Archive for ‘Policy briefs’

Demonizing Caregivers No Way to Reduce Elder Abuse, says DCA Issue Brief

Posted by on October 25th, 2011 at 3:37 am | 1 Comment »

“The personal, often intimate nature of caregiving relationships can make it difficult to define, detect, and deter the abuse of elders and people with disabilities by the caregivers they rely on. Nonetheless, there are a number of steps that employers and policymakers can take to support good care and prevent abuse,” says No Excuse for Abuse, the ninth in a series of Direct Care Alliance policy briefs.

Arguing that we cannot reduce abuse until we understand its root causes, the nine-page issue brief looks at what we know—and what we don’t know—about how and why care recipients get abused by their caregivers. Author Elise Nakhnikian notes that the great majority of abuse appears to be committed not by paid professionals but by informal caregivers, usually close family members, and that it is often caused by “complex and stressful dynamics between caregiver and care recipient, with one party’s actions and attitudes affecting the other and creating a ‘reactive pattern or feedback loop.’”

Simply blaming and punishing those who abuse will not solve the problem, she writes. In fact, demonizing caregivers can make things worse, pushing the issue even further underground and tarnishing the reputation of an honorable profession. Continue reading »

By Our Sides: The Vital Work of Immigrant Direct Care Workers

Posted by on June 27th, 2011 at 5:20 pm | No Comments »

Evelyn Coke was a Jamaican immigrant and an American hero. For more than twenty years, she cared for sick, elderly and dying people in their homes. She worked tirelessly, without overtime pay or health insurance coverage, while fighting to overturn regulations that exclude home care workers from basic labor protections. Her lawsuit went all the way up to the U.S. Supreme Court, although in the end the Court decided against her. Despite her decades of service to ailing people in need, when Evelyn herself became ill in the last years of her life, she could not afford a health care worker to be by her side (Martin 2009).

Evelyn’s work—and that of thousands of other immigrant direct care workers across the country—provides vital support to families struggling to assist elderly, disabled and seriously ill relatives. As the Baby Boom generation (born between 1946 and 1964) ages, more and more elderly and sick Americans will rely on these immigrant workers.  Read full policy brief.

A Closer Look at the Companionship Exemption: Responding to fair labor opponents

Posted by on December 20th, 2010 at 10:51 am | 2 Comments »

Helen Hanson

A lot has been said about the companionship exemption over the years, and the recently introduced Direct Care Workforce Empowerment Act has brought the minimum wage and overtime protection issue to the front of the dialogue again.  But as we work together to advocate for this legislative fix to the Fair Labor Standards Act, let’s remember that there’s an alternative: a regulatory fix by the Department of Labor.  The newest policy brief from the Direct Care Alliance, “Minimum Wage & Overtime Protection for All?” provides a closer look at the companionship exemption and recommends strategies for ensuring a resolution. As we move closer to proposed regulations from DOL – likely in October 2011 – we must rally in support of an FLSA modification. As I read the brief, I realized that although the efforts of direct care workers and their allies were strong and motivated in the past, we were outnumbered by those who sought to keep us excluded from the basic labor protections enjoyed by almost every other workforce in this country.  In this brief, Lisa Forhan discusses the need for the companionship exemption to be addressed legislatively and/or through the regulatory process, and explains how workers and allies can unite to make that happen. Click here to read the brief.

In my ongoing work in support of the Direct Care Workforce Empowerment Act, I recently got a negative response from a home care provider association when I asked them to support the bill.

I expected the response I got, but I still found it very upsetting. It made me feel like it is okay for workers to stay where they are, classified as companions. It is not okay. Home care workers are the backbone of home care agencies. Without the workers, there would be no agencies. With more people opting for home care services, and Maine and the nation growing older, where will the workers come from, if something is not done to stabilize the workforce or make direct care work more appealing? Continue reading »

The Best and Worst State Practices in Medicaid Long-Term Care

Posted by on March 18th, 2010 at 12:46 pm | 1 Comment »

This week we’re happy to present the newest Direct Care Alliance Policy Brief, courtesy of Candace Howes of Connecticut College.  This brief, “The Best and Worst State Practices in Medicaid Long-Term Care“, explains why Medicaid poli­cies lead to so much variation in current state Medicaid long-term care programs.

We also explore how those policies have been used in some states to expand the range and availability of services, drawing on lessons from innovative states to suggest reforms in national Medicaid policies that would make home- and community-based services more accessible. Candace has spoken out about wage and benefit increases for direct care workers; see her short video, below.