Community Health Workers and Social Proximity: Implementation of a Parenting Program in Urban Poverty.

Autor: Gustafson EL; Department of Psychiatry, Institute for Juvenile Research, University of Illinois at Chicago, Chicago, IL, USA., Atkins M; Department of Psychiatry, Institute for Juvenile Research, University of Illinois at Chicago, Chicago, IL, USA., Rusch D; Department of Psychiatry, Institute for Juvenile Research, University of Illinois at Chicago, Chicago, IL, USA.
Jazyk: angličtina
Zdroj: American journal of community psychology [Am J Community Psychol] 2018 Dec; Vol. 62 (3-4), pp. 449-463. Date of Electronic Publication: 2018 Sep 17.
DOI: 10.1002/ajcp.12274
Abstrakt: Community health workers (CHWs) offer a potential means through which to mitigate many of the barriers to mental health services faced by minority youth and their families. The primary aim of the present study was to better understand a core feature of CHWs: their shared community membership with the population served, or social proximity. We conducted qualitative semi-structured interviews with 16 CHWs implementing a school-based early intervention program in Latino and African American communities of urban poverty. The program promoted child and parent/caregiver engagement in schooling as a protective factor for children's mental health. Thematic analyses revealed three main themes defining social proximity: (a) experiences of parenthood or caring for children, (b) familiarity with and understanding of culture, and (c) experiences of life hardships and struggles. Additionally, the process of relating with parents/caregivers through shared experiences was the main theme to describe how CHWs leveraged their social proximity. CHWs' accounts illustrated how their experience of social proximity to the population served was central to how they engaged parents/caregivers in services, highlighting the importance of supporting and promoting CHWs' natural traits and lived experiences.
(© 2018 Society for Community Research and Action.)
Databáze: MEDLINE
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