The following is a list of PAS Workforce resources related to California.
The list is provided and maintained by the National
Clearinghouse on the Direct Care Workforce. Each citation contains
an abstract and information about how to obtain the entire version.
Cousineau, Michael R., Carol Regan, and Alicia Kokkinis. (February 2000). A crisis for caregivers: Health insurance out of reach for Los Angeles home care workers. SEIU.
Abstract:
This report discusses findings from a telephone survey conducted with in-home support services providers in Los Angeles County. Findings indicate that of the home care workers surveyed, 45% were not insured, almost half were earning below the federal poverty level, and 40% delayed or did not receive medical treatment because they could not afford it. The report concludes that the provision of health insurance will help in stabilizing the direct-care workforce.
Obtain the Full Version: To order this report, contact SEIU at (202) 898-3200.
Service Employees International Union (SEIU). (1998). A crisis for caregivers: Health insurance out of reach for nursing home workers. SEIU.
Abstract:
Researching the health insurance needs of nursing home workers, SEIU found that nationally more than 20% of long-term care workers are uninsured, as compared to 14% of the general population. The report recommends: 1) Legislation to ensure that a percentage of Medicaid and Medicare funding goes directly to wages and benefits; 2) Removal of barriers for organizing nursing homes into unions; 3) Expanding use of state's Children's Health Insurance Programs.
Heinritz-Canterbury, Janet. (2002). Collaborating to improve In-Home Supportive Services: Stakeholder perspectives on implementing California's public authorities. Paraprofessional Healthcare Institute.
Abstract:
This paper analyses the four stakeholder coalition that successfully passed legislation and implemented the county public authority structure to improve the quality of jobs and services offered by California's In-Home Supportive Services.
Obtain the Full Version: For information about ordering a copy of this report, please contact the Clearinghouse at info@directcareclearinghouse.org or 866-402-4138.
Please note: There is a charge of $2 a copy for all orders of five or more, plus shipping and handling Available at the National Clearinghouse on the Direct Care Workforce website: http://www.directcareclearinghouse.org/download/CA PA Report.pdf
Benjamin, A.E.. (September 1998). Comparing client-directed and agency models for providing disability-related supportive services at home. University of California Los Angeles.
Abstract:
This study compares the service experience and clinical outcomes for clients and their providers in a traditional home care agency model with those in a client directed model using data from California's In-Home Supportive Services program. The study determined that agency clients are typically more isolated while consumer-directed care providers usually have more service needs.
Doty, Pamela, et al.. (May 1999). In-home supportive services for the elderly and disabled: A comparison of client directed and professional management models of service delivery, non-technical summary report. U.S. Department of Health and Human Services and the University of California, Los Angeles.
Abstract:
This study compared consumer-directed (CD) and professional management (PM) models of financing and delivering publicly funded long-term care, using data from California's In-Home Supportive Services program. The study found that while the CD model outperformed the PM model on several client outcome measures, home care workers receive significantly higher wages and more benefits with the PM model.
Cousineau, Michael R. (June 2000). Providing health insurance to home care workers in Los Angeles County. California HealthCare Foundation.
Abstract:
This study analyzed four ways to provide health insurance for Los Angeles' In Home Supportive Services (IHHS) home care workers: 1) Create a single public program with presumptive eligibility, financed with multiple sources largely invisible to workers; 2) Enable all workers without health insurance to enroll in a county health plan or HMO; 3) Develop a specialized project allowing workers to use county and 'private-public partnership' health care providers; or 4) Fund outreach efforts to enroll additional home care workers in existing programs.
Franks, Patricia E., et al. (March 2002). Trends, issues, and projections of supply and demand for nursing aides and home health care aides: California fieldwork. University of California San Francisco, Center for Health Professions.
Abstract:
As part of a national report, this fieldwork study collected and assessed data on supply and demand for CNAs and HHAs in California, identifying problems with timeliness, accuracy, and adequacy of existing data to meet the multiple needs of multiple users. The report recommends that data users collaborate in strategic data reporting and collection efforts in order to meet data needs for workforce planning, research, and policymaking.
Heinritiz-Canterbury, Janet. (). California's in-home long term care system: A background paper for the California Wellness Foundation and the Paraprofessional Healthcare Institute.
Abstract:
This paper decribes major groups of stakeholders (workers and organized labor, consumers, and their families, for-profit and not-for-profit agencies who provide the services,a nd individual and agency funders of these services) that are involved with providing, using, and funding in-home long term care services in California, with a special focus on the issues of the in-home workforce.
Wallace, Amy et al. (2001). Greater Golden Hill Community Development Corporation. The National Economic Development and Law Center.
Abstract:
The Greater Golden Hill Community Development Corporation (GGHCDC) started Golden Hill Health Careers Academy in 1996 in an effort to match unemployed low-income residents with a high demand health career occupation. In 1999 the GGHCDC launched the Golden Care Cooperative, a private home care agency whose mission is to improve the quality of home care services to frail, elderly and disabled people living in central San Diego.
Babikian, Margo. (November/December 2001). The best nursing home team.
Abstract:
After the results of the California Department of Health Services survey report, a director of nursing services circulated a memorandum to her staff that stated 'Another milestone. Congratulations! You are the champions of quality of care.' This began a story about how a nursing home approached organizational change and what programs were put into place to support the workers and residents.
Paraprofessional Healthcare Institute and the North Carolina Department of Health and Human Services. (March 2004). Chart of direct-care workforce activities in California.
Abstract:
This chart describes existing or enacted direct-care workforce initiatives in this state as of March 2004. The information was collected as part of a national survey of state intitiatives on the long-term care direct-care workforce. Additional details about this state may be found in the full report.
Gillespie, Jennifer . (2003). Direct-care worker associations and public authorities. National Academy for State Health Policy, Rutgers Center for State Health Policy, and Centers for Medicare and Medicaid Services.
Abstract:
States and long-term care consumers, workers, and employers are seeking ways to address the growing demand for a high quality and stable long-term care workforce. Direct-care worker associations and public authorities have emerged to address this issue through outreach, advocacy, support, and training. This issue brief provides a snapshot of associations and public authorities, and includes website links.
Harahan, Mary F, Kristen M. Kiefer, Anne Burns Johnson, Jan Guiliano, Barbara Bowers, and Robyn I. Stone. (June, 2003). . California Association of Homes and Services for the Aging and the Institute for the Future of Aging Services.
