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

Assessing the well-being of workers hired under self direction and addressing their concerns is critical, because the model is sustainable only if workers are satisfied. While care recipients who manage their own care appear to be much more satisfied than others, the primary reason given for dropping out is difficulty finding or keeping a worker. Moreover, tapping consumers’ family members and friends as additional sources of labor could help solve the serious worker shortage