Carrying the Weight of a Broken System: Community Health Worker and Peer Recovery Specialist roles transformed.

IF 0.8 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Progress in Community Health Partnerships-Research Education and Action Pub Date : 2025-01-01 DOI:10.1353/cpr.2025.a956604

Arryn A Guy, Shivani Nishar, Sara Alavi, Alexis Morales, Rahul Vanjani, Jon Soske

{"title":"Carrying the Weight of a Broken System: Community Health Worker and Peer Recovery Specialist roles transformed.","authors":"Arryn A Guy, Shivani Nishar, Sara Alavi, Alexis Morales, Rahul Vanjani, Jon Soske","doi":"10.1353/cpr.2025.a956604","DOIUrl":null,"url":null,"abstract":"The problem: Recognizing the scale of challenges faced by the behavioral health care industry, there is a growing call to expand the utilization of community-based health workers (CBHWs). However, neglecting to fully understand the complex realities of working in these roles risks undermining the true costs and sacrifices made by CBHWs as we strive to reshape health care policies and systems.Purpose of article: Drawing on 21 interviews we conducted with CBHWs in Rhode Island, we describe the evolving role of CBHWs within traditional health care settings and identify policy and practice implications.Key points: CBHWs have been taking on the burden of a broken health care system while experiencing role transformation.Conclusions: CBHW roles were designed in terms of a desired vision of the health care system-rather than the fragmented, overburdened institutional landscape that presently exists. Efforts to support CBHWs, without addressing the scale of role transformation, will continue to push much of the day-to-day labor underground.","PeriodicalId":46970,"journal":{"name":"Progress in Community Health Partnerships-Research Education and Action","volume":"19 1","pages":"129-135"},"PeriodicalIF":0.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11999244/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Progress in Community Health Partnerships-Research Education and Action","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1353/cpr.2025.a956604","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

The problem: Recognizing the scale of challenges faced by the behavioral health care industry, there is a growing call to expand the utilization of community-based health workers (CBHWs). However, neglecting to fully understand the complex realities of working in these roles risks undermining the true costs and sacrifices made by CBHWs as we strive to reshape health care policies and systems.

Purpose of article: Drawing on 21 interviews we conducted with CBHWs in Rhode Island, we describe the evolving role of CBHWs within traditional health care settings and identify policy and practice implications.

Key points: CBHWs have been taking on the burden of a broken health care system while experiencing role transformation.

Conclusions: CBHW roles were designed in terms of a desired vision of the health care system-rather than the fragmented, overburdened institutional landscape that presently exists. Efforts to support CBHWs, without addressing the scale of role transformation, will continue to push much of the day-to-day labor underground.

查看原文本刊更多论文

承担破碎系统的重担：社区卫生工作者和同伴康复专家的角色转变。

问题：认识到行为卫生保健行业所面临的挑战的规模，越来越多的人呼吁扩大利用社区卫生工作者（CBHWs）。然而，在我们努力重塑卫生保健政策和系统的过程中，忽视充分了解这些角色工作的复杂现实，可能会破坏CBHWs的真实成本和牺牲。文章目的：根据我们对罗德岛州的社区卫生工作者进行的21次访谈，我们描述了社区卫生工作者在传统卫生保健环境中不断演变的作用，并确定了政策和实践的影响。重点：社区卫生工作者在经历角色转变的同时，一直在承担着破碎的医疗体系的负担。结论：CBHW的角色是根据医疗保健系统的理想愿景而设计的，而不是目前存在的分散、负担过重的机构景观。在没有解决角色转换规模的情况下，支持cbh的努力将继续推动大部分日常劳动力转入地下。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Progress in Community Health Partnerships-Research Education and Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.30

自引率

0.00%

发文量