Mobilizing community health workers to address mental health disparities for underserved populations: a systematic review

Barnett, Miya L.; Gonzalez, Araceli; Miranda, Jeanne; Chavira, Denise A.; Lau, Anna S.

doi:10.1007/s10488-017-0815-0

Cited by 431Mental Health Treatment and AccessHealth Policy Implementation ScienceCultural Competency in Health Care

Mobilizing community health workers to address mental health disparities for underserved populations: a systematic review

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Barnett, Miya L., Gonzalez, Araceli, Miranda, Jeanne, Chavira, Denise A., Lau, Anna S.·2018·Administration and Policy in Mental Health and Mental Health Services Research

DOI 10.1007/s10488-017-0815-0PMC PMC5803443

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Abstract

This systematic review evaluates efforts to date to involve community health workers (CHWs) in delivering evidence-based mental health interventions to underserved communities in the United States and in low- and middle-income countries. Forty-three articles (39 trials) were reviewed to characterize the background characteristics of CHW, their role in intervention delivery, the types of interventions they delivered, and the implementation supports they received. The majority of trials found that CHW-delivered interventions led to symptom reduction. Training CHWs to support the delivery of evidence-based practices may help to address mental health disparities. Areas for future research as well as clinical and policy implications are discussed.

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Few studies have used community health workers to deliver a psychosocial intervention tailored to minority and immigrant elders in the United States.
“However, few studies have worked with CHWs to provide a psychosocial intervention tailored to minority and immigrant elders in the US (38).”
From Effectiveness of a Disability Preventive Intervention for Minority and Immigrant Elders: The Positive Minds-Strong Bodies Randomized Clinical Trial (2019) · cites this paper as [38]
The Results and Discussion report fewer US than low- and middle-income-country trials of CHW-involved psychosocial interventions, and the Methods specify that US studies included in the review primarily served racial or ethnic minorities. The review does not establish how many studies tailored such interventions specifically to minority and immigrant elders in the US; its age comparison distinguishes only adults from children and families. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Less attention has been paid to using digital technologies to train community health workers in delivering psychological interventions, particularly in rural India.
“Digital interventions appear to have been effective for training community health workers in general health care delivery (Agarwal et al., 2015), though use of digital technologies for training community health workers to deliver psychological interventions, especially in settings in rural India, has received less attention (Barnett et al., 2018; Borkum et al., 2014; Modi et al., 2017; Naslund et”
From Acceptability and feasibility of digital technology for training community health workers to deliver brief psychological treatment for depression in rural India (2019) · cites this paper as Barnett et al., 2018

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World Health Organization 2010 Packages of interventions for family planning, safe abortion care, maternal, newborn and child health Geneva WHO Press

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Authors: Barnett, M. L., Gonzalez, A., Miranda, J., Chavira, D. A., & Lau, A. S.
Affiliations: University of California, Santa Barbara (US)
University of California, Los Angeles (US)
Corresponding author: Barnett, Miya L.
ORCID: Barnett, Miya L.
Miranda, Jeanne
Chavira, Denise A.
Lau, Anna S.
Venue: Administration and Policy in Mental Health and Mental Health Services Research
Publisher: Springer Science and Business Media LLC
Published: 2017-07-20
Volume: 45
Issue: 2
Pages: 195-211
ISSN: 0894-587X (ISSN-L)
1573-3289
DOI: 10.1007/s10488-017-0815-0
PMC: PMC5803443
OpenAlex: W2739197041
Cited by: 431
References: 93
Citations by year: 2026: 51 · 2025: 69 · 2024: 60 · 2023: 57 · 2022: 63 · 2021: 57 · 2020: 39 · 2019: 25 · 2018: 10
FWCI: 3.12
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: National Institute of Mental Health (K01MH110608)
Topics: Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
Keywords: community health workers, mental health disparities, underserved populations, evidence-based practice, CHW training, implementation support, symptom relief, low- and middle-income countries, United States
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Community Health Services, Female, Health Policy, Humans, Male, Mental Health Services, Middle Aged, United States, Vulnerable Populations, Healthcare Disparities, Evidence-Based Practice, Young Adult

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Mobilizing community health workers to address mental health disparities for underserved populations: a systematic review

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