Consumer-directed home care, where consumers can hire friends or family to provide home care, is one of the lowest paying types of long-term care jobs. To understand why people take consumer-directed home care jobs, an investigation of the California In-Home Supportive Services (IHSS) program was undertaken.
This article examined IHSS workers across eight counties in California. Study participants were 2,260 workers who completed a survey focused on reasons workers took or stayed in jobs. Data analysis involved logistic regression.
Recommendations for recruiting and retaining consumer-directed home care workers include allowing family and friends to be caregivers, providing flexible jobs that do not necessarily have to be part-time and offering part-time workers access to health insurance.