ARPA Workforce Topical Analysis

Workforce capacity is clearly a key pre-requisite to expanding access to home and community-based services (HCBS). The HCBS workforce shortage has been of crisis proportions for decades, and has been exponentially exacerbated by the COVID-19 pandemic. The 2019 NCI Staff Report indicates that pre-pandemic, the turnover rate for Direct Support Professionals (DSPs) averaged around 43%; while post-pandemic data has not yet been validated, anecdotal evidence suggests that the workforce has been further decimated by pandemic-related issues. These challenges come at a Stability time of escalating demand for community-based long-term services and supports (LTSS) and transition from institutional care to HCBS settings.

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