Reports & Multimedia
We produce studies, policy reports, and multimedia resources on today's long-term care topics.
The Path Forward: Direct Care Workforce Policy Priorities
In a dramatically changing policy environment, direct care workforce-focused investments and innovations are more important than ever—to improve the quality and efficiency of care, bolster…
Direct Care Workers in the United States: Key Facts
This report provides a new annual snapshot of the direct care workforce for 2025.
Briefs
Together in Care Issue Brief
This comprehensive analysis reflects a collaboration between PHI and the National Alliance for Caregiving. With input from a range of experts, we offer crucial insights…
Bridging the Gap: Enhancing Support for Immigrant DCWs
For years, immigrants have bolstered the direct care workforce and—if properly supported—could help address workforce challenges.
The Union Effect for Direct Care Workers
Direct care workers drive our nation’s long-term services and supports system, yet this workforce faces persistently low pay, few benefits, and often hazardous employment conditions.…
Reports
Exploring the Risk of Benefits Cliffs Among Direct Care Workers
A new study explores the "benefits cliff" for Virginia's direct care workers, analyzing how modest pay raises can lead to a net financial loss when…
Advancing Care, Advancing Careers: Evaluation of the CISA Role
PHI's Care Integration Senior Aide program in Wisconsin demonstrates how advanced roles for home care workers simultaneously improve care quality, address social determinants of health,…
Implementing the Care Integration Senior Aide: A Practical Guide
Our new guide will help home care employers implement a Care Integration Senior Aide program.
Visualizations
The 5 Pillars of Direct Care Job Quality
PHI's new framework for direct care job quality spans five pillars and 29 elements.
Creating a Strong Direct Support Workforce
Direct support professionals support people with disabilities to lead self-directed lives.
Fact Sheets
Competitive Disadvantage—2024 Update
This fact sheet compares direct care wages to similar or lower entry-level occupations.
Direct Care Workers: Equity (Executive Order Series)
This fact sheet explores the possibilities related to equity for direct care workers in President Biden's April 2023 executive order.

