Overview

What is the NCI-IDD State of the Workforce Survey?

The National Core Indicators Intellectual and Developmental Disabilities (NCI-IDD) State of the Workforce Survey is a national effort to collect large-scale information on the Direct Support Professional (DSP) workforce. New York State OPWDD voluntary provider agencies have been participating in the NCI State of the Workforce Survey since 2017.

The NCI-IDD State of the Workforce Survey collects and reports information on the DSP workforce at voluntary provider agencies. This includes data on DSP payroll, compensation, turnover, tenure, benefits, bonuses, recruitment strategies, retention strategies, demographics, and other quantitative information. Results are disseminated annually, and national and statewide averages are reported.

For more information on this national project, please visit www.nationalcoreindicators.org or contact [email protected].

Latest Results

New York State OPWDD sent the National Core Indicators Intellectual and Developmental Disabilities (NCI-IDD) State of the Workforce Survey to 330 qualifying agencies across NYS. The data gathered refer to the period between January 1, 2021 to December 31, 2021, during which 49,762 Direct Support Professionals (DSPS) were employed across 204 agencies. 

64.4% Full-Time DSPs, 35.6% Part-Time DSPs
NYS Workforce
72.5% of agencies employ fewer than 300 DSPs.
Number of DSPs EmployedAgencies
0-9986
100-19939
200-29923
300-39918
400-49912
500-5997
600-6994
700-7995
800-8992
900-9991
Greater than 10006
Greater than 20001
Number of People Supported

67.1% of participating agencies served at least 100 adults with intellectual and/or developmental disabilities.

Number of People SupportedPercent of Providers
1-10 Adults4.9%
11-20 Adults3.3%
21-50 Adults13.2%
51-99 Adults11.5%
100-499 Adults42.9%
500-999 Adults15.4%
1000+ Adults8.8%
Demographic of Direct Support Professionals (DSPs)

DSPs demographics and other metrics are reported here as an overall average across the entire state or OPWDD region. This methodology will be changed starting with 2022 data to be consistent with national reporting from the Human Services Research Institute (HSRI).

Age of DSPs
Age GroupNumber of DSPsPercent of DSPs
18-24 years old7,04715.8%
25-34 years old11,40925.6%
35-44years old7,88217.7%
45-54 years old7,21916.2%
55+ years old9,15620.5%
Don't Know1,9194.3%
70.6 female, 26.4% male
Gender Identity
GenderPercent
Male26.4%
Female70.6%
Non-conforming0.1%
Other0.1%
Don't Know2.8%

*Percentages do not add up to 100% due to rounding error alone.

Race of DSPs Statewide
RacePercentage
American Indian or Alaskan native0.3%
Asian2.1%
Black or African American43.2%
White34.2%
Hispanic/Latino7.7%
Pacific Islander0.2%
More than one race/ethnicity2.3%
Other1.2%
Don't Know8.8%
Race of DSPs by DDRO Region
RegionAmerican Indian/ Alaskan NativeAsianBlack/ African AmericanHispanic/ LatinoPacific IslanderWhiteMore Than One RaceOtherDon't Know
Region 10.4%0.7%38.8%4.5%0.1%45.5%2.6%0.1%7.3%
Region 20.3%1.2%12.7%2.7%0.1%66.7%2.2%5.7%8.6%
Region 30.3%1.6%40.1%6.6%0.3%34.4%2.6%0.1%13.9%
Region 40.2%3.1%54.8%10.9%0.1%22%1.6%1.2%6%
Region 50.5%2.6%48.1%8.8%0.2%25.5%3.3%0.6%10.4%
Demographics of Frontline Supervisors (FLSs)
73.7% female, 24.7% male, 1.5% don't know
Gender Identity of FLSs
GenderPercent
Male 24.7%
Female73.7%
Non-conforming0.1%
Missing1.5%
Race of FLSs Statewide
RacePercentage
American Indian or Alaskan Native0.3%
Asian0.6%
Black or African American39.5%
Pacific Islander0.2%
White44.6%
Hispanic/Latinx7.3%
More than one race/ethnicity1.7%
Other0.7%
Don't Know4.1%
Race of FLSs by DDRO Region*
RegionAmerican Indian/ Alaskan NativeAsianBlack/ African AmericanHispanic/ LatinoPacific IslanderWhiteMore Than One RaceOtherDon't Know
Region 10.5%0.6%24.2%3.7%0.3%64.7%1.5%0.0%4.6%
Region 20.4%0.2%11.3%0.9%0%74.9%0.8%3.4%8.3%
Region 30.2%1.2%31.9%6.3%0%55.3%2.1%0%2.9%
Region 40.4%2.7%54.2%11.5%0.3%24.1%1.6%0.7%4.3%
Region 50.1%2.1%52.8%8.2%0.1%31.8%2.1%0.8%2.1%

*Data are skewed toward NYC. Therefore, we conducted an analysis of race by DDRO region.

Turnover

NYS Turnover Rate is 38.3%

National Turnover Rate* is 43.2%

*National rates are based on data from the 29 states (including D.C.) that participated in the 2021 NCI-IDD State of the Workforce Survey.

OPWDD RegionsTurnover Rate
Region 143.5%
Region 243.4%
Region 338.8%
Region 430.4%
Region 534.4%
Vacancy
25% part time, 20.7% national rate, 21.3% full time, 16.6% national rate
VacancyNYSNational*
PT Vacancy25.0%20.7%
FT Vacancy21.3%16.6%

*National rates are based on data from the 29 states (including D.C.) that participated in the 2021 NCI-IDD State of the Workforce Survey.

 

Length of Employment of DSPs
 Tenure of Employed DSPs
Tenure of Employed - less than 6 months14.1%
Tenure of Employed - 6 to 12 months9.9%
Tenure of Employed - 12 to 24 months12.3%
Tenure of Employed - 24 to 36 months12.3%
Tenure of Employed - more than 36 months49.6%

Tenure of Employed table - These data show the percentage of DSPs who were employed at the agencies over a certain length of time (less than 6 months to 3 years).

Tenure of Separated DSPs 
Tenure of Separated - less than 6 months25.7%
Tenure of Separated - 6 to 12 months15.6%
Tenure of Separated - 12 to 24 months18.9%
Tenure of Separated - 24 to 36 months11.6%
Tenure of Separated - more than 36 months27.7%

Tenure of Separated Table - For DSPs who left their agency, the data show the percentage of those who were employed over a certain length of time (less than 6 months to 3 years).

Wages

In 2021, there were 3 active minimum wages in different geographic areas of New York State:

  • NYC: $15
  • Long Island & Westchester: $14
  • Rest of NYS: $12.50
This table compares agency average hourly wage to the minimum wage of the region.
Regions # of agencies whose average hourly wage is equal to minimum wage# of agencies whose average hourly wage is 1-20% above the minimum wage# of agencies whose average hourly wage is 21-41% above the minimum wage# of agencies whose average hourly wage is 41-60% above the minimum wage# of agencies whose average hourly wage is 61-80% above the minimum wage# of agencies whose average hourly wage is 81-100% above the minimum wage
Region 13196000
Region 222115000
Region 302914100
Region 414354000
Region 51165100
Statewide2012044200
Average Wages

National* average hourly wages range from $6.50 to $29.15.

Unweighted national average for hourly wage is $14.41.

Hourly wages in New York State range from $12.50 to $25.71.

Average hourly wages in OPWDD regions:

RegionAverage Hourly Wage
Region 1$14.77
Region 2$15.12
Region 3$15.33
Region 4$16.02
Region 5$16.63

*National rates are based on data from the 29 states (including D.C.) that participated in the 2021 NCI-IDD Staff Stability Survey.

Overtime (OT) and Regular Hours Paid to DSPs
DDRO RegionNumber of ProvidersPercent Overtime Hours Paid to DSPsPercent Regular Hours Paid to DSPsPercent Total Hours Paid to DSPs
Region 12812.1%87.9%100.0%
Region 2358.7%91.3%100.0%
Region 3484.3%95.7%100.0%
Region 45189.7%10.3%100.0%
Region 52114.8%85.2%100.0%
Grand Total18390.7%9.3%100.0%
Direct Support Professional to Frontline Supervisor Ratio 

The data below presents the number of agencies that have a certain DSP to Frontline Supervisor (FLS) ratio. The statewide average DSP to Frontline Supervisor ratio was 12:1 (N=196).

We believe that it is important to look at DSP to FLS ratio because this statistic can be indicative of the amount of supervision and support available to DSPs. 

Regions# of Agencies with 1-8 DSPs per FLS# of Agencies with 9-14 DSPs per FLS# of Agencies with >14 DSPs per FLS
Region 11584
Region 220115
Region 3231411
Region 4202015
Region 5797
Furloughs and Recalls of Direct Support Professionals

3.4% of responding providers put DSPs on furlough during 2021. This decreased from 24.7% in 2020

Health Insurance
Direct Support Professionals Enrollment in Health Insurance
  1. How many agencies offer all three Dental, Health, and Vision plans?
    • 82.4% Offered
    • 17.6% Not Offer
  2. How many DSPs are eligible for Health Insurance?
    • 63.4% Eligible
    • 36.6 % Not Eligible
  3. How many DSPs are enrolled in Health Insurance?
    • 35.7% Enrolled (15,140 out of 42,929 DSPs)
    • 64.7% Not Enrolled
How many agencies offer all three Dental, Health, and Vision plans? 78.4% Offered 21.6% Not Offer. How many DSPs are eligible for Health Insurance? 63.4% Eligible 36.6 % Not Eligible. How many DSPs are enrolled in Health Insurance? 30.9% Enrolled 69.1% Not Enrolled.

While the majority of Direct Support Professionals (DSPs) at voluntary provider agencies are eligible for their agency's health insurance, a smaller portion are enrolled. A total 16,981 (30.0%) out of 55,033 DSPs are enrolled in their agency's health insurance plan.

Benefits Offered to Direct Support Professionals 
Type of BenefitPercentage of Agencies that Offer These Benefits
Life Insurance83.3%
Flexible spending account66.2%
Employer sponsored disability insurance55.4%
Employer paid job related training52.9%
Reimbursement for Post-secondary Education51.0%
Health Incentive Programs28.9%
Transportation Benefits13.2%
Childcare Benefits8.3%
Direct Support Professionals (DSPs) Enrollment in Benefits
Type of BenefitsPercentage of Eligible DSPs who are enrolled
Employer sponsored disability insurance72.1%
Flexible spending account14.3%
Post-secondary education support2.1%
Strategies of Recruitment and Retention of Direct Support Professionals
Recruitment & Retention StrategiesPercentage of Agencies That Use Them
DSPs included in agency governance24.0%
DSP Ladder34.8%
Training on Code of Ethics96.1%
Offer Realistic Job Previews72.1%
Staff Supported to Acquire Credentials25.0%
Employee Engagement Surveys52.9%
Direct Support Professionals Bonuses in 2021
109 agencies (54.5%) of agencies reported giving bonuses to DSPs in 2021. The table below specifies the amounts of these bonuses.
Bonus AmountNumber of Agencies that gave DSP bonus in this amount
Less than $500
$50-1004
$101-$2003
$201-$3006
$301-$4005
$401-50010
$500+78
Direct Support Professionals Ladder Benefits
71 agencies (34.8%) offer a DSP Ladder. The tables below show specifically what benefits and opportunities are offered by these agencies to DSPs who partake in DSP ladder opportunities. An agency can offer more than one DSP ladder benefit.
DSP Ladder BenefitNumber of Agencies that Offer
Bonus13
Higher Rate of Pay57
Time Accruals5
Benefits Package5
Skill-building33
None3
Other3
Direct Support Professionals Ladder Opportunities
DSP Ladder OpportunitiesNumber of Agencies that Offer
Areas of specialization27
Formal education outside of agency to augment professional growth13
Seniority-based promotions8
Supervision responsibilities45
Training in the agency46
Other5

For Providers

What is the NCI-IDD State of the Workforce Survey about?

The National Core Indicators Intellectual and Developmental Disabilities (NCI-DD) State of the Workforce Survey is about the Direct Support Professional (DSP) Workforce. NYS voluntary providers are asked to submit information about payroll, compensation, tenure, turnover, benefits, bonuses, recruitment strategies, retention strategies, and demographics of DSPs at the agency.

What is the due date of the survey?

The due date for the 2023 NCI-IDD State of the Workforce Survey cycle will be May 31, 2024. Data collection will begin in March 2024. These surveys will collect data from calendar year 2023.

How do I know if my provider agency is eligible to participate?

In order to be eligible for the NCI-IDD State of the Workforce Survey, a voluntary provider agency must:

  1. Be in operation for at least 6 continuous months. 
  2. Employ DSPs – a DSP is someone who spends 50% or more of their job function supporting people with intellectual and/or developmental disabilities. Provider agencies who hire DSPs who only provide self-directed services are not eligible.
  3. Serve adults with intellectual and/or developmental disabilities. If your agency only serves children (younger than 18 years old) with disabilities, you are not eligible.

If you have questions about eligibility, please contact: [email protected].

How do I get access to the survey?

Eligible providers will receive an email from OPWDD Division of Administration announcing the official launch of the survey. Another email containing a unique link to the survey will be sent to an executive director, HR director, or other point of contact identified in previous cycles will be sent out shortly thereafter. For more information or to request the link for your agency please contact [email protected].

When and where can I find the results of the survey?

National Core Indicators releases the results of the survey in a public report, typically the year after the survey cycle has been completed. The 2022 National Report is now available on the NCI website.

Additionally, every year, OPWDD publishes an executive summary of NYS-specific results. When available, the NYS executive summary will be posted on the OPWDD website. 

Latest Staff Stability Webinar
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Video of 2021 NCI IDD Staff Stability Survey and Latest Results

Data & Reports

To better understand how to support the recruitment and retention of Direct Support Professionals (DSPs), NYS OPWDD has conducted descriptive and statistical analyses on factors that influence the tenure of DSPs. Analyses were conducted on the 2019 National Core Indicators Staff Stability Survey dataset for NYS.

Wages and Tenure

We looked at the relationship between average wages paid to DSPs and tenure of DSPs. A wage index score was calculated for each agency. An agency with a greater score represents a more competitive wage than an agency with a smaller score. As wages increase, tenure of DSPs improves. The relationship between wage and tenure is statistically significant and meaningful. The graph below illustrates this relationship.

Dot graph of Wages and Tenure in 2019
Health Insurance and Tenure

We looked at the relationship between health insurance and tenure of DSPs. On average, if an agency provides a good wage and offers health insurance to DSPs, it will observe better tenure than if it did not offer health insurance to DSPs. There are only nine agencies in the 2019 staff stability dataset who did not offer health insurance. The graph below illustrates the relationship between wage, health insurance, and tenure of DSPs. The size of the circles represents the size of the agency in terms of number of DSPs employed.

Circle graph of Health Insurance & Tenure for 2019
Tenure of Employed DSPs in 2019

The chart below illustrates length of employment in 2019 for DSPs across the five Developmental Disabilities Regional Offices (DDRO) regions. Each bar represents percent of DSPs at the agency who were employed for a certain length of time (less than 6 months to 3 years).

Line graph of Tenure of Employed DSPs in 2019
Tenure of Separated DSPs in 2019

The chart below illustrates length of employment for separated DSPs across the five Developmental Disabilities Regional Offices (DDRO) regions. Each bar represents percent of DSPs at the agency who were employed for a certain length of time (less than 6 months to 3 years).

Line graph of Tenure of Separated DSPs in 2019