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Known as "America in Miniature" for its diverse natural terrain,
Mirroring national realities, these trends contribute to a growing mismatch between the population demand for long-term services and supports (LTSS) and the supply of direct services workers who provide them. The poor quality of direct services jobs exacerbates this workforce shortage, as workers move to other sectors that offer better wages and benefits, more stable hours, opportunities for advancement, and other advantages./2
Providers, payers, policymakers, and other stakeholders in
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The analyses in this report include personal care aides, home health aides, and nursing assistants, which are the three primary occupational categories for direct services workers according to the Standard Occupational Classification (SOC) system developed by the
Wages, employment trends, and employment projections were sourced from the BLS Occupational Employment Statistics (OES) program, the BLS Employment Projections program, and the Maryland Department of Labor, Licensing, and
Direct services worker demographics, employment status, annual earnings, poverty status, reliance on public assistance, and health insurance status were analyzed from the
To achieve as much specificity as possible about workforce supply and demand in
Link to map below.
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1. The population in the
2. From 2014 to 2024,
3. The majority of direct services workers in the region are women (88 percent) and people of color (88 percent), and 32 percent were born outside the
4. Direct services workers in
5. Nearly 1 in 5 direct services workers in DC and more than 1 in 10 in
6. Nearly 50 percent of the direct services workforce have not completed formal education beyond high school, though educational attainment rates range from about 40 percent to nearly 60 percent across the region.
7. At least 1 in 10 direct services workers in
8. Transportation needs vary across the region: most workers in
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2/ Espinoza, Robert. 2017. 8 Signs the Shortage in Paid Caregivers is Getting Worse.
3/ PCAs and HHAs in the nursing home industry were included in the residential care industry. These workers are likely supporting residents of Assisted Living Facilities and Continuing Care Retirement Communities that offer nursing services.
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The full research brief, including map, can be viewed at: https://phinational.org/wp-content/uploads/2018/09/DSWorkers-Maryland-2018-PHI.pdf
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