Boundaries of care : community health workers in the United States / Ryan I. Logan.

Format:

Book

Author/Creator:

Logan, Ryan I., author.

Contributor:

Bloomsbury (Firm), publisher.

Series:

Anthropology of well-being.

Anthropology of well-being: Individual, community, society

Language:

English

Subjects (All):

Community health services--United States.

Community health services.

Health promotion--United States.

Health promotion.

United States.

Physical Description:

1 online resource (225 pages)

Distribution:

New York : Bloomsbury Publishing (US), 2025.

Place of Publication:

Lanham, Maryland : Lexington Books, [2022]

Summary:

"In Boundaries of Care, Ryan I. Logan introduces readers to the lived experience of community health workers and how, through outreach and advocacy, these workers intimately shape and improve the well-being of their communities. Boundaries of Care also highlights the nuances of their caregiving, challenges experienced, and ways to advance and support this workforce"-- Provided by publisher.

Contents:

Intro

Cover

Half Title

Series Page

Title Page

Copyright Page

Contents

List of Figures and Tables

Figures

Tables

Preface

Acknowledgments

Introduction

Present Yet Invisible

The Boundaries of (and Barriers to) Care

A Brief Overview of CHWs

The Context of Care: CHWs in Indiana

Framing the Lived Experiences of CHWs in Indiana

The Field Site: Indiana

The Study

Overview of Chapters

Notes

Chapter 1: "There Is Hope Out There": Community Health Workers and the Moral Economy of Care

"The Needs Are Great": Structural Factors Shaping the Moral Economy of Care

Laws and Policies

Atypical as Typical: The Work Life of CHWs

Causes versus Symptoms and "Journeying" with Clients

Religiosity, Compassion, and Understanding

Extending or Softening the Medical Gaze?

"Like an Octopus": CHWs and the Landscape of Resources

Challenges in Navigating the Moral Economy of Care

Access to Resources

Access to Transportation

Structural and Organizational Barriers

Summarizing the Moral Economy of Care

Chapter 2: Connecting with Clients and Engendering Empowerment: Analyzing the CHW-Client Relationship

Compassion, Empathy, and Trustworthiness: Essential Qualities and Factors in Becoming a CHW

Trust, Rapport, and Understanding: Building and Maintaining the CHW-Client Relationship

Building Self-Sufficiency and Engendering Empowerment

A Critique and a Response to Engendering Empowerment

Race and Ethnicity in the CHW-Client Relationship and Engendering Empowerment

Analyzing Race and Ethnic Concordance in the CHW-Client Relationship

The Issue of Gender in the CHW-Client Relationship

Moral Division in the CHW-Client Relationship

Challenges in the CHW-Client Relationship.

Motivating for Change: The Moral Economy of Care and the CHW-Client Relationship

Chapter 3: Present Yet Invisible: Issues of Exclusion and Inclusion in the Professional Workforce

Professional Citizenship

The Trouble with Titles

"The Lack of Knowledge": Issues for CHWs Working within the Biomedical Realm

Professional Citizenship as a Medical Interpreter But Not as a CHW

Challenges in Social Service and Community-Based Organizations

CHWs as Volunteers

Building Professional Citizenship

Opening the Door: Certification as a Means to Provide Legitimacy and Inclusion

Medicaid Reimbursement as a Legitimizing Mechanism

Moving Forward: CHWs as Members of the Multidisciplinary Healthcare Team

Uncloaking the Role of CHWs in the Workforce

Chapter 4: Boundaries of Care: How Caregiving Is Shaped in Community Health Work

Constructing Boundaries of Caregiving and Enacting Challenges via Policy

The Patient Protection and Affordable Care Act of 2010 (ACA)

Challenges in Care: HIPAA, HIP 2.0, and Other Laws

Establishing Boundaries through Scope of Care

Going Outside the Scope of Care

Complications of Funding

Breaking Barriers through Evaluating the Cost-Effectiveness of CHW Programs

The Issue of Remuneration

CHWs and the Framing of Boundaries, Barriers, and Caregiving

Chapter 5: "So That No One Can Belittle Them": Advocacy as Caregiving

Analyzing the "Levels" of CHW Advocacy

Advocacy at the Micro Level

Advocacy at the Macro Level

Advocacy at the Professional Level

Challenges in Advocacy

Advocacy as Caregiving

Chapter 6: "You Cannot Pour from an Empty Cup": Burnout, Compassion Fatigue, and Self-Care

Burnout and Compassion Fatigue

"I've Neglected to Take Care of Myself": Experiences with Burnout and Compassion Fatigue.

Systems of Support to Prevent (or Reduce) Burnout and Compassion Fatigue

"I Can't Take It Home": Strategies of Self-Care among CHWs

Self-Care at Work

The Connection between Self-Care and Caregiving

Challenges in Practicing Self-Care

Staying in or Getting Off the Boat: Tough Love as Promoting Self-Care?

Supporting Self-Care

Steps Forward: Diminishing Burnout and Compassion Fatigue and Institutionalizing Self-Care

Conclusion

Synthesizing Care, Relationships, and Policy within the Moral Economy of Care

Difficulties in Engendering Empowerment and Self-Sufficiency in the Moral Economy of Care

Considerations for Policy Development and CHW Leadership

Enhancing Professional Citizenship: Certification, Medicaid Reimbursement, Terminology, and Ramifications

Establishing Healthy Boundaries: Laws, Policies, Scope of Care, and Funding

Recognizing and Preserving Advocacy as Caregiving

Combating Burnout and Compassion Fatigue and Promoting Self-Care

Envisioning the Future of the CHW Model in Indiana and the United States

Dilemmas and Unanswered Questions

Future Research Directions

"People Need to Be Seen": A Final Word

References

Index

About the Author.

Notes:

Includes bibliographical references and index.

ISBN:

1-66698-549-X

1-7936-2947-1

OCLC:

1286674206