This report from PHI National is part of a series providing a comprehensive, current-day analysis of the direct care workforce and its critical role in the long-term care system in the United States. This report examines the current training landscape for direct care workers. This irregular and under-resourced system fails to prepare workers to succeed and threatens quality of care for older adults and people with disabilities.

The report takes a closer look at the aspects of direct care work that are often unseen or underestimated, including its physical demands, social and emotional complexity, and growing contributions to consumers’ health management. It also proposes ways to maximize the role of the direct care worker in care delivery through upskilling, integration into care teams, and advanced roles, reviewing the evidence on such interventions to date.

Read the report