Research & Reports

The State of America’s Direct Support Workforce Crisis 2024

Thumbnail of cover page of ANCOR's 2024 workforce crisis report

For the fifth consecutive year, ANCOR has conducted a survey to measure the impact of this workforce crisis on both providers and the people they support. The results of the 2024 survey are a sobering revelation of a system of care in peril.

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Key Findings

Key findings from the State of America’s Direct Support Workforce Crisis 2024 include:

90% experienced moderate or severe staffing challenges in the past year.
69% reported turning away new referrals.
39% were discontinuing programs/services.
64% intended to delay the launch of new programs.
34% were considering further cuts to programs if recruitment and retention challenges failed to subside.
45% were experiencing more frequent reportable incidents.
57% of case managers struggled to connect people with services.
57% reported delivering services in areas where few or no other options exist.