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Symposium

Social Research, Policy, and Practice

Policies to Outcomes: Multilevel Considerations for the Assisted Living Workforce

Friday, November 10, 2023
12:00 PM – 1:30 PM ET
Location: Room 111

Assisted living (AL) staff mix, levels, training requirements, regulatory enforcement, and career opportunities vary widely across license types, companies, and states. ALs represent the largest care providers for people living with dementia across the U.S. In most states, ALs must have enough qualified, trained staff to sufficiently meet the needs of their resident populations. While the use of interventions to address appropriate staffing levels and workforce retention is increasing, little is known about how the variation in the AL workforce relates to resident and staff experiences or manifests from policies governing these settings. This symposium uses a socioecological framework to examine AL-specific workforce variation. Presentations focus on national variation in staff training requirements, workforce recruitment and retention, trends in staffing levels, how staffing levels can relate to resident outcomes, and direct care staff experiences with stress and coping in long-term care communities. Findings emphasize similarities and differences in workforce composition and experience between states and across different types of facilities. From national comparison of state regulations to facility contexts to individual resident and staff experiences, this panel embraces multilevel contextual understanding of how policies, practices, and outcomes can intersect across AL and residential care environments.

This is an Assisted Living Interest Group Sponsored Symposium.

Learning Objectives:

  • After attending this session, participants can apply a multilevel approach to examining assisted living workforce issues.
  • After attending this session, participants can compare and contrast how varying assisted living requirements translate to contexts, practices, and experiences.

Presentations:

  • 12:00 PM – 1:30 PM ET
    Assisted Living Direct Care Workforce Training Requirements by License Type

    Individual Symposium Abstract First Author: Lindsey Smith, PhD, MPP (she/her/hers) – Oregon Health & Science University

  • 12:00 PM – 1:30 PM ET
    Analysis of Ohio's Assisted Living Direct Care Workforce

    Individual Symposium Abstract First Author: Katherine A. Kennedy, MSG, PhD, LNHA (she/her/hers) – Providence VA Medical Center, Center for Innovation in Long-term Services and Supports

  • 12:00 PM – 1:30 PM ET
    Trends in Community-Based Care Staffing Levels in Oregon: Differences by Facility Characteristics

    Individual Symposium Abstract First Author: Sarah Dys, PhD, MPA (she/her/hers) – Portland State University

  • 12:00 PM – 1:30 PM ET
    Staffing Levels and Injury-Related Emergency Department Visits in Ohio

    Individual Symposium Abstract First Author: Cassandra L. Hua, PhD (she/her/hers) – University of Massachusetts Lowell

  • 12:00 PM – 1:30 PM ET
    Stress and Coping Among Nursing Assistants and Personal Care Aides in Long-Term Care

    Individual Symposium Abstract First Author: Lea Efird-Green, MSW, MPA (she/her/hers) – University of North Carolina at Chapel Hill