Hiring and Screening Practices of Agencies Supplying Paid Caregivers to Older Adults

Posing as clients who need home care for an older relative, interviewers tested the screening processes of home care agencies in states with high elder populations. The interviewers asked agency representatives about performing background checks, drug tests, and psychological evaluations on caregivers before hiring. They also asked about caregivers’ health literacy, English fluency, and other factors related to care quality. They concluded that agencies have highly variable and often poor quality screening and training practices.

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