Bridge Builders to Health Equity: The High School Community Health Worker Training Program

Background: During the summers of 2016- 2019, Morehouse School of Medicine (MSM) with the support of community partners, developed, piloted and implemented an innovative Community Health Worker Training Program for High School students (HSCHW). Training high school community health workers can impact health and social disparities in underserved populations and demonstrates pipeline of future workers in community health and other health careers. The program has achieved promising outcomes, and access to the program model has been requested many universities and community-based organizations. Method: The HSCHW training consists of summer classroom instruction, field instruction and monthly continuing education during the school year. The students are trained in CHW core competencies through a combination of online curriculum, interactive classroom experiences, and field activities provided by community partners, multidisciplinary MSM clinical instructors, and graduate student interns. Results: 77 high school students from metropolitan Atlanta High Schools and rural Columbus, GA have been trained as CHWs in the HSCHW program. Students are ages 15-18 and are rising sophomores to recent high school graduates. All participants (100%) were from economically disadvantaged communities. Sixteen school-based and community-based health improvement projects have been developed and implemented by teams of trained HSCHWs. Additionally, over 300 individuals (family and community members) received monthly health monitoring by trained HSCHWs. Conclusions: Overall, the HSCHW program models the engagement of community partners in translational educational initatives to support community transformation. It can be a giant leap toward improved population health and achieving health equity in underserved communities. It has had a tremendous impact on the youth themselves, their families, and the communities in which they live. In communities with disparate prevalence of chronic disease and unhealthy behaviors, early exposure may mitigate exacerbation or early onset of disease among the participants and their families. High School Community Health Workers are bridges to health equity

Making the Case for Community Health Workers in Georgia

Background: Community Health Workers (CHW) can be an important and evidence-based response to reduce unnecessary morbidity and mortality in chronic diseases like asthma, heart disease, diabetes, cancers, HIV, and maternal/child health, and mental health. Georgia’s urban and rural diverse populations are at high risk from many of these conditions. Largely the outcomes in controlling these health issues are nonmedical and include social determinants of health, i.e., access to care, transportation, inadequate housing, and health literacy. CHWs can increase the capacity of individuals, families, and communities to improve their health. Historically, concerns of CHWs on healthcare teams to address these issues have centered on standardized training, credentialing, and challenges about the unique roles and responsibilities of CHWs. In this article, we discuss the evidence of effectiveness and return on investment as CHW interventions prove to reduce visits to the Emergency Departments and unnecessary hospitalizations from chronic diseases. They serve to connect social and medical resources and ensure patients to not fall through gaps, especially among the vulnerable populations. Methods: We conducted a scan of CHW research studies, projects and programs that demonstrate effectiveness and return on investment. We also review CHW efforts in Georgia, timeline, and stakeholders to formally recognize, advance professionalism, and fully integrate CHWs as essential and sustainable members of the healthcare team. Results: There is significant evidence for the effectiveness of CHWs and the cost-benefit of CHW programs. Georgia has ongoing formal efforts to establish a sustainable and well-trained CHW workforce Conclusions: A well-trained CHW workforce can be an important response to the transformation of Georgia’s community health practice and status, decreasing excess morbidity and mortality, and advancing health equity. Georgia should build on its own considerable experience with CHWs and the evidence of effectiveness to fully integrate CHWs into the healthcare system