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Description:The Community Health Worker (CHW) program is a structural intervention that builds capacity of Ryan White HIV/AIDS Programs (RWHAP) to implement a CHW program in their HIV care settings and work toward integrating CHWs into their multidisciplinary HIV clinical care team. The program is part of a Health Services Resources Administration (HRSA) initiative conducted in RWHAP locations across the United States. To support CHW implementation, organizations receive training, technical assistance, and coaching while participating in collaborative learning sessions. The CHW program at each site is guided by the training curriculum and implementation guide tailored to HIV care and services based on the core constructs and common roles of CHWs from the Community Health Worker Core Consensus (C3) project. CHWs perform a variety of tasks depending on client needs, such as home visits, health education, treatment support, and provision of referrals to support services and assistance with transportation. CHW training consists of standard curricula that includes 16 hours of HIV core competency training on topics such as: education around the viral life cycle, treatment adherence support, addressing stigma and disclosure, harm reduction, and motivational interviewing techniques; and up to 64 hours of CHW core competency training related to working as part of a multidisciplinary team, professional roles and boundaries, communication skills, outreach, and navigation activities. Activities with clients include coaching, giving emotional support, making appointment referrals, accompanying clients to appointments, offering concrete services such as phones or bus passes, providing health care appointment reminders, arranging health care transportation, and updating care plans and medical records. Sites could tailor their approach to HIV services, specific activities, and integration strategies in ways that worked for their individual organization, within the framework of CHW Roles from the C3 Project.
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