A Qualitative Review of Community Health Workers’ Training, Supervision, and Service Delivery Needs

IF 2.7 3区 医学 Q3 HEALTH POLICY & SERVICES Administration and Policy in Mental Health and Mental Health Services Research Pub Date : 2025-04-01 DOI:10.1007/s10488-025-01439-w
Maya Mroué Boustani, Stacy L. Frazier, Diana Marin, Dina Bashoura
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Abstract

Community Health Workers (CHW) are part of an emerging workforce in the field of mental health, but few studies have examined their training, supervision, and service delivery needs in the United States. Individual semi-structured interviews were conducted with CHWs (n = 9) and their administrators (n = 6) affiliated with a medical center and school districts in Southern California. Guiding questions focused on CHW roles, work-related stress, clinical decision making, and professional development. Findings pointed to high rates of stress, primarily attributed to role ambiguity, and need (and desire) for more training and supervision related to mental health interventions, and more systematic structures for data-informed decision-making. Discussion provides reflections and recommendations to the field about ways to support this growing and critical workforce.

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社区卫生工作者培训、监督和服务提供需求的定性评价。
社区卫生工作者(CHW)是精神卫生领域新兴劳动力的一部分,但在美国,很少有研究调查他们的培训、监督和服务提供需求。对南加州某医疗中心和学区附属的chw (n = 9)及其管理人员(n = 6)进行了个别半结构化访谈。指导问题集中在CHW的角色、工作压力、临床决策和专业发展。调查结果指出,压力率很高,主要归因于角色模糊,需要(和渴望)更多与心理健康干预有关的培训和监督,以及更系统化的数据知情决策结构。讨论为该领域提供了关于如何支持这一不断增长的关键劳动力的思考和建议。
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来源期刊
CiteScore
5.20
自引率
7.70%
发文量
50
期刊介绍: The aim of Administration and Policy in Mental Health and Mental Health Services is to improve mental health services through research. This journal primarily publishes peer-reviewed, original empirical research articles.  The journal also welcomes systematic reviews. Please contact the editor if you have suggestions for special issues or sections focusing on important contemporary issues.  The journal usually does not publish articles on drug or alcohol addiction unless it focuses on persons who are dually diagnosed. Manuscripts on children and adults are equally welcome. Topics for articles may include, but need not be limited to, effectiveness of services, measure development, economics of mental health services, managed mental health care, implementation of services, staffing, leadership, organizational relations and policy, and the like.  Please review previously published articles for fit with our journal before submitting your manuscript.
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