Welcome to the OPEN MINDS Circle library! For over 30 years, our team has covered the news, trends, metrics, regulatory changes, and thought leaders shaping the sectors of the health and human service field that affect consumers with chronic conditions and complex support needs. This is your gateway to this $860 billion market — all the information your team needs to stay on top of the market, make strategic decisions, and manage highly effective organizations.


Executive Briefing |

For The DSP Workforce, Retention Is About More Than Money

By Monica E. Oss

For the recruitment and retention of the direct care workforce in health and human services, there are as many nuances as there are roles. Best practices in talent management for physicians, psychiatrists, nurses, nurse practitioners, physician assistants, social workers, and direct support professionals vary greatly. But while all of these positions are hard to fill, for specialty provider organizations, the direct support professionals (DSPs) present a critical challenge. There are an estimated 1.3 million DSPs that support individuals with intellectual and developmental disabilities (I/DD). DSPs, on average, are aged 42 years and nearly 90% are women. 47% are White, while 30% are African American, and 16% are Hispanic/Latino. And about 45% have completed some college coursework or have a college degree. At a wage of $11.76 per hour, the average DSP who works full-time is paid less than the federal poverty level for a family of four. Almost half of DSPs receive...


Social services are governmental services that are provided to impoverished and underserved adults and children to receive public health services such as education, housing, and medical care. Since 2009, the total spending on social services had increased by 16.5%; however, after adjusting for inflation the total spending on social services had actually decreased. In fact, social service spending in...
On November 6, 2020, the State of Indiana announced the launch of pilot programs to increase mental health service access for justice-involved populations in Marion and Vanderburgh counties. The pilot programs will focus on individuals found incompetent to stand trial ("Incompetent to Stand Trial defendants") who are awaiting placement in the state psychiatric hospital network. Taking into consideration the...

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