In Boundaries of Care, Ryan I. Logan details the lived experience of community health workers (CHWs) – a present yet often invisible facet of the healthcare workforce. These workers participate in nonclinical services to enhance the health and well-being of their communities outside the walls of the clinic and social service agencies. Logan examines the boundaries of and barriers to care present in the experiences of CHWs, their relationships with clients, issues of professionalization, impacts of burnout and self-care, and the critical impacts of CHW advocacy. Told through first-hand accounts and interwoven with theory, Logan presents the key challenges facing this workforce and their potential to foster even greater well-being within their communities. The findings and recommendations from participants found within Boundaries of Care can inform and shape CHW programs both in the United States and abroad.
Ryan I. Logan is assistant professor of anthropology at California State University, Stanislaus.
Introduction: Reaching Them Where They’re At
Chapter One: “There Is Hope Out There”: Community Health Workers & The Moral Economy of Care
Chapter Two: Connecting with Clients & Engendering Empowerment: Analyzing the CHW-Client Relationship
Chapter Three: Present Yet Invisible: Issues of Exclusion and Inclusion in the Professional Workforce
Chapter Four: Boundaries of Care: How Caregiving Is Shaped in Community Health Work
Chapter Five: “So That No One Can Belittle Them”: Advocacy as Caregiving
Chapter Six: “You Cannot Pour from an Empty Cup”: Burnout, Compassion Fatigue, and Self-Care
Ryan Logan has made a profound contribution to the CHW literature. This book will be a valuable read both for leaders on the front lines of workforce development, research and policy change, and for the many folks who are still somehow unaware of the true nature of this amazing profession. After 25 years working with and for CHWs, I personally am still peeling back layers of the onion, and constantly rewarded by my interaction with CHWs, and it’s clear to me that Ryan is captivated by the same process.