Developing a stackable CHW certification curriculum with an emphasis on mental health as part of an integrated care model

The South Texas Integrated Team Collaborative for Health (STITCH) members adapted an existing Community Health Worker/Promotora (CHW/P) certification curriculum to incorporate an increased emphasis on evidence-based, community-driven mental and behavioral health content. The resulting curriculum will be certified by the Texas Department of State Health Services CHW/Promotora Training and Certification Program for use across the state. Additionally, STITCH members are developing continuing education trainings related to mental health through the local community college, creating a ‘stackable’ education ladder and career path for CHW/Ps.

By training new CHW/Ps to identify mental health needs in their communities, extend mental health services into colonias (unincorporated neighborhoods without access to city infrastructure and services), and coordinate mental health services for underserved residents, the STITCH program uses culturally competent and community-based strategies to address mental health needs in South Texas. Access to mental health services is an unmet need in Texas’ Lower Rio Grande Valley, where many of the region’s predominately Hispanic residents are underinsured or uninsured; living below the Federal Poverty Level; and experience access barriers to healthcare. The STITCH program strengthens the regional CHW/P workforce, by increasing the number of trained CHW/Ps, offering sequential training ladders, and developing a model of true inter-professional collaboration. CHW/Ps work closely with nurses, physicians, PharmDs, social workers, behavioral scientists, nutritionists, and health professionals to provide integrated primary care and deliver mental health services, strengthening the capacity of individual CHWs and the healthcare team to improve community health outcomes. 

Notes: Presenter is a CHW/P instructor; CHW/Ps are contributing authors.