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Interprofessional collaboration between social workers and community health workers to address health and mental health in the United States: A systematised review
Health and Social Care in the Community ( IF 2.0 ) Pub Date : 2022-10-21 , DOI: 10.1111/hsc.14061
Lailea Noel 1 , Qi Chen 1 , Liana J Petruzzi 1 , Farya Phillips 1, 2 , Ricardo Garay 3 , Carmen Valdez 1, 3 , María P Aranda 4 , Barbara Jones 1, 2, 5
Affiliation  

Collaboration between social workers (SW) and community health workers (CHW) plays an essential role in addressing health inequities in the United States (US). However, little is known about the current state of CHW/SW collaboration. The objectives of this review were to identify (a) the nature, goals and setting of CHWs and SW collaboration; (b) the patient outcomes utilised to measure intervention efficacy. The literature search was conducted in December 2020 using six databases. The inclusion criteria were (1) interventions that included CHWs and SWs; (2) US-based; (3) published between 2000–2020; (4) peer-reviewed journal articles; (5) examining health or mental health outcomes. Search results identified 281 articles, and 15 were included in the final analysis. Settings that utilised SW/CHW collaboration included outpatient clinics (n = 10); community organisations (n = 4) or hospital (n = 1). CHW and SW interventions focused on disease prevention (n = 8), chronic care (n = 4) and mental health (n = 3). Health outcomes were the most evaluated (n = 13), and significant improvement of at least one health outcome was reported in those studies. Mental health outcomes (n = 3) were also significantly improved, while social determinants of health (n = 2) were least common and descriptive only. This is the first review of SW and CHW collaboration. Clarity regarding SW and CHW roles and scopes of practice are needed to understand better SW/CHW collaboration and its impacts on community health outcomes and improve the process of collaboration. SW and CHW collaboration may increase clients' access to preventive care, mental health and address health inequities.

中文翻译:


社会工作者和社区卫生工作者之间为解决美国健康和心理健康问题而进行的跨专业合作:系统评价



社会工作者 (SW) 和社区卫生工作者 (CHW) 之间的合作在解决美国 (US) 的卫生不平等问题方面发挥着重要作用。然而,人们对 CHW/SW 合作的现状知之甚少。本次审查的目的是确定 (a) 社区卫生工作者和社会福利机构合作的性质、目标和背景; (b) 用于衡量干预效果的患者结果。文献检索于 2020 年 12 月使用六个数据库进行。纳入标准是 (1) 干预措施包括社区卫生工作者和社会工作者; (2) 总部位于美国; (3) 2000年至2020年期间出版; (4) 同行评审的期刊文章; (5) 检查健康或心理健康结果。检索结果共识别出281篇文章,最终纳入15篇。利用 SW/CHW 合作的机构包括门诊诊所 ( n = 10);社区组织 ( n = 4) 或医院 ( n = 1)。 CHW 和 SW 干预措施侧重于疾病预防 ( n = 8)、长期护理 ( n = 4) 和心理健康 ( n = 3)。健康结果受到最多的评估( n = 13),这些研究报告了至少一项健康结果的显着改善。心理健康结果 ( n = 3) 也显着改善,而健康的社会决定因素 ( n = 2) 最不常见且仅具有描述性。这是对 SW 和 CHW 合作的第一次审查。需要明确 SW 和 CHW 的角色和实践范围,以更好地了解 SW/CHW 合作及其对社区健康结果的影响并改进合作过程。 SW 和 CHW 的合作可以增加客户获得预防性护理、心理健康的机会并解决健康不平等问题。
更新日期:2022-10-21
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