This paper examines the dynamics of employing immigrant workers in long-term care and supportive community services (LTC/SCS) in the U.S. The review includes:• Projected demand for LTC/SCS workers• The immigrant population in the U.S.• Pathways immigrant workers follow into LTC/SCS jobs• Immigrants as consumers and also as entrepreneurs in the industry• Immigrant workers and the quality of care• Fairness issues in the widespread employment of immigrants• Promising directions for policy and practiceThe discussion draws heavily on the work of others, including a comprehensive new report from the Georgetown Institute for the Study of International Migration (Martin et al., 2009), the recent Institute of Medicine report on the health care workforce (IOM, 2008), and a comprehensive study conducted for AARP (Redfoot and Houser, 2005). I also draw on my previous paper on the subject (Leutz, 2007). Copyright © 2011 American Society on Aging; all rights reserved.

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