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Tags Posts tagged with "Workforce Crisis"

Workforce Crisis

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The Pennsylvania Department of Drug and Alcohol Programs (DDAP) recently conducted a comprehensive survey and listening session to assess the state’s substance use disorder (SUD) workforce. The Workforce Climate Survey results reveal a substantial workforce shortage, with 84% of the nearly 500 respondents citing it as a significant problem. The vacancy rate for SUD positions averaged 18%, with notable variations based on organization size and location. Larger, well-established non-profit organizations in metropolitan areas reported higher vacancy rates, and critical positions, such as counselors, nurses, entry-level professionals, and peer specialists, were particularly challenging to fill. Recruitment and retention issues were attributed to limited applicant pools and difficulties in offering competitive compensation.

The survey participants offered recommendations for both short and long-term solutions. These recommendations included increasing reimbursement rates, reducing education and experience requirements, alleviating paperwork burdens, and expanding student loan forgiveness and tuition reimbursement programs. In response to these findings, DDAP plans to use the survey data to inform its state plan, regulatory reform, and the allocation of opioid settlement funding. The department’s future efforts will focus on increasing the supply of addiction professionals, leveraging technology, addressing workforce distribution across the state, and enhancing workforce resilience to support Pennsylvania’s SUD workforce better and mitigate the ongoing overdose crisis.

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RCPA members are encouraged to participate in the ID/A Workforce Compensation study conducted by and in collaboration with the Center for Healthcare Solutions described below. The Center for Healthcare Solutions performed the survey that we supported last year, as well. This study is being done jointly with several other statewide and regional associations, and we are hoping that providers across Pennsylvania will participate in order to provide adequate data for use in advocacy efforts to improve conditions for our workforce. This also presents an opportunity to have comparative data.

The scope of this survey and the report generated from it will address compensation practices for 46 positions, including Direct Support Professionals (DSP), supports coordinators, frontline supervisors, clinical positions, program specialists, facilities staff, and administrative personnel. It will also provide data on staff vacancies and turnover that continues to impact care and services across Pennsylvania.

Any ID/A employer in Pennsylvania is eligible to participate in the survey and will receive the published report, which will also be provided to the Pennsylvania Office of Developmental Programs. As always, CFHS follows all FTC/DOJ guidelines to de-identify data and maintain confidentiality. If you are a member of multiple associations, you only need to complete the survey once.

Two files are included: the input form and the general instructions for filling out the input form. Completed surveys may be emailed to Steve Forest or uploaded via SFTP (information included in the instructions) by Friday, September 22. The published report is expected to be issued on Friday, October 6.

Additionally, a workshop has been scheduled for Thursday, September 7, at 10:00 am to review the survey and assist participants in its completion. To register for this workshop, please visit here.

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Individuals with intellectual disabilities and autism (ID/A), their families, and ID/A service providers held a rally on June 28 at the state Capitol to urge lawmakers to increase funding for services and support in the 2023/24 budget. Providers told those assembled in the Capitol rotunda that nearly 60,000 Pennsylvanians are at risk because there are not enough direct support professionals (DSPs) to care for them. Advocates pressed lawmakers to restore the $170 million in funding to invest into fee schedule rates to support DSPs and services.

“Across the state, we are seeing that there is insufficient staff to meet needs or no staff at all,” said Richard S. Edley, PhD, Rehabilitation & Community Providers Association president and CEO. “DSPs are overworked and depleted and have compromised their own health to serve individuals with ID/A. Program closures have eliminated essential services and also affected the health of individuals served. Underfunding a system where individuals and families are already waiting for or losing needed services simply compounds a dire situation. We need to come together to help those in need.”

View news clips and photos of those who advocated at this event for ID/A services funding below.

WENY (Lilly Broadcasting)
VIDEO: “The Collapse Is Here” Intellectual Disability and Autism Care Providers Issue Dire Warning to Pa. Lawmakers

Penn Watch (Featuring RCPA President/CEO Richard S. Edley, PhD)
“The Collapse is Here”

 

IDA Rally 06-28-23 Amy Lutz, Author and Parent, PAAL with Richard Edley, RCPA
IDA Rally 06-28-23 Crowd at Rally 1
IDA Rally 06-28-23 Crowd at Rally 2
IDA Rally 06-28-23 Carol Ferenz, RCPA with Rep Stephen Kinsey and Gloria Satriale, PAAL
IDA Rally 06-28-23 Sherri Landis, ARC of PA
IDA Rally 06-28-23 Karen Beaston Janeen Latin from UCP and Lynda Bowen
IDA Rally 06 28 23 Emmett IDA Child With Mother Elizabeth Tolis
IDA Rally 06-28-23 Signs from Rally Closeup
Sample Sign from IDA Rally 06-28-23
IDA Rally 06-28-23 Rep Patty Kim with Carol Ferenz, RCPA
IDA Rally 06-28-23 Rep Kinsey Signs Letter Supporting IDA Funds
IDA Rally 06-28-23 Amy Lutz, PAAL, Speaking to Supporters
IDA Rally 06-28-23 Karen Beasley, Parent of Child w/IDA, Addresses Those in Attendance
IDA Rally 06-28-23 Carol Ferenz, RCPA with Rep Stephen Kinsey
IDA Rally 06-28-23 Elizabeth Tolis and Child Emmett with IDA
IDA Rally 06-28-23 Signs from Rally
IDA Rally 06-08-23 Woman Addresses Crowd of Supporters
IDA Rally 06-08-23 All Speakers Were Well Received

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The ID/A Associations are continuing our advocacy for increases to the IDD budget in PA. Join us at the Capitol in Harrisburg on Wednesday, June 28 to advocate for the preservation of desperately needed services for individuals with Intellectual Disability and Autism. People with disabilities, families, and advocates will be going to legislative offices in Harrisburg, dropping off information, and asking legislators to increase funding for ID/A services.

We will begin by meeting at the East Wing entrance to the capitol at 11:00 am. From there, we will be distributing handouts for participants to deliver to various offices. Staff from all the associations will be on hand to provide guidance as needed. After visits and a break for lunch, we will gather at 1:00 pm in the rotunda for a press conference, hearing from families who are in need of supports and services for their family member(s).

This effort is imperative, as there is no longer a risk of the system collapsing. The intellectual disability system is collapsing. Thousands of people are losing services, and more will soon be added to that list due to a proposed budget reduction and a lack of investment into rates. Inaction by the legislature will only further exacerbate this crisis and leave thousands more individuals and families without services. If nothing is done to address the inadequate rates now, more families in Pennsylvania will suffer.

The budget negotiations are ongoing, and we need YOU and everyone you know to help our advocacy efforts. As the Governor and legislature continue to negotiate funding for the budget, they need to hear from constituents about the importance of the ID/A system and why investing into the rates is the only way to ensure that providers can pay their staff higher wages and attract new staff to serve more people.

If you would prefer to visit your local legislative offices, we can provide the handouts to you via email to distribute to your legislators.

Contact Carol Ferenz or Cathy Barrick to register or if you have any questions.

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The sustained funding of community-based mental health services, such as community residential programs, family-based support, outpatient care, and crisis intervention, are critical to the wellbeing of our constituents and our communities. Funding levels for county mental health services have direct impacts on whether these important community and family supports will be available. Yet for too many years, state funding for mental health services has lagged far behind its needs. Counties find themselves advocating for the prevention of funds being cut instead of achieving the increases that are needed to catch up from years of underfunding.

This week’s letter, sent on behalf of the Coalition for the Mental Health Safety Net, stands as an open call to the PA General Assembly and stakeholders. For Pennsylvanians with a mental illness, the impact of the county funding shortfalls is already evident. The effects include: shortages of key mental health professionals; chronic underpayment of mental health providers; reductions/closures in mental health residential programs and supportive services, including employment and psychiatric rehabilitation services; uneven crisis response services; outpatient program closures; and the continuing criminalization of mental illness. Across the Commonwealth, there is no consistent level of mental health services available, and access to critical services largely depends on which county a patient lives in.

The Coalition is open to all new partners who wish to join our mission of advocacy for this 2023/24 initiative, as the time to act and engage with your representative is now. The Coalition will also be developing an advocacy toolkit for members to come together to sustain the safety net and serve those who need it most. The reality is that the demand for service far outweighs capacity and rate structures to serve this population.

If you have additional questions or would like to join the Mental Health Safety Net Coalition, please contact RCPA Policy Director Jim Sharp.

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The ID/A Associations are continuing our advocacy for increases to the IDD budget in PA. Join us at the Capitol in Harrisburg on Wednesday, June 28 at 10:00 am to advocate for the preservation of desperately needed services for individuals with Intellectual Disability and Autism. People with disabilities, families, and advocates will be going to legislative offices in Harrisburg, dropping off information, and asking legislators to increase funding for ID/A services.

There is no longer a risk of the system collapsing. The intellectual disability system is collapsing. Thousands of people are losing services, and more will soon be added to that list due to a proposed budget reduction and a lack of investment into rates. Inaction by the legislature will only further exacerbate this crisis and leave thousands more individuals and families without services. If nothing is done to address the inadequate rates now, more families in Pennsylvania will suffer.

By joining us at the Capitol, you will play a crucial role in amplifying voices and urging lawmakers to prioritize the preservation and strengthening of these essential services. Please consider making this trip and contact Carol Ferenz or Cathy Barrick to register for the event. We are tracking the attendance and will be sure that you receive further information regarding our efforts on this date. Additionally, please share this message with all of your contacts and ask them to take action!

The budget negotiations are ongoing, and we need YOU and everyone you know to help our advocacy efforts. As the Governor and legislature continue to negotiate funding for the budget, they need to hear from constituents about the importance of the ID/A system and why investing into the rates is the only way to ensure that providers can pay their staff higher wages and attract new staff to serve more people.

We are asking for you to call the Governor’s office at 717-787-2500 and say the following:

“Hello, my name is ________  . I am asking that Governor Shapiro support investing additional money into the Intellectual Disabilities and Autism rates. These funds must be invested into the rates so that Direct Support Professionals can receive a needed pay raise. People across the state continue to go without services, and without an increase to the rates, people will continue to wait for services, and even more will be at risk of losing their services. Thank you.”

Contact Carol Ferenz or Cathy Barrick to register or if you have any questions.

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