Our New York City home care system, which includes Cooperative Home Care Associates and Independence Care System, has piloted interventions in direct care worker training and workforce supports, spurring lessons that have improved direct care in New York and across the country. And our research, policy analysis, and advocacy have provided reliable data and sound advice to policymakers at the city and state levels.
More than 310,000 people work as home health aides and personal care aides across the state of New York—two occupations that will grow 45 and 31 percent, respectively, between 2014 and 2024. Unfortunately, due to low wages and inconsistent hours, many direct care workers in New York struggle to make ends meet—more than 40 percent live in poverty, and nearly half rely on public assistance. Turnover remains high in this workforce, and providers increasingly report a growing workforce shortage, particularly in rural areas. Yet demand for home care is growing rapidly as the number of older adults who require long-term care increases.
This situation is compelling New York policymakers to devise effective ways to support this workforce and transform long-term care. PHI’s policy experts and researchers work closely with state officials to achieve this vision.