Experiences of Workers Hired Under Cash and Counseling: Findings from Arkansas, Florida, and New Jersey

Experiences of Workers Hired Under Cash and Counseling: Findings from Arkansas, Florida, and New Jersey

Published: Aug 30, 2005
Publisher: Princeton, NJ: Mathematica Policy Research
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Associated Project

Evaluation of Three Cash and Counseling Programs

Time frame: 1996-2005

Prepared for:

U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation

The Robert Wood Johnson Foundation

University of Maryland

Authors

Randall Brown

Barbara Phillips

Barbara Carlson

A growing number of Medicaid beneficiaries receiving disability-related assistance in their homes hire workers and manage the services themselves under consumer-directed care. Although consumer direction clearly benefits beneficiaries, it is sustainable only if workers are satisfied with their experiences. Directly hired workers in this study were almost always the consumers' friends or relatives; compared with agency workers, these individuals provided comparable amounts of care and reported similar levels of physical injury, but they were more likely to report emotional strain and want more respect from the consumer's family. States may be able to reduce emotional strain and injury through educational materials and counseling.

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