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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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The Changing Roles of Community Health Workers.

Mary-Beth Malcarney1, Patricia Pittman1, Leo Quigley2

  • 1Department of Health Policy & Management, Milken Institute School of Public Health, The George Washington University, Washington, DC.

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|January 28, 2017
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Summary

Employers increasingly value education and training for community health workers (CHWs) as they integrate into health systems. New competencies are needed for CHWs to bridge the gap between community needs and healthcare delivery.

Keywords:
Determinants of health/population health/socioeconomic causes of healthhealth care organizations and systemshealth workforce: distribution/incomes/trainingintegrated delivery systems

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Area of Science:

  • Public Health
  • Healthcare Workforce Development
  • Health Equity

Background:

  • Community Health Workers (CHWs) are vital for addressing health disparities.
  • The healthcare landscape is evolving, impacting CHW roles and demands.
  • There's a need to understand employer expectations for CHWs.

Purpose of the Study:

  • Examine employer values in hiring CHWs.
  • Identify new competencies required for CHWs.
  • Align CHW workforce with evolving healthcare payment models.

Main Methods:

  • Multimethod approach including literature review.
  • Database of 76 CHW programs.
  • Interviews with 24 key informants.
  • Qualitative comparison of CHW competency lists.

Main Results:

  • Shift in CHW employment from community organizations to health systems.
  • Employers value education and training over traditional characteristics.
  • Identified a gap in competencies for health system integration while maintaining CHW identity.

Conclusions:

  • New competencies are crucial for CHW integration into healthcare.
  • CHWs need to articulate and defend their unique occupational identity.
  • Supports advancement of CHW roles and state certification efforts.