1. Healthcare Apprenticeships for Direct Support Staff Jules Isenberg-Wedel Residential Opportunities, Inc.

2. Non-Profit Agency Serving Over 200 Individuals With Disabilities Residential Group Homes, Supported Living, Home Health, and Respite Services Over 300 Direct Support Professional Staff

3. Typical Site Staffing Hierarchy:

4. Direct Support Professional (DSP) Entry-Level Position Provides Primary Care and Support Services to Individuals Served Variety and Length of Required Training Similar to CENA DSP Position Not Certified or Credentialed by State

5. Direct Support Professional Training CPR First Aid Medications Health Driver’s Safety Environmental Emergencies Cultural Diversity Limited English Proficiency Working with People Residential Service Delivery Recipient Rights Resident Rights Nutrition Behavior Management and Intervention Bloodborne Pathogens Back Injury Prevention HIPAA Agency Mission, Vision, Values, & Ethics

6. Why Apprenticeship? Standardize and Improve Quality of Care Good Fit With Program and Training Already In Place Means of Credentialing Staff Increase Staff Retention Build Successive Generations

7. Work Up Front Dedicate Time Build Buy In Secure & Dedicate Resources Select/Develop Mentoring Training and Trainers Determine Target Programs & Staff Select & Train Mentors

8. Model at ROI - A

9. Model at ROI - B

10. Model at ROI – Multiple Phases Volunteer Incumbents in Residential Programs Subset Larger Incumbent Base & New Staff in Residential Programs Expand and Adapt to Other Program Sites Long Term Goal – Standard Practice Across All Programs

11. Growing Pains Where to Start? Getting Everyone on Board Building Capacity Obtaining Money & Budgeting for Cost Implementation Strategies Monitoring Measurement

12. Benefits to Individuals Served Better Service Overall Increased Quality in Care Consistency of Service and Quality Between Staff Increased Retention = Stability and Increased Relationship Building

13. Benefits to DSPs Increased Supervision and Individualized Support Training Structure Monetary Incentive Career Ladder Portable Credential

14. Benefits to Agency Overall Quality of Service Provided Consistency in Staff Supervision Marketability of Credentialed Staff Retention Successive Generation of Capable and Committed Staff Partnership with Other Healthcare Agencies