Wennerstrom Ashley, Hargrove Leslie, Minor Shontel, Kirkland Angela L, Shelton Steven R
Department of General Internal Medicine, Tulane School of Medicine and Department of Global Community Health and Behavioral Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana (Dr. Wennerstrom); Texas AHEC East, Coastal Region, Lamarque, Texas (Mss Hargrove and Minor); Ruth U. Fertel/Tulane Community Health Center, New Orleans, Louisiana (Ms Kirkland); and Texas AHEC East, Office of the Provost, University of Texas Medical Branch, Galveston (Mr Shelton).
J Ambul Care Manage. 2015 Jul-Sep;38(3):263-72. doi: 10.1097/JAC.0000000000000087.
Community health workers (CHWs) collaborating with health care teams improve health outcomes. The feasibility of employing CHWs to support behavioral health in primary care is unknown. We offered experienced CHWs a 48-hour behavioral health training and placed them at health centers. Supervisors received technical assistance to support integration. We interviewed team members to explore CHW interactions with patients and team members. There was evidence of CHW integration. Major CHW roles included care coordination, outreach, and screening. It may be feasible to integrate behavioral health-focused CHWs into primary care settings. Both CHWs and supervisors need ongoing training and support.
社区卫生工作者（CHW）与医疗团队合作可改善健康状况。在初级保健中雇佣社区卫生工作者来支持行为健康的可行性尚不清楚。我们为经验丰富的社区卫生工作者提供了48小时的行为健康培训，并将他们安置在健康中心。主管人员获得了技术援助以支持整合工作。我们采访了团队成员，以探讨社区卫生工作者与患者及团队成员之间的互动。有证据表明社区卫生工作者已融入其中。社区卫生工作者的主要角色包括护理协调、外展服务和筛查。将专注于行为健康的社区卫生工作者融入初级保健环境可能是可行的。社区卫生工作者和主管人员都需要持续的培训和支持。
