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Tapping the Power of Peer Mentoring

This is the second in a series of PHI Expert Interviews, which bring you insights from four senior PHI staff. They’re an impressive group – among the nation’s leading experts on long-term care’s direct-care workforce – and collectively they’ve spent decades studying the challenges facing the workforce and how to address them. We think you’ll be interested in what they’ve learned.

Peggy Powell is one of the founders of Cooperative Home Care Associates, the worker-owned home health agency that started PHI, where she served as director of education. Since joining PHI in 1991, she has worked with CHCA and other employers to develop strategies for recruiting, training, supervising, and supporting direct-care staff.

One of those strategies, peer mentoring, is gaining in popularity – and no wonder. Done right, a peer mentor program helps new direct-care workers get oriented to the job and the organization, bolstering their skills and their confidence. It also creates a career ladder for experienced workers.

And that’s not all, as Peggy has learned. Read the full story

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ANCOR continues its advocacy work for direct support professionals (DSPs) with two announcements this month: It has selected the winners of its 2008 DSP TV Online video contest, and it has won the unanimous support of the U.S. Senate for its National Direct Support Professionals Week.

The six DSP TV Online winners — all both by and about DSPs and the people they work for – are now available for viewing on ANCOR’s website. (Above, see the winning video.) All six are full of heart. They convey the pride and joy dedicated DSPs take in their profession, the difference they make in the lives of the people they work with, and the mutual respect and affection that develop between workers and clients. They also contain calls for better pay and benefits, along with a lot of singing, dancing, and enthusiastic expressions of gratitude. ANCOR calls them “part of a greater effort to raise awareness of the workforce wage issue and give DSPs the ability to tell their stories in their own words, and as only they can.”

In addition, the U.S. Senate has recognized the week of September 8 as National Direct Support Professionals Recognition Week. (pdf) The unanimously approved resolution is timed to coincide with ANCOR’s annual Governmental Activities Seminar and its DSPs to DC event in Washington, D.C.

Elise Nakhnikian, Senior Online Editor
enakhnikian@phinational.org

Recommendations for Establishing a Credentialing System for Iowa’s Direct Care Workforce, (pdf) a recent publication from the Iowa Direct Care Worker Task Force, is a useful tool for advocates in any state who want to create “an accessible, comprehensible, flexible, quality system of education and training for all direct care workers.”

The report documents work to be done to implement recommendations published by the task force in December 2006.  Work began on the project last month.

Iowa’s proposed three-tiered credentialing system is intended to ensure that all direct-care workers are adequately prepared for the job. It also aims to make workers’ duties and qualifications clear to the consumers and family members who hire them, to acknowledge their special skills, and to correct the inequities of the current system, which requires training in some settings but not in others even when the same set of services is delivered in both.

Read the full story

Whether you call it person-centered, person-directed, or just plain quality care, the goal is the same for everyone receiving or regulating long-term care services as it is for all conscientious care providers: Everyone wants care to be tailored to individual preferences and needs. Yet that common-sense goal can be surprisingly hard to achieve in our complex, technology- and medication-oriented, often understaffed health care system.

Many of the barriers that stand in the way are systemic – boulders that no one person can shoulder aside on his or her own. But a self-published, spiral-bound booklet created by an aging services specialist gets long-term care consumers closer to that goal by giving them a way to keep track of their vital information — and share it with direct-care workers and other health care professionals.

Read the full story

The July issue of The Gerontologist is devoted to findings from the Better Jobs Better Care research and demonstration project. BJBC, which began in 2002 and ended in 2006, was the largest initiative in the nation ever created to address the high vacancy and turnover rates of direct-care workers by improving the quality of direct-care jobs. The initiative involved changing both public policy and employer practice. Demonstration grants were made to groups in Iowa, North Carolina, Oregon, Pennsylvania, and Vermont.

A nine-page overview lays out how and why the project came into being, the problems affecting the direct-care workforce, and how awareness of and responsiveness to those problems is changing. The essay is by Robyn Stone (pictured), executive director of the Institute for the Future of Aging Services, and PHI President Steven Dawson. FAS and PHI conceived of BJBC and provided technical assistance to the grantees. Funding was supplied by the Robert Wood Johnson Foundation and The Atlantic Philanthropies.

Among the findings detailed in the issue:

• Direct-care workers across long-term settings identified more pay, improved communication, better supervision, and being treated with respect as the most important things employers could do to improve jobs.
• After accounting for satisfaction with wages, benefits, and advancement opportunities — good basic supervision was most important in affecting CNAs to stay in their jobs.
• There is a positive correlation between CNA job commitment and resident satisfaction.
• After accounting for satisfaction with wages, benefits, and advancement opportunities, good basic supervision was the most important factor behind commitment to the job. Read the full story

Subscribe to the HCHCW newsletter

We’ve been covering news from our Health Care for Health Care Workers (HCHCW) campaign in PHI’s news stories and Quality Care/Quality Jobs newsletter ever since the campaign started years ago — and we’ll keep on covering the really big stories, since PHI’s beat is whatever affects the direct-care workforce.

But now HCHCW has launched its own free biweekly e-newsletter. The HCHCW newsletter drills deeper than anything else you’ll find into the shortage of affordable, quality health care coverage for direct-care workers. It analyzes the problem, explores solutions, describes the progress of the HCHCW campaign and its partner organizations, provides links to valuable resources, and more.

If you care about this crisis and want to keep up with the latest developments and strategies, you’ll want to add your name to their list.

Check out past issues

Elise Nakhnikian, Senior Online Editor
enakhnikian@phinational.org