
Foundations for Community Health Workers
Description
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Foundations for Community Health Workers provides a practical and comprehensive introduction to essential skills for professionals in community health roles. In the wake of the COVID-19 pandemic, there is a greater need than ever for compassionate community health workers trained in the core competencies and guiding principles that can empower individuals to lead healthy lives. With an emphasis on social justice, cultural humility, and client-centered practice, this book offers a solid background in professional skills and their application. Real-life case studies and quotes from community health workers illustrate the challenges and successes that learners will face on the job. Readers will also gain skills in conflict resolution, group facilitation, community organizing, trauma support, and more, equipping them to enter the public health field with confidence and safety.
* Learn about the public health field and the skills needed to become a community health worker
* Gain skills in interacting with people from diverse backgrounds and circumstances
* Develop a background in client interviewing, community advocacy, and facilitating community health trainings
* Read case studies from real community health workers
This book, in its updated Third Edition, is a valuable introduction and reference for anyone working toward a career as a community health worker.
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Persons
Tim Berthold, MPH, is a consultant who has worked closely with community health workers and promotores de salud for over 35 years. He supervised CHW/P/Rs in public health settings in the United States and internationally and served as a faculty member and program coordinator for the CHW certificate program at City College of San Francisco.
Darouny Somsanith, MPH, started her career as a CHW and is currently the coordinator of the CHW certificate program at City College of San Francisco. She has been a trainer and workforce advocate for CHW/P/Rs for over 20 years and is deeply committed to supporting the growth of a public health workforce that is culturally diverse and responsive to the needs of our marginalized communities.
Content
Contributors xi
About the Companion Website xiv
Introduction xv
Part 1: Community Health Work: the Big Picture 1
1. The Role of Community Health Workers- Serving with Skills and Compassion 3
Darouny Somsanith and Susan Mayfield-Johnson
2. The Evolution of the CHW Field in the United States: The Path We Walk-The Mountains We Climbed 29
E. Lee Rosenthal, Paige Menking, Floribella Redondo-Martinez and J. Nell Brownstein
3. An Introduction to Public Health 65
Rama Ali Kased and Savita Malik
4. Promoting Health Equity 91
Amie Fishman and Pau I. Crego
Part 2: Core Compentencies for Providing Direct Services 113
5. Guiding Principles: Self-Awareness, Ethics, Professional Boundaries and Teamwork 115
James Figueiredo and Marilyn Gardner
6. Behavior Change and Person-Centered Practice 147
Tim Berthold
7. Practicing Cultural Humility 165
Alberta Rincon and Pau I. Crego
8. Conducting Initial Client Assessments 189
Tim Berthold and Lorena Carmona
9. Person-Centered Counseling and Motivational Interviewing 219
Tim Berthold and Darouny Somsanith
10. Case Management 259
Tim Berthold and Cristina Arellano
11. Conducting Home Visits 299
Tim Berthold and Francis Julian Montgomery
Part 3: Enhancing Professional Skills 329
12. Stress, Health, and Self-Care 331
Tim Berthold
13. Conflict Resolution 355
Tim Berthold
14. Professional Skills: Getting a Job, Keeping a Job, and Growing on the Job 377
Jimmy Ly and Thelma Gamboa-Maldonado
Part 4: Applying Core Competencies to Key Health Issues 403
15. Health Care is Reentry: Promoting the Health of People who have Experienced Incarceration 405
Amie Fishman and Joe Calderon
16. Chronic Conditions Management 439
Tim Berthold, Lorena Carmona, Mattie Clark
17. Promoting Healthy Eating and Active Living 485
Tim Berthold and Jill Tregor
18. Supporting Survivors with Trauma 521
Tim Berthold
Part 5: Working with Groups and Communities 569
19. Community Health Outreach 571
Thelma Gamboa-Maldonado
20. Facilitating Trainings 599
Jill Tregor and Joe Calderon
21. Group Facilitations 625
James Figueiredo
22. Research, Evaluation and Dissemination of Findings 655
Lily K. Lee, Julie St. John, J. Nell Brownstein, Pennie Jewell, Lisa Renee Holderby-Fox
23. Community Organizing 687
Rama Ali Kased, Larry Salomon, Savita Malik
C3 PROJECT CHW ROLES AND COMPETENCIES REVIEW CHECKLIST 711
C3 ROLES AND SKILLS CHECKLIST 717
VIDEO INDEX 719
INDEX 729
Contributors
Cristina Arellano, CHW, BA. Cristina is a Case Manager at LifeLong Medical Care in Oakland, California. She has served as a trainer and mentor for the Monterey County CHW Training Project.
Tim Berthold, MPH. Tim Berthold has worked closely with community health workers for over 35 years. He supervised CHWs in public health settings in the United States and internationally. Tim develops and facilitates CHW trainings as part of a consulting group. He previously served as a faculty member and program coordinator for the CHW certificate program at City College of San Francisco.
J. Nell Brownstein, PhD. During Nell Brownstein's 26 years at CDC, she focused on increasing recognition of the valuable roles played by CHWs as members of the public health workforce and health care teams, especially in diverse communities. She did this through CHW research and evaluation projects, written policy and scientific papers, educational products, and closely working with the CHW Special Interest Group of APHA and many other CHW allies.
Joe Calderon, AS, CHW. Joe Calderon is dedicated to working with diverse and marginalized communities. He spent a decade leading the training and mentoring of Community Health Workers (CHWs) for the Transitions Clinic Network on a national scale. Joe continues to contribute to CHW training through the Foundations for Community Health Workers Consulting Group. Currently serving as a Program Manager at Urban Alchemy, he oversees and trains Employee Care Coordinators (CHWs) for the REAP (Reentry Employment and Prosperity) program. In this role, Joe supports individuals reentering society from state prisons, addressing the complex challenges of reentry and the collateral consequences of incarceration.
Lorena Carmona, BA, CHW. Lorena Carmona is a Community Health Worker and Program Manager with Alameda County Care Connect at Roots Community Health Center in Oakland. Lorena trains and supervises CHWs and provides case management, health education, chronic condition management, and advocacy services. She serves on the Community Advisory Board for the CCSF CHW Certificate Program.
Mattie Clark, CHW. Mattie Clark is a Clinical Community Health Worker with the G. A. Carmichael Family Health Center (FQHC). She has conducted many trainings and events for the community addressing health issues such as hypertension, diabetes, and COVID-19 and is a co-author of a study on cardiovascular disease among African Americans. Mattie is a member of the National Association of CHWs and Secretary of the Mississippi Community Health Workers Association.
Pau I. Crego, MPH. Pau I. Crego is an advocate, educator, and author with a passion for advancing equity for transgender, LGBTQI+ and immigrant communities. Over the past two decades, his social justice work has spanned direct services, training and education, program design and implementation, as well as policy research and analysis. Most recently, Pau served as the Executive Director of the San Francisco Office of Transgender Initiatives. He is also part-time faculty in the CHW certificate program at City College of San Francisco, and a published author and translator in the fields of public health and trans equity.
James Figueiredo, Ed.M. James Figueiredo is grateful for joining and remaining in the CHW field since 1991, when he served as an HIV outreach worker and case manager for over a decade on an integrated clinical team at the Cambridge Health Alliance. He later served as a longtime CHW supervisor and training facilitator across the United States and throughout sub-Saharan Africa. James is the CEO and Founder of Community Workforce Institute, where he leads a diverse team of trainers and CHW allies dedicated to supporting CHWs and supervisors.
Amie Fishman, MPH. Amie Fishman has worked at the intersections of public health, education, and antiracist organizing for over 25 years. Much of her work has been in support of people affected by incarceration, including training CHWs to assist clients returning home. Amie currently works as a director of equity and culture for the San Francisco Department of Public Health.
Marilyn Gardner, RN, BS. Marilyn Gardner is a writer and public health nurse living in Boston, Massachusetts. Her work with CHWs and CHW supervisors began internationally and has included four countries and several states. She is passionate about working alongside CHWs and CHW supervisors to find creative solutions for community resources and care. Marilyn is the Director of Clinical and Cross-Cultural Training at Community Workforce Institute in Cambridge, MA.
Lisa Renee Holderby-Fox, AS. Lisa Renee is a proud member of the CHW workforce with over 30 years of experience. She is the Director of CHW Leadership Development and Envision Co-Director at the Center for Community Health Alignment, Arnold School of Public Health, University of South Carolina. Lisa Renee is a co-founder of the National Association of Community Health Workers, the New England CHW Coalition, and the Southeast CHW Network.
Pennie Jewell, CHW, AS. Pennie has been a Community Health Worker for over 30 years. She is a member of the Michigan Community Health Worker Alliance, the National Association of Community Health Workers, and a member of the CHW Common Indicators Project Leadership Team.
Rama Ali Kased, EdD. Rama Ali Kased is an Assistant Professor of race and resistance studies at SF State University. She has over 20 years of experience in community organizing and teaching. Her work and research center on social justice, public health, and education equity. She has an extensive background in campaign and leadership development and K-12 and higher education curriculum development.
Jimmy Ly, MA. Jimmy Ly is a career counselor and instructor at City College of San Francisco (CCSF) with nearly 10 years of counseling experience in the areas of mental health, careers, and academics. In addition to counseling, he teaches a course on job search techniques and leads career workshops for students in various Health Education programs at CCSF including CHW, Healthcare Interpretation, and Addiction and Recovery Counseling.
Thelma Gamboa-Maldonado, DrPH, MPH. Thelma is a community-based public health researcher, academician, and practitioner with extensive experience in non-profit, local, and state governmental public health practice. CHW inclusion and workforce development have been central to Thelma's work both internationally and in California. Thelma is a former Director of the Loma Linda University San Manuel Gateway College CHW (Promotores) Academy and is currently on faculty in the CHW Certificate Program at City College of San Francisco.
Susan Mayfield-Johnson, PhD, MCHES. Susan Mayfield-Johnson has been a CHW ally for over 25 years. She is an Associate Professor at The University of Southern Mississippi, a member of the Leadership Team of the Community Health Worker Common Indicators Project, and a founding board member of the National Association of Community Health Workers.
Lily K. Lee, DrPH, MPH. Lily K. Lee is a multicultural and multilingual public health professional with over 20 years of experience in program design and implementation, research and evaluation, and organizational change management. Lily developed strategic approaches to operationalize CHW/P Core Competencies in various settings and the Organizational Readiness Training program for employers familiar with or new to the CHWs/Ps roles and competencies. Lily is the founder of the KTE Strategies consulting firm, which provides Knowledge Transfer and Exchange strategies to public health and healthcare initiatives for greater impact on population health outcomes.
Savita Malik, EdD, MPH. Savita Malik has been at the intersection of public health and education for more than 20 years. She is faculty at San Francisco State University and a co-founder and current curriculum and faculty developer for the Metro College Success Program.
Floribella Redondo-Martinez, BS. Floribella Redondo-Martinez has been working in the scope of a CHW/Promotora for more than 30 years. She is the co-founder and chief executive officer of the Arizona Community Health Workers Association. Floribella is a co-founder and board member of the National Association of Community Health Workers, a member of C3 Core Team, CHW Council for Envision, and a Lead Faculty for the CHW Certificate Program at Arizona Western College.
Paige Menking, MPA. Paige Menking is a CHW ally whose over a decade of work in the field has centered around CHW training, supervision, research, and workforce development on local and national levels. She is the principal and founder of Ponderosa Public Health Consulting and lives in Albuquerque, New Mexico. She serves on the board of the National Association of CHWs and as a leader in the APHA CHW section and is on the core team of the CHW Core Consensus (C3) Project.
Francis Julian Montgomery. Francis Julian Montgomery works as a Street Crisis Response Specialist with the San Francisco Homeless Outreach Team (SF HOT). He works with the San Francisco Fire Department Community Paramedics Division, connecting unhoused people to shelter/housing, mental, medical health programs, treatment, resources, and social service support systems. Francis Julian is certified as an Addictions Treatment...
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