Accelerating Best Practices in Peer Support Around the World

Community-Based

11.30.17

Innovative Home Visit Models Associated With Reductions In Costs, Hospitalizations, And Emergency Department Use

Health Aff (Millwood). 2017 Mar 1;36(3):425-432. [Pubmed Abstract]

Ruiz S, Snyder LP, Rotondo C, Cross-Barnet C, Colligan EM, Giuriceo K

Abstract
While studies of home-based care delivered by teams led by primary care providers have shown cost savings, little is known about outcomes when practice-extender teams-that is, teams led by registered nurses or lay health workers-provide home visits with similar components (for example, care coordination and education). We evaluated findings from five models funded by Health Care Innovation Awards of the Centers for Medicare and Medicaid Services. Each model used a mix of different components to strengthen connections to primary care among fee-for-service Medicare beneficiaries with multiple chronic conditions; these connections included practice-extender home visits. Two models achieved significant reductions in Medicare expenditures, and three models reduced utilization in the form of emergency department visits, hospitalizations, or…

9.27.16

Therapeutic Relationship and Study Adherence in a CHW-Led Intervention

J Community Health. 2016 Jul 23. [Pubmed Abstract]

Therapeutic Relationship and Study Adherence in a Community Health Worker-Led Intervention
Mundorf C, Shankar A, Peng T, Hassan A, Lichtveld MY

Abstract
Community health workers (CHWs) are increasingly utilized to reach low-resource communities. A critical domain influencing success is the CHWs’ ability to create and maintain a therapeutic relationship with the participants they serve. A limited evidence base exists detailing this construct, and evaluating CHW-participant relationships in the context of CHW-led programs. In a longitudinal study design, data on this therapeutic relationship were collected [as captured using The Scale to Assess the Therapeutic Relationship in Community Mental Health Care (STAR)] on 141 participants who had been assigned to a CHW during their perinatal period. Results indicate that therapeutic relationship was associated with the participant’s psychosocial health, and independently predicted…

4.13.16

CHW Integration in Health Care, Public Health, and Policy

J Ambul Care Manage. 2016 Jan-Mar;39(1):2-11. [Pubmed Abstract]

Community Health Worker Integration in Health Care, Public Health, and Policy: A Partnership Model
Wilkinson GW, Mason T, Hirsch G, Calista JL, Holt L, Toledo J, Zotter J

Abstract
Health care systems and public health agencies are focusing increased attention on the capacity of community health workers (CHWs) to improve health outcomes for vulnerable populations and to support integration of clinical and community prevention services. This article describes 3 initiatives in Massachusetts in which the state public health department has collaborated with CHW leaders, health providers, and community-based partners to develop innovative policy and services, including state certification of CHWs, integrated chronic disease programs, and a state-funded pilot program to demonstrate return on investment for community-based prevention. Concluding lessons are relevant for implementation of health care reform nation-wide.

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