Strengthening the Workforce
to Support Community Living
and Participation for Older
Adults and Individuals
with Disabilities
Proceedings of a Workshop
Joe Alper and Sarah Domnitz, Rapporteurs
Forum on Aging, Disability, and Independence
Board on Health Sciences Policy
Health and Medicine Division
Division of Behavioral and Social Sciences and Education
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This activity was supported by AARP, the Administration for Community Living (Contract No. HHSP233201400020B/HHSP23337051); Alliance for Home Health Quality and Innovation; The American Geriatrics Society; Consumer Technology Association Foundation; the Department of Defense (Contract No. HU0001-15-1-0007); the Department of Veterans Affairs (Contract No. VA119-16-P-0111, PO 101-C60259); The Gerontological Society of America; Health Resources and Services Administration (Contract No. HHSH250201500001I/HHSH25034002T); The John A. Hartford Foundation; LeadingAge; Paraprofessional Healthcare Institute; Qualcomm Inc. (Contract No. NAT-301711). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-45021-8
International Standard Book Number-10: 0-309-45021-7
Digital Object Identifier: 10.17226/23656
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2017. Strengthening the workforce to support community living and participation for older adults and individuals with disabilities: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: 10.17226/23656.
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PLANNING COMMITTEE FOR A WORKSHOP ON STRENGTHENING THE WORKFORCE TO SUPPORT COMMUNITY LIVING AND PARTICIPATION1
TERRY FULMER (Co-Chair), President, The John A. Hartford Foundation
FERNANDO TORRES-GIL (Co-Chair), Professor and Director, Center for Public Research on Aging, Luskin School of Public Affairs, University of California, Los Angeles
MARGARET L. CAMPBELL, Senior Scientist for Planning and Policy Support, National Institute on Disability, Independent Living, and Rehabilitation Research
PATRICIA D’ANTONIO, Senior Director, Professional Affairs, The Gerontological Society of America
THOMAS E. EDES, Director, Geriatrics and Extended Care Operations, Department of Veterans Affairs
STEVE EWELL, Executive Director, Consumer Electronics Association Foundation
ELENA M. FAZIO, Social Science Analyst, Office of Performance and Evaluation, Administration for Community Living
ROBERT JARRIN, Senior Director, Government Affairs, Qualcomm Inc.
TERESA L. LEE, Executive Director, Alliance for Home Health Quality and Innovation
KATIE SMITH SLOAN, President and Chief Executive Officer, LeadingAge
JACK W. SMITH, Director, Health Services Policy and Oversight, Office of the Assistant Secretary of Defense for Health Affairs, Department of Defense
ERWIN TAN, Director, Thought Leadership–Health, AARP
MICHELLE M. WASHKO, Deputy Director, National Center for Health Workforce Analysis, Health Resources and Services Administration
AMY Y. YORK, Executive Director, Eldercare Workforce Alliance
Project Staff
SARAH DOMNITZ, Senior Program Officer
HILARY BRAGG, Program Coordinator
ANDREW M. POPE, Director, Board on Health Sciences Policy
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
Consultant
JOE ALPER, Consulting Writer
FORUM ON AGING, DISABILITY, AND INDEPENDENCE1
TERRY FULMER (Co-Chair), The John A. Hartford Foundation
FERNANDO TORRES-GIL (Co-Chair), University of California, Los Angeles
JAMES C. APPLEBY, The Gerontological Society of America
KENNETH BRUMMEL-SMITH, Florida State University College of Medicine
MARGARET L. CAMPBELL, National Institute on Disability, Independent Living, and Rehabilitation Research
THOMAS E. EDES, Department of Veterans Affairs
ROBERT ESPINOZA, Paraprofessional Healthcare Institute
STEVE EWELL, Consumer Technology Association Foundation
ELENA FAZIO, Federal Interagency Forum on Aging-Related Statistics
ROBERT HORNYAK, Administration for Community Living
ROBERT JARRIN, Qualcomm Inc.
TERESA L. LEE, Alliance for Home Health Quality and Innovation
KATIE SMITH SLOAN, LeadingAge
JACK W. SMITH, Department of Defense
ERWIN TAN, AARP
MICHELLE M. WASHKO, Health Resources and Services Administration
Forum on Aging, Disability, and Independence Staff
SARAH DOMNITZ, Forum Director
HILARY BRAGG, Program Coordinator
GOOLOO WUNDERLICH, Senior Program Officer
ANDREW M. POPE, Director, Board on Health Sciences Policy
RICK ERDTMANN, Director, Board on the Health of Select Populations
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
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Reviewers
This Proceedings of a Workshop has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published Proceedings of a Workshop as sound as possible and to ensure that the Proceedings of a Workshop meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this Proceedings of a Workshop:
AMY HEWITT, University of Minnesota
TRACY LUSTIG, National Quality Forum
ANNE MONTGOMERY, Altarum Institute
AMY YORK, Eldercare Workforce Alliance
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the Proceedings of a Workshop before its release. The review of this Proceedings of a Workshop was overseen by DON DETMER, University of Virginia School of Medicine. He was responsible for making certain that an independent examination of this Proceedings of a Workshop was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this Proceedings of a Workshop rests entirely with the rapporteurs and the institution.
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Acknowledgments
We are grateful to the sponsors of the National Academies of Sciences, Engineering, and Medicine’s Forum on Aging, Disability, and Independence who made it possible to plan and conduct this workshop, which this proceedings summarizes.
The workshop presentations and subsequent discussions were both interesting and stimulating, and we would like to thank each of the speakers and panel moderators. The speakers and moderators were, in alphabetical order, Margaret Campbell, Terry Fulmer, Robyn Golden, Karen Guice, David Gustafson, Michael Johnson, H. Stephen Kaye, Teresa Lee, Carol Levine, David Lindeman, Sandy Markwood, Barbara Merrill, Luis Padilla, Fernando Torres-Gil, Joan Weiss, Glen White, Amy York, and Mohammed Yousuf.
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Contents
Organization of the Proceedings
2 CHARACTERIZING THE USERS AND PROVIDERS OF LONG-TERM SERVICES AND SUPPORTS
Characteristics and Needs of Long-Term Services and Supports Users
Government Perspective on the Workforce Providing Long-Term Services and Supports
3 ENABLING COMMUNITY PARTICIPATION THROUGH WORKFORCE TRAINING, EDUCATION, AND DEVELOPMENT
Workforce Development Across the Spectrum of Care
Supporting the Roles of Family Caregivers
Training for Direct Support Professionals
Building Capacity and Infrastructure in the Geriatrics Workforce
4 PERSPECTIVES ON COORDINATION ACROSS THE SPECTRUM OF CAREGIVERS, PROVIDERS, SERVICES, AND SUPPORTS
Coordinating Medical and Social Models to Enhance Care Delivery
Community-Level Coordination by Area Agencies on Aging
Continuity of Community Living: An Independent Living Perspective
Interagency Coordination Between the Department of Defense and the Department of Veterans Affairs
Apps to Promote Independence and Connectedness Through the Coordination of Services
Bringing Accessible Transportation Technologies to Scale
Bending the Arc of Workforce Training via Technology
6 FACILITATED TABLE DISCUSSIONS
Additional Opportunities for Strengthening the Workforce to Support Community Living
