Developing strategies to recruit and retain frontline workers in long-term care

Paraprofessional workers are the backbone of the formal long-term care system, providing the bulk of paid in-home and nursing home care. Problems with recruiting and retaining qualified workers are becoming an increasing concern, with some terming the difficulty of attracting these workers a crisis and estimates of turnover among these workers topping 90 percent. There are several challenges in developing and maintaining these frontline workers, including poor wages and benefits, the nature of the work, and limited training and advancement opportunities. This project, a joint effort between RWJF and the Department of Health and Human Services, will include a series of activities designed to raise awareness of the key issues related to the paraprofessional workforce, identify promising innovations in the field, and form recommendations for next steps in research and demonstration for public and private funders to help move forward on this issue. This project will be considered successful if the final report includes practical recommendations that can be implemented by private and public funders. Deliverables include an environmental scan, a series of background papers, expert meetings, and a final report of recommendations. It is expected that the final report will provide a blueprint for action on this issue, pointing the way toward further opportunities for private foundations (including RWJF) and government to undertake research, demonstration, and evaluations that will help make progress on developing a qualified paraprofessional workforce to meet current and future long-term care needs. This report, along with a short policy paper on issues surrounding frontline workers, will be broadly disseminated.

Grant Details

Amount Awarded $179,267.00

Awarded on: 12/20/2000

Time frame: 12/15/2000 - 7/31/2003

Grant Number: 40522


Urban Institute

2100 M Street, N.W.
Washington, 20037-1207


Joshua M. Wiener
Project Director