The Direct Care Workforce Policy and Action Guide examines the challenges direct care workers (DCWs) face and outlines administrative, funding, policy, and regulatory levers that states can use to offer them better support. This Guide is designed to help states understand the complexity of the issues regarding the current direct care workforce shortage, and the role states can play in strengthening and improving this critical workforce. In particular, the Guide offers concrete examples of thoughtful and innovative ways states are working to overcome the challenges that have long plagued the workforce. The Guide provides: (1) An overview of the direct care workforce crisis and the challenges DCWs face; (2) The levers state leaders have to strengthen the direct care workforce; (3) The actions needed to make meaningful change across sectors; (4) Examples of state innovations and strategies to better support the direct care workforce; and (5) Steps states are taking to address the long-standing racial and economic disparities that have affected both the direct care workforce as a profession and DCWs themselves.
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