Table 29CHW chronic disease management: mental health

Author, Year
Study Design
Population Setting
Sample Size
Intensity of CHW InterventionStudy GroupsResults
Wolff, 1997121
Morse, 1997120


Homeless with serious psychiatric conditions in St. Louis, Missouri

N = 165

HighG1: Assertive community treatment— intensive individualized treatment, responsibility for providing or coordinating all services needed by client, persistent followup and in-person service delivery, performed by staff with backgrounds in psychology, social work, and counseling

G2: G1 plus CHW, whose role was to assist with activities of daily living and be available for leisure activities

G3: Brokered case management
Number of days in stable housing in past month—baseline (SD)/18 months (SD): G1: 6.36 (11.71)/21.75 (12.76)
G2: 4.94 (11.08)/17.54 (14.45)
G3: 7.18 (12.38)/16.00 (14.86) (P < 0.31)

Client satisfaction (validated): G1: 3.27 (0.42)
G2: 3.12 (0.57)
G3: 2.74 (0.68) P < 0.01

Brief Psychiatric Rating Scale Total Symptom Score (validated): G1: 53.54 (15.54)/39.96 (12.25)
G2: 57.97 (20.29)/38.77 (12.23)
G3: 50.6 (14/31)/51.6 (16.7)
P = 0.001

Program contact (days/month): G1: 8.29 (7.51)
G2: 6.95 (4.91)
G3: 0.3 (0.49) P < 0.001

CHW: community health worker; RCT, randomized controlled trial; SD: standard deviation.

From: 3, Results

Cover of Outcomes of Community Health Worker Interventions
Outcomes of Community Health Worker Interventions.
Evidence Reports/Technology Assessments, No. 181.
Viswanathan M, Kraschnewski J, Nishikawa B, et al.

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