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.
Miya L. Barnett, Araceli Gonzalez, Jeanne Miranda, Denise A. Chavira, Anna S. Lau
Administration and Policy in Mental Health and Mental Health Services Research, March 2018, Volume 45, Issue 2, 20 July 2017