. The white paper also includes stakeholders’ recommendations for policies and practices...

National Association of State Directors of Developmental Disabilities Services (NASDDDS) released a joint white paper with the Institute on Community Integration at UMN and the Human Services Research Institute providing data on and suggested policy remedies for the direct support workforce crisis.

On March 3, 2020, the Government Accountability Office (GAO) released a report that details challenges the Department of Veterans Affairs (VA) faces in meeting growing demand for long-term care (LTC). Three major challenges the VA faces includes workforce shortages, ailing care geographically, and meeting needs for specialty care. The VA currently provides or pays for LTC for over 500,000 veterans in the U.S. in both institutional and HCBS settings.

Like many states, Michigan is facing a looming workforce shortage as their aging population grows. This policy brief from the Michigan Aging & Adult Services Agency highlights the challenges and opportunities in addressing the state's direct care workforce (DCW) issues. Challenges that have led to this shortage include low wage levels, lack of affordable comprehensive training, and low job appreciation and respect. This paper identifies various strategies for overcoming these issues.