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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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Commentary: A Community Organizing Model for Advancing CHW Workforce Sustainability.

Lesley Wolf1, Sherri Ohly, Lisa Renee Holderby-Fox

  • 1Author Affiliations: UW-Madison, School of Medicine and Public Health, Population Health Institute, Madison, WI, USA (Wolf, Ohly, Bristol); Center for Community Health Alignment, University of South Carolina, Columbia, SC, USA (Holderby-Fox); LSU Health-New Orleans, Community Health Science and Policy, LSU School of Public Health, New Orleans, LA, USA (Wennerstrom); and Center for Healthcare Value and Effectiveness, Community and Population Medicine, School of Medicine, New Orleans, LA, USA (Wennerstrom).

The Journal of Ambulatory Care Management
|August 22, 2025
PubMed
Summary
This summary is machine-generated.

Community health workers (CHWs) are crucial for health equity but lack sustainable funding. A CHW-led center used community organizing to build capacity for local sustainability efforts.

Keywords:
capacity buildingcommunity health workerscommunity organizinghealth equitypublic health workforce

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Area of Science:

  • Public Health
  • Health Policy
  • Community Health

Background:

  • Community Health Workers (CHWs) are essential for health equity and addressing social determinants of health.
  • Sustainable funding and policy infrastructure for CHWs are currently insufficient.
  • A lack of resources hinders the growth and impact of the CHW workforce.

Purpose of the Study:

  • To define Community Health Worker (CHW) workforce sustainability.
  • To present a model for building CHW capacity for local sustainability efforts.
  • To outline steps for CHWs to lead sustainability initiatives.

Main Methods:

  • Utilized a community organizing framework.
  • Established a CHW-led national training and technical assistance center.
  • Focused on building the capacity of CHWs and their allies.

Main Results:

  • A model with four key objectives was developed: growing CHW leadership and policy capacity, building partnerships, establishing supportive systems and policies, and implementing diverse financing mechanisms.
  • The model empowers CHWs to lead local sustainability efforts.
  • Enhanced capacity for CHWs and allies to advocate for workforce sustainability.

Conclusions:

  • CHW workforce sustainability requires a multi-faceted approach involving leadership development, partnerships, policy support, and diverse funding.
  • A CHW-led, community-organizing framework can effectively build capacity for sustainability.
  • Empowering CHWs is key to advancing health equity and ensuring a thriving workforce.