Archive for November, 2009

Stop Making it So Hard for Direct Care Workers to Stay on the Job

Posted by on November 25th, 2009 at 7:57 am | 1 Comment »
Mike Harrison

Mike Harrison

My name is Mike Harrison. I am a displaced factory worker who has found refuge in the direct care workforce.

I do what is called “in-home care” for a single quadriplegic client in his residence. It took me over two years to get the seniority to schedule myself for 40 hours a week. That leaves me 8 hours’ leeway to do emergency fill-in without accruing overtime, which my agency will pay but highly discourages. I am very fortunate to get this benefit, which I will expound on later.

In my job as a DSP (direct support professional), I cook, clean, shop, wet nurse, bathe, and take care of his dog. Basically, I fill in the gaps his spinal muscular condition creates. It’s a pleasure and a privilege to support my client, who is one of the smartest, most driven people I know. I strive to support his independent living and provide some dignity to an otherwise difficult situation.

There are many problems in the direct care world that I am immune to. My wife’s health care benefits from her job are superior and less expensive then the plan offered by agency. Without that option, I’d have to take the less desirable plan or seek another job that offers a better benefit package. Many of my colleagues across the country have no health plan offered, leaving them sick from not seeking treatment to running the risk of financial ruin by paying for pricey medical treatment. Fifty percent of the bankruptcies in this country are caused by medical bills. Continue reading »

Health Care for Health Care Workers Issues Health Care Reform Tools

Posted by on November 25th, 2009 at 7:55 am | 4 Comments »
Helen Hanson

Helen Hanson

PHI’s Health Care for Health Care Workers initiative has issued two new resources for people working to improve health care coverage for direct care workers.

Health Care Coverage for Direct-Care Workers: 2008 Update, (pdf) a brief overview of the most recent available federal data on health care coverage among direct care workers, finds that direct-care workers continued to have considerably higher rates of uninsurance than the general public under 65 years of age (26.1 percent vs. 17.3 percent) in 2008. “If direct-care workers are to rely on employer-sponsored coverage, policy makers must establish effective payment methods that build the cost of health coverage into the reimbursement rates that eldercare and disability service providers receive,” the three-page report concludes.

The other resource is a series of testimonials from five direct care workers and one employer about how they have been affected by inadequate health insurance. The first two are from graduates of the Voices Institute’s National Leadership Program: home care worker Helen Hanson and CNA Cindy Ramer.

DSW Resource Center Issues Core Competencies Bibliography

Posted by on November 25th, 2009 at 7:32 am | 1 Comment »

core competency bibliography report coverShould all new direct care workers be trained in – or tested for – the same basic set of core competencies? If so, what should those competencies be?

An annotated bibliography created by The Lewin Group for the Direct Service Workforce Resource Center summarizes current thinking about developing core competencies for all direct care workers, regardless of the setting they work in. The Direct Service Workforce Core Competencies Annotated Bibliography (pdf) includes recommendations from six state-level reports, two national studies, and the federal Retooling the Health Care Workforce for an Aging America Act.

Elise Nakhnikian
Communications Director
Direct Care Alliance

Issue Brief Offers Tips on How to Strengthen the Rural DCW Workforce

Posted by on November 25th, 2009 at 7:31 am | No Comments »

Another recent publication by The Lewin Group for the DSW Resource Center, Strengthening the Direct Service Workforce in Rural Areas, summarizes the challenges faced by the direct service workforce in rural areas. The 10-page issue brief also lists strategies rural stakeholders can use to improve recruitment and retention rates and provide higher-quality services and supports. These include:

  •   Supporting family caregivers
  •   Creating worker-owned cooperatives
  •   Offering advanced training to direct care workers through online courses and other innovative methods
  •    Improving workers’ access to transportation

Alzheimer’s Association Issues Home Care Guide

Posted by on November 25th, 2009 at 6:51 am | No Comments »

Alz home care dementia guide coverA comprehensive manual from the Alzheimer’s Association outlines things to consider, care goals, and recommended practices for direct care workers and other professionals who care for people with dementia in their homes. The recommended practices include guidelines for assessment, suggested provider approaches and tips for modifying the environment.

Dementia Care Practice Recommendations for Professionals Working in a Home Setting (pdf) is the fourth in a series of dementia care manuals from the association. It is based on a person- and family-centered approach to dementia care, which involves tailoring care to the abilities and needs of the individual and counting family members as part of the care team.

Additional sections cover personal autonomy, home safety, end-of-life care, home care provider training, and more.

Elise Nakhnikian
Communications Director
Direct Care Alliance

Committed Caregivers Flock to New Mexico Conference

Posted by on November 25th, 2009 at 4:49 am | 1 Comment »
(L to R) Connie, Alex and me on our panel

(L to R) Connie, Alex and me on our panel

The New Mexico Direct Caregivers Coalition’s 2009 summit was our first conference – we just started our coalition this year – so we were a little nervous going into it. But by the end of the day on November 6, we all felt great.

About 125 people from all across the state got a lot out of the summit. We packed the day with educational sessions, running three at a time in four time slots, and we had some great speakers.

Our educational sessions ranged from self-advocacy to job-related skills to what caregivers need to know about technology. Topics included Affordable Health Insurance for Direct Caregivers, Dementia vs. Hearing Loss – How to Recognize when Hearing Loss is Causing the Misunderstanding, Caring for Yourself First, Family Caregivers as Advocates, and Advocating your Cause: Caregiver Advocacy 101.

I was on one of the panels, along with my fellow 2009 Voices Institute National Leadership Program graduates Connie Kreider and Alex Brandt. I talked about why we direct care workers need respect and recognition. Connie told people about the DCA, and Alex talked about our generally low wages and why they need to improve. The people who came to hear us asked a lot of good questions. Continue reading »

Pennsylania Seeking Nominations for Direct Care Worker of the Year

Posted by on November 25th, 2009 at 4:34 am | No Comments »

If you know an outstanding home care worker in Pennsylvania, you may want to nominate him or her for the state’s second annual Direct Care Worker of the Year Award.

The Pennsylvania Department of Aging is currently accepting nominations for the award. Contact Rocco Claroni at 717-772-2932 or rclaroni@state.pa.us for more information.

NCCNHR Offers Free Memberships

Posted by on November 25th, 2009 at 4:12 am | No Comments »

Direct care workers and others who care about providing high-quality care may want to take advantage of the free membership drive at NCCNHR: the National Consumer Voice for Quality Long-Term Care. Anyone who was not a member of NCCNHR in 2008 or 2009 can join free of charge through the end of this year. The free memberships will be good from January 1 through December 31, 2010.

The person who refers the most new members to NCCNHR will receive a complimentary registration to the group’s conference next year.

Making Sense of Health Care Reform: What Does it Mean for Direct Care Workers?

Posted by on November 12th, 2009 at 12:21 pm | 12 Comments »
David Ward

David Ward

Send us your questions: We figure you have plenty of thoughts and questions about this issue, so we published this update in this blog and our Direct Care News newsletter in late October, and we’ll keep updating it until a health care reform bill is passed or vetoed. If you have any questions about health care reform and how it would affect direct care worker and the people they assist, please send them to me at dward@directcarealliance.org. And if you just want to tell us what you think about this issue, please leave a comment below.

Everybody has heard a lot about health care reform, but with so many conflicting opinions about the impact that it will have on our health care system, it has been very difficult to make sense of it. The health care reform bills in the House and Senate range from about 1,000 to 1,500 pages, giving supporters and naysayers lots of material to applaud and oppose. Continue reading »

Video from the Voices Institute: Direct Talk from Direct Care Workers

Posted by on November 12th, 2009 at 12:21 pm | 1 Comment »

In this video, shot by and starring graduates of the 2009 Voices Institute National Leadership Program, direct care worker advocates speak out about why they love their work and what needs to change.