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Lisa I. Iezzoni

Making Their Days Happen: Paid Personal Assistance Services Supporting People with Disability Living in Their Homes and Communities

Making Their Days Happen: Paid Personal Assistance Services Supporting People with Disability Living in Their Homes and Communities

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Most Americans with significant disabilities want to live in their homes and communities, but there is a crisis looming in the increasing needs for paid personal assistance services (PAS) and the limited available PAS workforce. Lisa Iezzoni's book "Making Their Days Happen" explores disability, health, and civil rights, as well as relevant federal and state labor policies related to personal assistance services. It offers recommendations for improving future experiences of PAS consumers and providers, emphasizing that people with disabilities want to be a part of society and PAS workers find satisfaction in helping them achieve their goals.

Format: Hardback
Length: 284 pages
Publication date: 15 December 2021
Publisher: Temple University Press,U.S.


Most Americans, even those with significant disabilities, aspire to live in their homes and communities. Unpaid family members or friends frequently assume the role of "informal" caregivers, providing assistance to those in need, often feeling compelled to do so. In contrast, paid personal assistance services workers (PAS) offer a vital lifeline to individuals with complex needs and limited social support networks. Nevertheless, a looming crisis emerges as the demand for PAS increases, while the available PAS workforce remains constrained.

Making Their Days Happen delves into the multifaceted aspects of disability, health, and civil rights, alongside pertinent federal and state labor policies pertaining to personal assistance services. Lisa Iezzoni addresses the legal framework surrounding paid PAS, as well as financing mechanisms for accessing home-based personal assistance. She also incorporates insights from interviews she conducted with paid PAS consumers and PAS workers, shedding light on their experiences and perspectives regarding their work.

In her recommendations for enhancing future experiences of PAS consumers and providers, Iezzoni underscores the desire of people with disabilities to actively participate in society, and PAS workers who undertake this low-wage work derive fulfillment from assisting them in achieving their aspirations.


Dimension: 229 x 152 (mm)
ISBN-13: 9781439920756

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