Impact of CHWs on Elderly Patients’ Advance Care Planning and Health Care Utilization: Moving the Dial
Litzelman DK, Inui TS, Griffin WJ, Perkins A, Cottingham AH, Schmitt-Wendholt KM, Ivy SS
Med Care. 2016 Nov 21. [Pubmed Abstract]
Advance care planning (ACP) is recommended for all persons to ensure that the care they receive aligns with their values and preferences.
To evaluate an ACP intervention developed to better meet the needs and priorities of persons with chronic diseases, including mild cognitive impairment.
A year-long, pre-post intervention using lay community health workers [care coordinator assistants (CCAs)] trained to conduct and document ACP conversations with patients during home health visits with pre-post evaluation.
The 818 patients were 74.2 years old (mean); 78% women; 51% African American; 43% white.
Documentation of ACP conversation in electronic health record fields and health care utilization outcomes.
In this target population ACP documentation rose from 3.4% (pre-CCA…
Health Aff (Millwood). 2015 Sep 1;34(9):1523-30. [Pubmed Abstract]
Key Features Of Peer Support In Chronic Disease Prevention And Management
Fisher EB, Ballesteros J, Bhushan N, Coufal MM, Kowitt SD, McDonough AM, Parada H, Robinette JB, Sokol RL, Tang PY, Urlaub D
Peer support from community health workers, promotores de salud, and others through community and health care organizations can provide social support and other assistance that enhances health. There is substantial evidence for both the effectiveness and the cost-effectiveness of peer support, as well as for its feasibility, reach, and sustainability. We discuss findings from Peers for Progress, a program of the American Academy of Family Physicians Foundation, to examine when peer support does not work, guide dissemination of peer support programs, and help integrate approaches such as e-health into peer support. Success factors for peer support programs include proactive implementation, attention to…
Psychiatr Rehabil J. 2015 Sep;38(3):207-9. [Pubmed Abstract]
Community health workers: Potential allies for the field of psychiatric rehabilitation?
Cook JA, Mueser KT
The focus of community health workers on health disparities in vulnerable communities means that they address issues of poverty, while many recipients of psychiatric rehabilitation services live at or below the poverty line. Their focus on improving health in low-income populations of color is in line with some of our field’s biggest challenges at this point in history, including poverty, cultural competence, and health comorbidities. By allying with community health workers we have the opportunity to extend our reach into new neighborhoods as well as to better serve our current clientele. By reaching out to local community health worker programs, conducting cross-training, and exploring new funding opportunities presented by health care reform, we may be able to enrich the multidisciplinary,…