Community health workers for patients with medical and behavioral health needs - Challenges and opportunities

Behavioral health integration efforts often focus on the formal health care infrastructure. We performed a non-systematic literature review and expert interviews to identify community-based interventions for patients with medical and behavioral health needs. Community Health Workers (CHWs) are the dominant intervention to support patients outside of the clinic. These interventions do not always optimally meet patients' needs. Organizations should consider the challenges and benefits of CHWs for patients with medical and behavioral health needs. We outline two challenges to successful CHW programs for this population, propose two design considerations for community-based integration, and suggest how quality improvement methods might help with both challenges. (C) 2015 Elsevier Inc. All rights reserved.