Recruiting, Selecting, and Retaining Direct Service Workers to Provide Self-Directed HCBS

Coming up with a Plan

1. Listen

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Two women facing the camera and smiling. They appear to be in an office environment. The woman on the left is older and uses a wheelchair. The woman on the right is Black and appears to be a direct service worker

2. Read

You are ready to create a training plan with your DSW.  Your training plan should match training to skills your DSW needs to provide your supports. Review the training plan sample located in the resources section and download the training plan.  

It's important to remember that your plan should include training that the DSW needs to have to work for you. 

Note regarding the Training Plan worksheet: The worksheet uses Adobe Acrobat Reader. Download Adobe Acrobat Reader if you do not already have it. If you are using Adobe Acrobat Reader, you will need to print out your worksheet when you are done with it. You won’t be able to save it. If you have Adobe Acrobat, you will be able to save your work. 

3. Reflect

What do you think?

Greta is providing supports to Josey. Josey is a 25-year old woman who had a brain injury from an accident.  Her support needs include assisting with most activities of daily living (ADL), transferring from her bed to her wheelchair, and assisting with tasks such as reading mail, paying bills, and remembering appointments. Josey sometimes feels frustrated and needs behavior support. Greta needed some additional training to be able to meet Josey’s support needs.  What training do you think a DSW would need to support Josey?  What resources for training are in your community?

Knowledge or Skill


Date Completed

Learn to do safe transfers

Understanding Body Mechanics – State Personal Care Attendant (PCA) course

Provide ADLs

Josey’s family will assist Josey in providing training to Greta about how Josey prefers ADL supports to be done.

Understand brain injuries

Brain Injury Basics

Provide Positive Behavior Supports

Positive Behavior Support training –

Agency Training