Weaver Addie, Lapidos Adrienne
J Health Care Poor Underserved. 2018;29(1):159-180. doi: 10.1353/hpu.2018.0011.
Mental health conditions are common in the United States, yet the mental health workforce is limited in its capacity to reach disadvantaged populations. While a number of recent reviews demonstrate that community health worker (CHW)-supported physical health interventions are effective, and increase access to services, there are no recent reviews that systematically assess CHW-supported mental health interventions. To address this gap, the authors conducted a systematic review of mental health interventions with CHWs in the United States, and assessed the methodological rigor of such studies. Nine studies met review criteria. Though most of the studies reviewed showed inadequate methodological rigor, findings suggest CHW-supported mental health interventions show promise, particularly given evidence of feasibility and acceptability with underserved populations. The authors describe the rationale for mental health CHWs in the workforce, offer recommendations to strengthen the evidence base, and discuss implications of mental health interventions with CHWs for underserved populations.
心理健康问题在美国很常见，但心理健康服务人员接触弱势群体的能力有限。虽然最近的一些综述表明，社区卫生工作者（CHW）支持的身体健康干预措施是有效的，并且增加了服务的可及性，但最近没有系统评估CHW支持的心理健康干预措施的综述。为了填补这一空白，作者对美国CHW参与的心理健康干预措施进行了系统综述，并评估了此类研究的方法严谨性。九项研究符合综述标准。尽管大多数被综述的研究显示方法严谨性不足，但研究结果表明，CHW支持的心理健康干预措施显示出前景，特别是考虑到在服务不足人群中具有可行性和可接受性的证据。作者阐述了劳动力中心理健康CHW的基本原理，提出了加强证据基础的建议，并讨论了CHW心理健康干预措施对服务不足人群的影响。
