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2008 Symposium on Strengthening the HCBS Direct Service Workforce, May 8-9, 2008



The National Direct Service Workforce Resource Center, with the support of the Department of Health and Human Services and the Department of Labor, hosted a National Symposium on Strengthening the HCBS Direct Service Workforce on May 8-9, 2008 in Baltimore, Maryland. This event provided a forum for showcasing best practices in home- and community-based direct service workforce development, highlighted Federal and state workforce initiatives, and disseminated research findings. A primary theme of the event was the importance of addressing workforce issues across age and disability consumer populations.

Symposium Presentation Materials

Symposium Program (PDF)

Symposium Small Group Discussion Summary (Word) or (PDF)

Symposium Evaluation Results (PDF)




Created by: admin. Last Modification: Tuesday 21 of April, 2009 08:01:08 EDT by lauren.coughlin.

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Webinar on Strengthenging the Direct Service Workforce In Rural Areas: On March 18, 2010 the Direct Service Workforce Resource Center held a webinar on strengthening the direct service workforce in rural areas.


Webinar on Nurse Delegation:
On February 17, 2010 Susan Reinhard, RN, PhD, of AARP and national expert on nurse delegation, moderated the webinar and provided an overview of nurse delegation. New Jersey discussed their nurse delegation pilot program and North Dakota discussed changes that have been made in their state to support nurse delegation.


Webinar on the Findings from DSW Demonstration Evaluation: On November 16, 2009 Sarah Hunter from the RAND Corporation and Laura Steighner from American Institutes for Research (AIR) presented the results from the evaluation of the 10 Direct Service Workforce Demonstration grants. CMS awarded the demonstration grants in 2003 and 2004 to better understand how to improve recruitment and retention of the direct service workforce.



Strategies for Improving DSW Recruitment, Retention, and Quality: What We Know about What Works, What Doesn't, and Research Gaps: This report provides examples of efforts that have demonstrated positive impacts on recruitment, retention, and quality of services by summarizing key findings from several national studies that reviewed the research on efforts to strengthen the direct service workforce.



Direct Service Workforce Core Competencies Annotated Bibliography: This resource was developed in response to requests from several states for information about developing core competencies for DSWs across sectors. Although each sector has its own sets of competencies, no state or national body has yet developed a common set of core competencies and career path for DSWs across the physical disabilities, aging, behavioral health, and intellectual/ developmental disabilities sectors. This annotated bibliography summarizes the recommendations from six state-level reports, two national studies, and a Federal bill to develop such competency-based training across sectors.



Strengthening the Direct Service Workforce in Rural Areas: Due to geographic isolation, fewer available services, transportation limitations, demographic trends reducing the supply of informal caregivers and less ability to recruit an adequate supply of direct service workers, many rural areas struggle with providing quality home-based supports. This issue brief contains a summary of the challenges of the direct service workforce in rural areas and strategies that rural stakeholders can use to provide high-quality long-term care services and supports.
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