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Episode 23 · Frontline Voices · July 21, 2026

The DSP Shortage Nobody Solved

Tanya ReyesDirect Support Professional & Trainer, Bridgewater Community Living

Executive Summary

Direct support professionals hold the community care system together and leave it at rates above 45% a year. Tanya Reyes breaks down where the losses actually happen, why wage increases alone stopped moving retention, and what a serious onboarding program looks like when it's designed by people who do the work.

Key Takeaways

  1. 01Most DSP turnover happens inside the first 90 days, before wage becomes the deciding factor.
  2. 02Shadowing without structure teaches new hires that nobody is accountable for their success.
  3. 03Scheduling predictability outperformed a $1.50/hour raise in her agency's retention data.
  4. 04Career ladders must be visible on day one, not mentioned at the annual review.
  5. 05DSPs should be in the room when technology is selected for their workflow.

YEM's Insider Take

We call it a workforce shortage because that framing lets systems off the hook. Nothing is short. People arrive and then we lose them. That's a retention failure and it's an operations problem with an operations solution.

Transcript

TANYA: People assume the hardest part of the job is the care. It isn't. The hardest part is walking into a house on your second shift and realizing nobody told you what to do if something goes wrong.

The Insider Question

Should direct support professionals have a formal, funded career ladder in every state?

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