Archives: Case Studies

Creating Tailored CDS Training Modules; a Child Welfare Approach

Learn how a new field of practitioners and support professionals (child welfare specialists) were able to successfully utilize CDS while working with and supporting individuals with disabilities.

Consumer-Directed Personal Care: Comparing Aged and Non-Aged Adult Recipient Health-Related Outcomes Among Those With Paid Family Versus Non-Relative Providers

Robert Newcomer, PHD, Taewoon Kang, PhD, and Julia Faucett, RN, PhD, FAAN

(University of California, San Francisco)

Published in Home Health Care Services Quarterly, November 2011


Infographic-2-Injuries-Sustained-by-Recipients-of-Consumer-Directed-Personal-Care-1-347x548Risk factors associated with the incidence of recipient injuries, bedsores and contractures, and health care use (i.e., emergency department and hospital use) among aged and non-aged adult personal care recipients are investigated. Data are from a statewide survey of aged and non-aged adult personal assistance service (PAS) recipients (n = 913) in California’s In-Home Supportive Services (IHSS) program. This is a consumer-directed PAS program. Outcomes among recipients using relatives (other than spouses or parents) as paid providers are compared with those of recipients having non-relatives as providers. No differences were found by provider-recipient relationships. Non-aged recipients, those in poorer health, those with more than three activities of daily living (ADL) limitations, and those changing providers during the year were all at greater risk for adverse health outcomes. African American, Hispanic, and Asian recipients were at lower risk for injuries and hospital stays than were White recipients.

To download an infographic with the primary findings, please provide the information below:

Missouri CDS Survey of 185 DSPs Shows Increased Confidence in Skills

In 2008 the Missouri College of Direct Support surveyed 185 Direct Support Professionals (DSPs) who had completed 13 required CDS courses and had received an on-the-job assessment and applied for and received an Advanced Training Certificate. The survey asked a number of questions of the DSPs about their use of the CDS and their impressions of the curriculum.

An Executive Summary of the survey is found below and to request a copy of the full report contact Jackie Coleman at the Missouri College of Direct Support via email at:

At the time of this report, there were 34 agencies and over 2,000 trainees who were enrolled in the Missouri CDS Pilot Program. Of this total, 243 trainees completed the 13 required courses, received an on the job assessment and applied for and received a Missouri Advanced Training Certificate. For this report, 185 Advanced Training certificate holders were eligible to complete this survey.

Among the findings were these highlights:

• Over 87% of trainees reported an increase in knowledge or skills as a result of CDS courses. In addition, there was a 26.6% percent increase in the number of trainees who felt very capable in serving people with disabilities after taking CDS courses.

• Many trainees reported that the courses resulted in their feeling that they were overall better employees and more able to provide services and supports. In addition, they felt more confident and better able to handle and prevent behavior problems and deal with health and safety issues. Most trainees (98.4%) felt that the on-the-job assessment was either very helpful or helpful.

• 86.9% of trainees who indicated that they were very likely or likely to stay with their current employer after CDS training and 93.4% were likely or very likely to stay in the field of disabilities following CDS training.

Evaluating CDS Learning Objectives and Competencies across Disability and Child Welfare Fields: Creating a Crosswalk

Read more about the pilot study to evaluate key CDS content and its ability to meet training needs for child welfare professionals working with individuals with disabilities.

Using Medicaid Home and Community Based Services or ICF/MR Funding to Pay for Direct Support Staff Training and Credentialing Programs

The NADSP has developed a national credentialing program. This program provides administrative support, structure and oversight for the implementation of a tri-tiered credentialing program.