Multiperspective analysis of workforce challenges and their effects on consumer and family quality of life.
The impacts of direct support professional turnover, wages, and vacancy rates as reported in interviews with 372 adult service recipients and 20 county managers and surveys of 183 families, 520 service coordinators, 228 direct support professionals, and 184 residential and 82 vocational managers were examined. Direct support professional turnover, wages, and vacancy rates were reported to be barriers to high quality supports, serving people waiting for services, and providing in-home or respite services. Higher direct support professional turnover was associated with lower wages and supports in urban counties. Multivariate analyses of covariance revealed a complex pattern of significant associations between quality of life outcomes; level of mental retardation, medical status, site size (for vocational settings); and direct support professional vacancy rates, average wage, and turnover rates.
Larson
Sheryl A
SA
Institute of Community Integration, University of Minnesota, 214 Pattee Hall, 150 Pillsbury Drive SE, Minneapolis, MN 55455, USA. larso072@umn.edu
Hewitt
Amy S
AS
Lakin
K Charlie
KC
D000293:Adolescent; D000328:Adult; D019090:Case Management / Q000706:statistics & numerical data; D003156:Community Mental Health Services; D003258:Consumer Behavior; D016832:Employment, Supported; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006701:Home Nursing / Q000523:psychology; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology / Q000534:rehabilitation*; D008297:Male; D008910:Minnesota; D010561:Personnel Staffing and Scheduling / Q000706:statistics & numerical data; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care / Q000706:statistics & numerical data; D011788:Quality of Life; D012112:Residential Facilities; D012424:Rural Population / Q000706:statistics & numerical data; D012456:Salaries and Fringe Benefits; D014505:Urban Population / Q000706:statistics & numerical data; D014829:Vocational Education; D000078329:Workforce