In Blog: Factually Speaking, Health Care

Community health workers may not be a term everyone is familiar with, but community health workers contribute valuable support to many across the country and our state. In fact, when I hear “community health worker,” the first words that come to mind are outreach and social support. If pressed to go on, I’d add that community health workers are:

  • Advocates
  • Health educators
  • Enrollment assisters 
  • Referral providers

Simply, community health workers (CHWs) are peers who help their clients navigate the often complex systems of healthcare and human services.

The term CHW can include many other job titles, such as peer support specialist, health navigator and community-based doula. Titles may depend upon the specific populations served or the CHW’s primary responsibilities, but what all community health workers share is that they meet their clients where they are, often at home or in the community at resource sites such as food banks, local health departments, human services/job centers and health clinics.

Community health workers are frequently employed to reach those with limited or no connection to healthcare, such as those living in rural settings, and to offer greater support to those living with a chronic health condition, such as high blood pressure, substance use disorder, diabetes or asthma. CHWs are experts in establishing trust and authentic relationships with their clients in part because they often are fellow members of the community they serve. 

Community health workers are frequently helpful liaisons between medical providers and clients. CHWs, particularly those working as members of clinical care teams, facilitate communication with medical staff and ensure supportive follow-up with their clients. 

CHWs also provide information on available community resources, such as food and utility assistance programs, in order to address the non-clinical factors that contribute to or impede health. Thus, community health workers help to make care more holistic and remedy the time constraints that are so common among medical providers.

Moreover, community health workers are uniquely positioned to not only be advocates for their individual clients, but community advocates by understanding, taking inventory of, and elevating what they see as persistent community health needs. This informal data collection adds incredible value to efforts aimed at alleviating structural barriers to health and well-being.

MeridianHealth—one of several Medicaid-managed care organizations in Michigan—was recently recognized for its use of community health workers to support maternal and family health. The state’s final 2022 budget included new boilerplate language requiring the Michigan Department of Health and Human Services to consult with the federal government on ways to achieve Medicaid-funded community health workers in Michigan. And just last month, Gov. Whitmer proposed the MI Healthy Communities plan, which would support a navigator program of community health workers connecting Michiganders affected by COVID-19 to the care they need. 

It’s encouraging to see various leaders recognizing the value of CHW services and acknowledging calls for more integrative care in our state.

For more information and links to resources about community health workers and their impacts, please visit mlpp.org/community-health-workers.

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