Directly Funded Home Care Programs in Canada: A National Inventory
In this presentation, we share findings of a comprehensive inventory of Canadian DF programs, gathered through qualitative interviews and questionnaires conducted with program administrators. We outline key program elements that characterize the Canadian policy landscape, and emphasize the implications for older clientele. We consider two themes that emerged across the country. The first theme considers the lack of information on the workers employed through DF home care. Care workers in a variety of settings can be an under-documented population. This issue is exacerbated by the informal hiring practices and low entry requirements of DF, paradoxically two of the programmatic features lauded by clients. Finally, we consider the increasing role of agency care providers within DF schemes, considering the advantages and the ways that these organizations can conflict with some of the DF policy aims. In doing so, we demonstrate the diversity, and at times, inequity, in available DF options in Canada.