Archive for September, 2009

Recruiting Public Housing Residents as PCAs

Posted by on September 9th, 2009 at 11:43 am | No Comments »
Glenwood High-Rise

Glenwood High-Rise

A case study from the DSW Resource Center outlines a model for recruiting people in public housing buildings as personal care attendants.

Work Where You Live (PDF) describes a program in the Glenwood High-Rise, a 154-unit, mixed-population building in Annapolis. Eligible residents were both elders and younger adults with disabilities.

“Finding workers to provide services in congregate housing can be particularly challenging due to the stigma associated with public housing,” the case study notes. “Many individuals with disabilities prefer to directly hire and manage their own workers, but they often cannot afford to do so, and public funding is not always available.” The Annapolis program solved that problem while offering employment to public housing residents. Continue reading »

Real Wages Keep Falling for Personal and Home Care Aides

Posted by on September 9th, 2009 at 11:17 am | 1 Comment »

state chartbook coverAs every direct care worker advocate knows, personal and home care aides earn far too little for the important work they do. And now an updated version of PHI’s State Chart Book on Wages for Personal and Home Care Aides (PDF) gives advocates a valuable tool, proving that real wages are actually getting worse.

The chart book analyzes data from the U.S. Bureau of Labor Statistics, adjusting last year’s wages for inflation to see how their earning power compares to average wages in 1999.

Nationwide, these inflation-adjusted rates, which the chartbook calls “real wages,” have decreased by 3 percent over the past nine years, dropping from $7.50 an hour to just $7.31. Real wages increased in more than half the states during that period, but not enough to make up for their decline in the other 21.

Median wages in 2008 ranged from $7.05 an hour in Texas to $12.55 in Alaska in 2008, or real wages of $5.61 to $9.90. “Wages for personal and home care aides are so low,” says PHI Director of Policy Research Dorie Seavey, “that about 20 percent of these workers received a raise on July 24 when the minimum wage increased to $7.25/hour.”

The chartbook also compares wages to federal poverty level wages for a one-person household.

Elise Nakhnikian
Communications Director
Direct Care Alliance

Pioneer Conference is “Perfect Fit” for DCA

Posted by on September 9th, 2009 at 8:07 am | No Comments »
Renee Tillman and Roy Gedat

Renee Tillman and Roy Gedat

It’s always a treat to meet the long-term care providers, advocates and other pioneers at the Pioneer Network’s annual conferences, who “get it” about the need to put the “home” back in “nursing home” – and the importance of direct care workers. So I was glad to be invited to host a session at their 9th national conference in Little Rock, Arkansas, last month.  CNA Renee Tillman, the founder and leader of the Texas Association for Nursing Assistants, met me there.

The focus of the conference was Coming together-Creating Community, and the conference organizers and presenters included direct care workers and talk about direct care worker issues throughout. It was great to be about to talk about direct care work and workers with leaders of nursing homes and other residential care facilities that are working hard to make their facilities into truly welcoming, empowering, respectful places to live and work.

I was also glad to see how many people showed up for my workshop on Developing Direct-Care Worker Leaders as Advocacy Partners. I talked about the impact activists and involved direct care staff are having, their roles in coalitions, strategies for developing meaningful partnerships between employers, workers, consumers, and advocates, and gave an overview of the issues the DCA and our National Direct Care Partnership are advocating for. Then I opened it up for a Q&A session and fielded some smart, thoughtful questions. Continue reading »

Worker Associations Plan Fall Conferences

Posted by on September 8th, 2009 at 2:53 pm | No Comments »

NM conference cover artThe Iowa CareGivers Association (ICA), the Florida Professional Association of Care Givers (FPACG), and the New Mexico Direct Caregivers Coalition are all hosting their annual conferences this fall.

Iowa CareGivers Association

The ICA’s event, Cracking the Caregiver Code, will be held on October 9 in Des Moines. It will feature educational sessions on caregiving topics, like “The Top 10 Things to Know About Autism” and “A Crash Course in Preventing and Managing Conflict,” as well as sessions aimed at honing attendees’ self-care and leadership skills. Attendees can get free bone density, blood pressure, and body mass index screenings, and blood lipids and glucose screenings will be offered for a minimal fee. Continue reading »

ANCOR Seeks Direct Support Professionals for Technology Survey

Posted by on September 8th, 2009 at 1:08 pm | No Comments »

ANCOR’s National Advocacy Campaign has extended the deadline for its nationwide DSP technology survey to September 11.

The aim of the survey is to learn about how much and how well direct support professionals use certain forms of technology. DSPs who want to participate may complete the survey online.

Study Finds Home Health Aides Particularly Vulnerable to Labor Law Violations

Posted by on September 8th, 2009 at 12:59 pm | 5 Comments »

Broken Promises coverMost low-wage workers put in some unpaid overtime, but home health aides are particularly likely not to be paid, according to a new study. “Home health care workers are especially vulnerable to violations, both because of the nature of the job and because they’re not fully covered by the protections that most of us take for granted,” said Annette Bernhardt, the policy co-director of the National Employment Law Project and one of the co-authors of Broken Laws, Unprotected Workers: Violations of Employment and Labor Laws in America’s Cities.

The report is based on a survey of 4,387 workers in low-wage industries in the three largest U.S. cities—Chicago, Los Angeles, and New York City. It found that employment and labor laws are “regularly and systematically violated” in home health care and other low-wage work settings.

“More than two-thirds (68 percent) of our sample experienced at least one pay-related violation in the previous work week,” says the report’s executive summary. “The average worker lost $51, out of average weekly earnings of $339. Assuming a full-time, full-year work schedule, we estimate that these workers lost an average of $2,634 annually due to workplace violations, out of total earnings of $17,616.”

While home health aides were less likely (12%) than the average low-wage worker (26%) to earn less than minimum wage, they were more likely not to be paid extra if they put in more than 40 hours a week. Of the home health aides who had worked overtime in the previous week, 83% were not paid extra for that time, compared to 76 percent of the workers overall who had put in overtime. Continue reading »

Hanson Calls for Better Health Care for DCWs in Maine Editorial

Posted by on September 8th, 2009 at 11:26 am | No Comments »
Helen Hanson

Helen Hanson

The good news just keeps coming from Maine, where a federal grant will provide health care coverage for thousands of uninsured direct care workers and others and where direct care workers Helen Hanson and Julie Moulton have been appointed to the group that is revamping the state’s long-term care system.  On August 28, The Portland Press Herald/Maine Sunday Telegram published a strong editorial by Hanson, in which she calls for “a health care plan that meets the needs of direct-care workers and millions of other low-wage workers across America.”

Hanson applies what she has learned from her work in Maine to the national situation in her editorial, which begins by describing her struggle to find affordable health insurance for her family in the years before her husband got a job that offers health insurance. She also writes about the high rate of uninsurance among direct care workers and how it contributes to the profession’s high turnover rates. “When our family didn’t have insurance, I always feared that if I were to get cancer, I would have to give up my caregiving work and find a job that offered health coverage,” she says. “This was a choice I didn’t want to make, but it is one that faces Maine’s direct-care workers every day.”

Hanson makes the connection between a stable direct care workforce and quality care for elders and people with disabilities and lays out ground rules for insurance that would adequately cover direct care workers and other low-wage employees.

Introducing Voices Institute Trainer and DCW Brenda Nachtway

Posted by on September 8th, 2009 at 11:06 am | No Comments »
Brenda (L) with Jackie Merkel at the 2008 Voices Institute National Leadership Program

Brenda (L) with Jackie Merkel at the 2008 Voices Institute National Leadership Program

 In a few short weeks, the direct care worker movement will grow stronger and more unified when direct care workers come together in Racine, Wisconsin for the Voices Institute‘s second National Leadership Program (NLP).

The workers in this year’s class will share their stories and learn from one another. They will also learn from a training team that includes graduates of last year’s Voices Institute NLP. I’d like to introduce you to one of them, my treasured colleague Brenda Nachtway.

Brenda will be one of the first people that the class members will meet. She will welcome the class as they arrive on Sunday evening and get settled in and coordinate an evening program where the class will get personally acquainted, after long-distance exchanges on web seminars and orientation and community-building conference calls. Since she is one of the most joyful, humorous, and warm people you will ever meet, it is safe to say that the class will find a week-long home away from home in Brenda’s company. Continue reading »

DSPAM Event Celebrates Direct Support Professionals in Minnesota

Posted by on September 8th, 2009 at 9:56 am | 1 Comment »

Muhannah S. Kakish

Muhannah S. Kakish

You know how usually you get a sponsor and then create an event? Well, we created an event and then got the sponsor.

On September 13, DSPAM (Direct Support Professional Association of Minnesota) is commemorating National Direct Support Professional Recognition Week with a special day for direct support professionals (DSPs). That’s the term NADSP uses for the personal care assistants, personal attendants, in-home support workers, and other direct care workers who provide support for people with disabilities.

We started out planning to just having a picnic. Then the DCA gave DSPAM some incentive money to seed a grassroots fundraising effort, and we started to think bigger. Our idea grew into Making Changes Together (PDF), which is a full-fledged event with catered picnic food, beverages, door prizes, games for the kids, and entertainment – all free for direct support workers and their friends and families. We’ll also have free haircuts, mani-pedis, makeovers, and massages, because DSPs work so much and we wanted to do something for them. And we’ll be giving out the DSP Choice Awards (PDF) to honor five outstanding direct support workers. Continue reading »

Direct Care Workers in the Lead as Maine Revamps Its LTC System

Posted by on September 8th, 2009 at 9:25 am | No Comments »
L to R: Roy Gedat, Helen Hanson, Sen. Margaret Craven, Sen Nancy Sullivan and Julie Moulton

L to R: Roy Gedat, Helen Hanson, Sen. Margaret Craven, Sen Nancy Sullivan and Julie Moulton

Here in Maine, the Department of Health and Human Services (DHSS) is revamping its long-term care system, and two direct care workers – Julie Moulton and I – are helping to lead the process.

As you know if you’ve been reading this blog, our past legislative session saw four separate bills dealing with long-term care, two involving workers and two dealing with the system. I wrote about three of them in an earlier blog post. The fourth is LD 400, which looks at long-term home-based care and community-based care.

For all but one of the four, DHHS has to report back to the legislative Health and Human Services Committee with findings on how to improve the system. For LD 1059, DHSS will report back to the Insurance and Financial Services Committee.

DHHS figured the best way to do all this reporting and analysis is by setting up a LEAN process. LEAN is a manufacturing term used when companies look into their operations to see what can be removed from their processes to make manufacturing “leaner,” thereby taking less time, energy and money to manufacture something. That leads to more money available for employees, for research, for investment, whatever the company wants to do with it. Continue reading »