 An abundance of literature in the 1980s and 1990s described the training needs of personnel, and today new expectations continue to occur as the homes become increasingly health care financed and more self-direction options become available.Foundational in all helping professions are what are called "critical skill domains," which are congruent with a community support approach (e.g., values clarification, general fluency and flexibility of thought, perception and response, competence in academic content, verbal communications) (Cole & Lacefield, 1978).In addition, with the multicultural workforce, cultural awareness, even skills like using chopsticks, are desired in the adaptive skill domains  and comparisons between fast food and sit down restaurants.