The political and economic context of home care work in California.

California's primarily female, ethnically diverse home care workforce is at the intersection of the public and private spheres of work and at the front line of recurring policy and budget debates targeting government-funded long-term care services. The convening of a Home Care Research Working Group in 2001 has led to collaborative action research initiatives and advocacy for policies to improve working conditions and home care services. The study reported here demonstrates that: 1) current long-term care policy is inadequate to ameliorate home care stressors such as physical and emotional demands, schedule conflicts, financial strain, and job insecurity; 2) workers' experience of home care differs by gender and by race or ethnic group; and 3) a union that actively engages workers is a viable avenue to provide individual support and empowerment as well as collective advocacy for home care services, critical in an era of attacks against health and social service programs.