Community-based care encompasses a wide variety of services designed to meet an individual’s needs within their local community. ANR’s community health workers serve as a liaison between behavioral and physical health, social services, and the community to improve access and coordination of resources. Community health workers build individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, social supports, and advocacy.
Our community health workers support people with a diversity of needs to:
Improve health outcomes.
Help individuals to navigate the health and human services system.
Live healthier lives.
Build social and community supports.
Reduce disparities.
Find and access resources for everyday needs.
Engage in culturally appropriate health education and information.
Advocate for self and community needs.
How the Program Works:
Individuals referred to the CBCM program will be assigned to a community health worker. The community health worker partners with the local community and individual to:
Bridge the gap between communities and the health and social service systems
Enhance care by aiding communication between providers and individuals
Navigate the health and human services system
Make referrals and coordinate services
Teach people the knowledge and skills needed to obtain care
Facilitate continuity of care by providing follow-up
Link individuals to and inform them of available community resources
Advocate for individual and community needs
Articulate and advocate needs of community and individuals to others
Involve participants in self and community advocacy
Provide direct services
Conduct health and social needs screenings
Educate individuals on prevention strategies
Build individual and community capacity
Build individual capacity to achieve wellness
Build community capacity by addressing social determinants of health
Identify individual and community needs