Behavioral health integration efforts often focus on the formal health care infrastructure.We performed a non-systematic literature review and expert interviews to identify community-based interventions for
patients with medical and behavioral health needs.Community Health Workers(CHWs)are the
dominant intervention to support patients outside of the clinic.These interventions do not always optimally
meet patients’ needs. Organizations should consider the challenges and benefits of CHWs for patients
with medical and behavioral health needs.We outline two challenges to successful CHW programs for
this population,propose two design considerations for community-based integration,and suggest how
quality improvement methods might help with both challenges