“…Findings thus support prior investigations in the VA and other settings suggesting that limited availability of VA HCBS options derives, in part, from inadequate supply of home care agencies, paraprofessional workers (e.g., home health aides, personal care aides), and professional workers (e.g., registered nurses, physicians, therapists; Bardo, Applebaum, Kunkel, & Carpo, 2014; Costa & Hirdes, 2010; Miller, 2014; Office of the Inspector General (OIG), 2006; U.S. General Accounting Office, 2003; Stewart, Felix, Dockter, Perry, & Morgan, 2006). They are also consistent with prior research in highlighting the importance of accounting for care needs and unpaid, informal care and caregiver burden when seeking to maintain care of frail and disabled Veterans in the community (Costa & Hirdes, 2010; LeClerc, Wells, Craig, & Wilson, 2002; Robison, Shugrue, Porter, Fortinsky, & Curry, 2012).…”