Archive for ‘Publications’

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 »

New Book, “The Caring Self” Spotlights the Indispensible Role Home Care Aides Play in American Society

Posted by on August 2nd, 2011 at 10:05 am | No Comments »

A note from the author, Clare L. Stacey, Ph.D.

In The Caring Self, I paint a picture of the important (and often unrecognized) work that home care aides do everyday in this country.  I began my research after meeting a disabled woman and her caregiver who lived around the corner from me. The client, a woman with rheumatoid arthritis, relied on her home care aide to bathe her, feed her, take her to appointments and, most importantly, spend time with her when no one else would.  Struck by the intimate ties between this aide and her client, as well as the emotional and physical labor of caring for another person, I set out to observe and interview home care aides in California and Ohio.

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Woo-Hoo, Our Co-Op Toolkit is Finished! Or Is This Just the Beginning?

Posted by on March 21st, 2011 at 3:28 pm | 5 Comments »

Tracy Dudzinski

When I was approached to write a toolkit about starting a worker-owned home care cooperative, I wasn’t sure where to start.  But if you have read some of my previous blog posts, you know I say that you can’t grow as a person if you don’t step out of your comfort zone.

I have to say that it was an intimidating project, but the more I thought about it the more excited I got.  Working with the DCA’s communications advisor on this toolkit has allowed me to share one of the most empowering experiences of my life. I hope we will empower other people to experience the same thing.

I’ve been part of a worker-owned home care co-op in Wisconsin for eight years, on the board for seven, and the board chair for three. Being a worker-owner has many advantages – having a voice, being heard, and owning part of a business, which includes sharing in the profits at the end of the year. The skills I have learned and the experiences I’ve had there have broadened my horizons in all kinds of directions.

Co-ops are also a good way to create stable jobs and quality care for rural communities like mine. DCA Executive Director Leonila Vega says: “Co-ops are a good way to address the shortage of qualified home care providers in rural America, not to mention the long distances and lack of contact with coworkers that makes too many rural home care workers feel isolated and alone. We hope this toolkit will help bring providers together around this model to improve access to health care for rural residents.”

I would love to see at least one worker owned home care co-op in every state of the union.  If you think you might be interested in belonging to one, check out our toolkit. It lays out what’s involved in starting and operating a home care co-op and links you to the websites, experts, forms, and other resources you’ll need. And since I’m a direct care worker just like you, it’s written in down-to-earth language.

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DCA Publishes Fact Sheets for Direct Care Worker Advocates and their Allies

Posted by on June 25th, 2009 at 10:56 am | No Comments »

A full set of DCA Direct Care Fact Sheets, one for each of the 50 states and the District of Columbia, is now available in the Resources section of our website.

The one-page sheets were created as a resource for direct care worker advocates and their allies, legislators, policymakers, members of the media, and others interested in direct care issues. They include key facts such as:

  •   The number of home health aides, nursing assistants, and personal and home care aides in the state in 2006 and the projected numbers of each in 2016
  •   The average hourly wage for the state’s direct care workers
  •   What percentage of direct care workers in that state or region are without health insurance

Elise Nakhnikian
Communications Director
Direct Care Alliance

Legal Expert Calls for Minimum Labor Protections for Home Care Workers

Posted by on June 8th, 2009 at 6:57 pm | 4 Comments »
Peggie Smith

Peggie Smith

“Federal reform is urgently needed to provide home care workers with the compensation and respect they deserve,” says Peggie Smith.

Smith, who is the Murray Family Professor of Law at the University of Iowa College of Law and a graduate of Harvard Law, is talking about a U.S. Supreme Court decision that excluded home care workers from protection under the federal Fair Labor Standards Act (FLSA). The court said the workers were providing companionship services.

In Protecting Home Care Workers under the Fair Labor Standards Act, (PDF) the second in a series of Direct Care Alliance policy briefs, Smith says the decision “threatens to destabilize the home care industry, erode the precarious economic status of home care workers, and undermine the quality of care that they provide to home care clients.”

She outlines two approaches the federal government could take to reverse the ruling:
1. Amend the FLSA to explicitly include home care workers; and
2. Revise Department of Labor (DOL) regulations to significantly limit the reach of the companionship exemption.

Smith recommends that the government do both, with the DOL taking immediate action to revise the companionship exemption while Congress works to reverse the impact of the Supreme Court decision by passing the Fair Home Health Care Act. Continue reading »

How to Use Economic Stimulus Funds to Improve Direct Care Jobs

Posted by on March 31st, 2009 at 3:18 pm | 1 Comment »

dca-policy-brief-1-coversmallUsing Recovery Act Funds to Improve Direct Care Jobs and the Quality of Direct Care Services (PDF)

A new Direct Care Alliance policy brief helps direct care worker advocates, employers, educators, researchers and others make the case for investing part of the federal funding available through the Recovery Act in the direct care workforce.

DCA Executive Director Leonila Vega calls this window of opportunity “a once-in-a-lifetime opportunity.”

But that window will close in just a few weeks, once all the funds have been allocated. ”Funds made available through the fiscal stimulus can do great things, but direct care advocates need to move quickly to figure out what they can use–and how. This brief offers them a terrific road map,” says labor economist Nancy Folbre, a member of the editorial committee that produced the brief.

Vega held a conference call this month with leaders of state direct care worker associations to go over a draft of the brief and discuss ways they could use it. “Nearly a trillion dollars is being sent to states by the federal government with the express purpose of stimulating the economy and building our infrastructure so more Americans join the middle class,” she says. “Let’s make sure we don’t use these funds for Band-Aid solutions, but instead for systems change programs that can help renew our economy by improving these crucial and fast-growing jobs.”
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