PHI Grant Guide: Personal & Home Care Aide State Training (PHCAST) Program

Grant Name: Personal and Home Care Aide State Training (PHCAST) Program
Eligible Applicants: States
Application Deadline: July 19, 2010
Grants Awards: by September 30, 2010
Links: program details, application
Summary: The Personal and Home Care Aide State Training Program was created as part of national health reform in 2010 to fund a three-year demonstration program for up to six states to develop core competencies, pilot training curricula, and develop certification programs for personal and home care aides. Total funding for these demonstrations is $5 million per year for three years. States are encouraged to consult and collaborate with community and vocational colleges regarding the development of curricula to implement the project.

Peggy Powell

Designing a High Quality PHCA Training Program: An Interview with Peggy Powell
Peggy Powell, PHI Director of Curriculum and Workforce Development, provides tips for states applying to the Personal and Home Care Aide State Training (PHCAST) program. more

HRSA Resources
June 30, 2010 Technical Assistance Call Summary (pdf) A taped replay of the entire TA call is available at 1-866-434-5264 until July 19, 2010. In addition, HRSA is posting responses to all questions on its website.
Application Requirements
Needs Assessment Outline of the state’s needs and concerns regarding the direct-care workforce and the specific population the state intends to serve with the proposed project. Inclusion of demographic data is specifically requested.
Recruitment and selection criteria Identify the target population for the training and how individuals will be recruited and selected for the training program.
Curriculum Include an outline of the training program curriculum that details the course offerings, the number and length of training sessions, classroom vs. on-the-job training time, the student-teacher ratio, the qualifications of instructors, the type of recognition awarded graduates.
Competencies Describe the competencies that the curriculum covers. The grant requires the following core competencies: roles and responsibilities of personal and home care aide; personal care skills and nutritional support; consumer/needs-specific training; basic restorative skills; consumers’ rights, ethics, and confidentiality; interpersonal skills; infection control; safety and emergency training; and medication support, if applicable.
Mentoring and Career Counseling Describe training program supports to ensure retention and graduation.
Certification test Describe the proposed certification test, including written and skills demonstration of competencies (including the system for measuring mastery of skills).
Continuing Education Plan Include a plan to assess individual training needs and remedies for addressing them; identify appropriate educational tools; provide training in key areas such as affects of medication on behavior of clients; provide crisis intervention support for aides; and provide a plan for short weekly trainings that accommodates aides on all shifts.
Evaluation Include an evaluation plan that addresses knowledge gained by trainees and how that knowledge is used on-the-job. Evaluation plans must include a control group to demonstrate the effectiveness of the intervention. Specify data to be collected, how it will be collected, and how it will be analyzed.
PHI Resources: The Personal Care Workforce
State-by-State Projected Demand for New Direct-Care Workers, 2008-18 (pdf)
State Chart Book on Wages for Personal and Home Care Aides, 1999-2009 (pdf)
State Chart Book on Wages for Personal Care Aides, 2000-2010 (pdf)
FACTS 1 – Occupational Projections for Direct-Care Workers 2008-2018 (pdf)
FACTS 2 – Eldercare/Disability Services: Untapped Engine for Job Creation & Economic Growth (pdf)
FACTS 3 – America’s Direct-Care Workforce (pdf)
STATE FACT SHEETS: Illinois (pdf), Iowa (pdf), Maine (pdf), Massachusetts (pdf), Michigan (pdf), New York City (pdf), Pennsylvania (pdf), Vermont (pdf)
PHI Resources: Training Personal Care Aides
Providing Personal Care Services to Elders and People with Disabilities
A 77–hour model curriculum for training PCAs
Personal Care Aide competencies (pdf)
Adult Learner-Centered Training: An Introduction for Educators in Home and Residential Care
Best Practice: Cooperative Home Care Associates, Bronx, NY
A model training program for direct-care workers
Training Quality Home Care Workers: A PHI Technical Series Publication (pdf)
Recruiting Quality Healthcare Paraprofessionals (pdf)
Peer Mentoring: A workshop series for direct-care workers in home and residential care
Introducing Peer Mentoring in Long-Term Care Settings (pdf)
Apprenticeships in Long-Term Care
PHI Resources: Evaluation for PHCAST
PHI Q&A: Designing an Evaluation Plan for the PHCAST Grants (pdf)

Addresses the following questions about PHCAST:

  • What are the evaluation requirements for the PHCAST grant?
  • What are the definitions of some of the terms used, and what are examples of means of measurement?
  • Where can one locate training evaluation resources?
  • What does one need to consider when identifying a comparison group?
  • Is there literature on evaluations of PCA training interventions?
PHI Expert Contacts
Steve Edelstein, bio
Director of National Policy
sedelstein@phinational.org
training and credentialing policy, workforce policy, technical assistance to states
Dorie Seavey, bio
Director of Policy Research
dseavey@phinational.org
workforce demographics, wages and benefits, labor market dynamics
Peggy Powell, bio
Director of Curriculum and Workforce Development
ppowell@phinational.org
recruitment strategies, training program design, curriculum development, adult learner-centered teaching
Marcia Mayfield, bio
Director of Evaluation
mmayfield@phinational.org
evaluation design