scholarly journals TWELVE YEARS OF CHANGES IN STATES’ ASSISTED LIVING REQUIREMENTS FOR DEMENTIA-SPECIFIC STAFF TRAINING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S545-S545
Author(s):  
Paula Carder ◽  
Lindsey Smith ◽  
Seamus Taylor ◽  
Brian Kaskie ◽  
Kali S Thomas
Keyword(s):  
Assisted Living ◽  
Staff Training ◽  
Direct Care ◽  
Care Staff ◽  
Direct Care Staff ◽  
Specific Training ◽  
Training Requirements ◽  
Admission Screening ◽  
State Variation ◽  
Discharge Criteria

Abstract We describe two categories of dementia-specific AL requirements: staff training and admission/discharge criteria. We reviewed current requirements for all states and the District of Columbia, and amendments made over 12 years. Current and historic regulations were collected and analyzed using policy surveillance and qualitative coding. Twenty-three states currently require dementia-specific training, and 22 require continuing education. Nearly all states (49) require administrators to complete dementia-specific training. Of these, 13 states specified 7 to 120 hours of dementia care training. Some states added pre-admission screening for cognitive impairment; a few require a dementia diagnosis for admission. We describe state variation longitudinally in direct care staff training requirements, including: number of training hours, training content, and use of examinations or other tests of knowledge, skills and abilities. In addition, we categorize changes in admission/discharge criteria over time, including the use of medical versus behavioral health symptoms.

scholarly journals HOW STATES CHANGED REGULATORY REQUIREMENTS FOR ASSISTED LIVING STAFF SINCE 2003

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S441-S441
Author(s):  
Paula Carder ◽  
Sarah Dys
Keyword(s):  
Assisted Living ◽  
Management Practices ◽  
Direct Care ◽  
Care Staff ◽  
Direct Care Staff ◽  
Criminal Background Checks ◽  
Background Checks ◽  
Human Resource Policies ◽  
Criminal Background ◽  
Future Policy

Abstract In 2003, the Assisted Living Workgroup (ALW) published quality improvement recommendations for states’ regulations, including 26 regarding staffing/workforce. We reviewed states’ 2003 and current regulations to identify the presence of ALW standards. Over half of states’ regulations reflect 7 of the 26 staffing/workforce recommendations. Those most often added after 2003 concern criminal background checks, with a 58.8 percent increase in states that added federal background checks and use of criminal background checks to inform hiring. At least 40 states’ regulations reflect the ALW recommendations for administrator and direct care staff training. Very few states require staff performance evaluations (n=13), human resource policies to improve retention (n=1), or management practices to improve retention (0). The 10 ALW recommendations concerning staff who administer medications have been adopted by fewer than 23 states. These findings can inform future policy analysis and research on staffing/workforce in assisted living communities.

scholarly journals AN ANTIDOTE TO COMPASSION FATIGUE: DIRECT CARE STAFF USING CALM FOR ASSISTED LIVING RESIDENTS

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 721-721
Author(s):  
D Woods ◽  
L Phillips ◽  
R Johnson ◽  
V Knox
Keyword(s):  
Compassion Fatigue ◽  
Assisted Living ◽  
Direct Care ◽  
Care Staff ◽  
Direct Care Staff

scholarly journals The Impact of Changes in Direct Care Staffing Policies and Outcomes for Assisted Living Residents With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 716-717
Author(s):  
Kali Thomas ◽  
Portia Cornell ◽  
Wenhan Zhang ◽  
Paula Carder ◽  
Lindsey Smith ◽  
...  
Keyword(s):  
Assisted Living ◽  
Staff Training ◽  
Fixed Effects ◽  
Direct Care ◽  
Probability Models ◽  
Training Requirements ◽  
Staffing Levels ◽  
Percentage Points ◽  
Linear Probability ◽  
The Impact

Abstract We identified a cohort of 410,413 Medicare beneficiaries residing in 10,623 large (25+bed) assisted living (AL) communities between 2007 and 2017. We conducted linear probability models with a difference-in-difference framework to examine the association between hospitalization and changes in regulations pertaining to staff training (model 1) and staffing levels (model 2), adjusting for time trends, resident characteristics, and state-license fixed effects. During this 11-year period, six states changed their staff training requirements and two states introduced/increased direct care staffing levels. A change in regulations related to staffing levels was associated with a reduction in the probability of hospitalization during the month of -0.0056 percentage points (95%CI=-0.008,-0.003). A change in regulations related to staff training was associated with a reduction in the probability of hospitalization during the month of -0.0035 percentage points (95%CI=-0.006,-0.002). The policy effects represent clinically important differences of approximately 21% in the mean monthly hospitalization rate. Part of a symposium sponsored by Assisted Living Interest Group.

Credentialing dementia training: the Florida experience

2010 ◽  
Vol 22 (6) ◽  
pp. 864-873 ◽  
Author(s):  
Kathryn Hyer ◽  
Victor Molinari ◽  
Mary Kaplan ◽  
Sharmalee Jones
Keyword(s):  
Assisted Living ◽  
Home Health ◽  
Direct Care ◽  
Care Staff ◽  
Program Review ◽  
Direct Care Workers ◽  
Adult Day Care ◽  
Direct Care Staff ◽  
Inaccurate Information ◽  
Care Workers

ABSTRACTBackground: Florida is a leader in requiring that all direct care staff employed in assisted living, nursing homes, hospice, adult day care and home health undergo Alzheimer's disease (AD) training. Legislative requirements prescribe the curricula components and require a review of curricular content and minimum standards for the training providers.Methods: We describe Florida's AD training program review process, and report the results of our review of 445 curricula received over four and a half years.Results: On initial submission, over 90% of curricula submitted did not include learning objectives, time formats or didactic approach. During a review of content we often found inaccurate information, language that was not person-centered, and missing required training components.Conclusion: Form and content problems were prevalent across all curricular types. We propose the Florida credentialing program as a model to ensure that accurate and educationally sound curricula are used to train direct care workers.

General Case Quasi-Pyramidal Staff Training to Promote Generalization of Teaching Skills in Supervisory and Direct-Care Staff

2001 ◽  
Vol 25 (2) ◽  
pp. 233-254 ◽  
Author(s):  
Joseph M. Ducharme ◽  
Larry Williams ◽  
Anne Cummings ◽  
Pina Murray ◽  
Terry Spencer
Keyword(s):  
Staff Training ◽  
Direct Care ◽  
Care Staff ◽  
Teaching Skills ◽  
Direct Care Staff
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