Abstract
North Carolina, like many states, faces a serious challenge in meeting its citizens’ long-term care needs with an adequate and stable supply of caring and well trained direct care workers—nurse aides, orderlies, and attendants; home health aides; and personal and home care aides.1 Serious shortages of direct care workers persist in all long-term care related settings in North Carolina, including home care, nursing homes, assisted living and other residential settings. greatest extent possible, the dignity and independence of persons who must rely on others for help with care needs. This workforce issue is not just an issue of concern to agencies or facilities that employ direct care workers and consumers and families. It is also an issue for states, given the significant investment of public dollars states make on behalf of vulnerable persons who must depend on publicly funded long-term care services. The Direct Care Workforce Crisis in Long-Term Care
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