Behavioralhealthintegrationeffortsoftenfocusontheformalhealthcareinfrastructure.Weperformeda
non-systematicliteraturereviewandexpertinterviewstoidentifycommunity-basedinterventionsfor
patients withmedicalandbehavioralhealthneeds.CommunityHealthWorkers(CHWs)arethedomi-
nant interventiontosupportpatientsoutsideoftheclinic.Theseinterventionsdonotalwaysoptimally
meet patients’ needs. Organizationsshouldconsiderthechallengesandbenefits ofCHWsforpatients
with medicalandbehavioralhealthneeds.WeoutlinetwochallengestosuccessfulCHWprogramsfor
this population,proposetwodesignconsiderationsforcommunity-basedintegration,andsuggesthow
qualityimprovementmethodsmighthelpwithbothchallenges.