Resources Featured | Streamline Spring/Summer 2025

Benefits of CHW Education using Learning Collaboratives: Diabetes ECHO as a Model

Resource:

• MCN's four-session series on Type 2 diabetes: https://www.migrantclinician.org/es/webinar/el-papel-de-los-promotores-de-salud-en-la-educacion-y-el-automanejo-de-la-diabetes
   

References: 

• Pinto D, Carroll-Scott A, Christmas T, Heidig M, Turchi R. Community health workers: improving population health through integration into healthcare systems. Curr Opin Pediatr. 2020;32(5):674-682. doi:10.1097/MOP.0000000000000940

• McCarville E, Martin MA, Pratap P, Pinsker E, Seweryn SM, Peters KE. Understanding critical factors associated with integration of community health workers into health and hospital systems. J Interprof Care. 2024;38(3):507-516. doi:10.1080/13561820.2023.2183183

• Olson RM, Nolan CP, Limaye N, Osei M, Palazuelos D. National Prevalence of Diabetes and Barriers to Care Among U.S. Farmworkers and Association With Migrant Worker Status. Diabetes Care. 2023;46(12):2188-2192. doi:10.2337/dc23-0960

Salud en tu plato: Addressing Chronic Disease through An Intensive Diet Intervention 

Resources:

• Eat for the Earth hosts an annual conference, Food as Medicine, in October 2025 in Santa Cruz, California. CMEs are available. www.foodasmedicinesantacruz.org.
• Viva Longevity! interviewed participants and followed Hummel while she counselled participants when they received their results after two weeks. Watch the video at: https://youtu.be/XJBtRwUD3a4?si=UpqVrES_-Dx2LMs1
• Salud Para Hoy, Hummel’s website, offers free recipes and videos, information, as well as her books for purchase, in Spanish. www.saludparahoy.com
   

References: 

• Barnard ND, Cohen J, Jenkins DJ, et al. A low-fat vegan diet improves glycemic control and cardiovascular risk factors in a randomized clinical trial in individuals with type 2 diabetes. Diabetes Care. 2006 Aug;29(8):1777–83. doi: 10.2337/dc06-0606. 
• Ornish D, Brown SE, Scherwitz LW, Billings JH, Armstrong WT, Ports TA, McLanahan SM, Kirkeeide RL, Brand RJ, Gould KL. Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial. Lancet. 1990 Jul 21;336(8708):129-33. doi: 10.1016/0140-6736(90)91656-u. PMID: 1973470.
• Preventative Medicine Research Institute. Website. Available at: https://pmri.org/
• https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=N&NCAId=240&NcaName=Intensive+Cardiac+Rehabilitation+%28ICR%29+Program+-+Dr.+Ornish

Depression among Migratory and Seasonal Agricultural Workers: Does Pesticide Exposure Contribute? 

Resources:

• MCN’s recent three-part webinar series on How to Prevent Pesticide Poisoning in Farmworkers is archived on our website in English and Spanish. https://www.migrantclinician.org/webinar/diagnosis-and-management-pesticide-related-illness-how-prevent-pesticide-poisoning 
• MCN’s Environmental and Occupational Health screening questions for primary care, in English and Spanish, can assist: https://www.migrantclinician.org/toolsource/resource/eoh-screening-questions-primary-care.html  
• MCN’s low-literacy comic books in Spanish are designed with MSAWs in mind. These comic books address key concerns in MSAW communities, including exposure in women of reproductive age, exposure among children, and pesticides and respiratory health. https://www.migrantclinician.org/pesticide-comic-books.html 
• Recognition and Management of Pesticide Poisonings 6th Edition is EPA’s essential clinical reference for recognizing and managing pesticide overexposures. https://www.epa.gov/pesticide-worker-safety/recognition-and-management-pesticide-poisonings  
• NIWAP’s Patient Health Questionnaire PHQ-9 in Spanish: https://niwaplibrary.wcl.american.edu/wp-content/uploads/2015/pdf/TRAUM-Temp-PHQ9QuestionnaireSpanish.pdf 
• Mental Health America’s Life with Depression Fact Sheet in Spanish
  https://mhanational.org/es/resources/life-depression/ 
• Mental Health America’s resource center in Spanish
  https://mhanational.org/resources/recursos/ 
   

References: 

• Chand SP, Arif H. Depression. In: StatPearls. Treasure Island (FL): StatPearls Publishing; July 17, 2023. https://www.ncbi.nlm.nih.gov/books/NBK430847/

• Ramos AK, Su D, Lander L, Rivera R. Stress Factors Contributing to Depression Among Latino Migrant Farmworkers in Nebraska. J Immigr Minor Health. 2015;17(6):1627-1634. doi:10.1007/s10903-015-0201-5

• Hagen BNM, Winder CB, Wootten J, McMullen CK, Jones-Bitton A. A Systematic Review and Meta-Analysis of Depression among Farming Populations Worldwide. Int J Environ Res Public Health. 2020;17(24):9376. Published 2020 Dec 15. doi:10.3390/ijerph17249376

• Brody DJ, Hughes JP. Depression prevalence in adolescents and adults: United States, August 2021–August 2023. 2025 Apr; (527)1–11. DOI: https://dx.doi.org/10.15620/cdc/174579

• Kwapong YA, Boakye E, Khan SS, et al. Association of Depression and Poor Mental Health With Cardiovascular Disease and Suboptimal Cardiovascular Health Among Young Adults in the United States. J Am Heart Assoc. 2023;12(3):e028332. doi:10.1161/JAHA.122.028332

• Yin J, John A, Cadar D. Bidirectional Associations of Depressive Symptoms and Cognitive Function Over Time. JAMA Netw Open. 2024;7(6):e2416305. Published 2024 Jun 3. doi:10.1001/jamanetworkopen.2024.16305

• Pietrangelo A. The Effects of Depression on Your Body. Healthline. Updated 5 July 2025. https://www.healthline.com/health/depression/effects-on-body 

• Proctor C, Hopkins N. Stressors and Coping Strategies in Rural Farmers: A Qualitative Study. J Agromedicine. 2023 Jul;28(3):415-424. doi: 10.1080/1059924X.2023.2173691. Epub 2023 Feb 6. PMID: 36702813.

• Frengidou E, Galanis P, Malesios C. Pesticide Exposure or Pesticide Poisoning and the Risk of Depression in Agricultural Populations: A Systematic Review and Meta-Analysis. J Agromedicine. 2024;29(1):91-105. doi:10.1080/1059924X.2023.2278801

• Zanchi MM, Marins K, Zamoner A. Could pesticide exposure be implicated in the high incidence rates of depression, anxiety and suicide in farmers? A systematic review. Environ Pollut. 2023;331(Pt 2):121888. doi:10.1016/j.envpol.2023.121888

• Zanchi, M. M., Marafon, F., Marins, K., Bagatini, M. D., & Zamoner, A. (2024). Redox imbalance and inflammation: A link to depression risk in brazilian pesticide-exposed farmers. Toxicology, 501, 153706. https://doi.org/10.1016/j.tox.2023.153706

• How to Prevent Pesticide Poisoning in Farmworkers. Migrant Clinicians Network. Archived webinar, 1 October 2024. Available at: https://www.migrantclinician.org/webinar/diagnosis-and-management-pesticide-related-illness-how-prevent-pesticide-poisoning

• Thompson R, Lawrance EL, Roberts LF, et al. Ambient temperature and mental health: a systematic review and meta-analysis [published correction appears in Lancet Planet Health. 2023 Sep;7(9):e735. doi: 10.1016/S2542-5196(23)00172-9.]. Lancet Planet Health. 2023;7(7):e580-e589. doi:10.1016/S2542-5196(23)00104-3 

• Riethmuller ML, Newnham EA, McEvoy PM. Supporting mental health in farming communities where and when it is needed most: A longitudinal analysis of risk and protective factors. Soc Sci Med. 2024;361:117381. doi:10.1016/j.socscimed.2024.117381

ACEs Aware: Reducing Adverse Childhood Experiences in California

References: 

• Centers for Disease Control and Prevention. About Adverse Childhood Experiences. 8 October 2024. Accessed 2 June 2025. Available at: https://www.cdc.gov/aces/about/index.html
• ACEs Aware. ACEs Aware Progress Report: 2019-2023. Accessed 2 June 2025. Available at: https://www.acesaware.org/progress-report-2023/
• ACEs Aware. Medi-Cal Certification and Payment. Accessed 3 June 2025. Available at: https://www.acesaware.org/wp-content/uploads/2020/05/Provider-Toolkit-Medi-Cal-Certification-and-Payment.pdf

Community Members’ Needs at the Core of Health Center Partnerships

References: 

• Cheon O, You NY. Effectiveness of Hospital-Community Partnerships in Preventive Health Care Interventions: An Exploration of Racial and Ethnic Disparities in Impact. Health Equity. 2025;9(1):8-17. Published 2025 Jan 8. doi:10.1089/heq.2023.0259 
• “Who Are Community Health Workers?” MHP Salud. https://mhpsalud.org/our-programs/community-health-workers/ 
• Bhowmick A, van der Zande MM, Harris R. Knowledge-seeking and knowledge sharing of health services across social networks and communities: a scoping review. BMC Health Serv Res. 2025;25(1):443. Published 2025 Mar 27. doi:10.1186/s12913-025-12525-y 
• Estrada-Darley I, Alvarado G et. al. Addressing Adverse Childhood Experiences in Clinics Serving California Farmworker Communities: NACES Pilot Project Evaluation. RAND. 31 July 2024. Available at: https:/www.rand.org/pubs/research_reports/RRA2152-2
• NACES Pilot Project Report. Migrant Clinicians Network. May 2024. Available at: https://www.migrantclinician.org/resource/naces-no-more-adverse-childhood-experiences-pilot-project-report.html?language=en 

Community Members’ Needs at the Core of Health Center Partnerships

Resources: 

• Learn more about Health Network at our Health Network webpage: https://www.migrantclinician.org/our-work/health-network.html 
• MCN regularly hosts webinars for clinicians to learn how to enroll patients in Health Network. Watch our upcoming webinars page for the next one: https://www.migrantclinician.org/webinars/upcoming

Farmworker Health Network (FHN): Resources, Technical Assistance, and Education for Health Centers

Resources: 

• MCN supports strong clinical networks to better serve its patients like MSAWs by assisting health centers in identifying the factors that contribute to health and well-being. MCN offers ongoing training and technical assistance including ongoing webinars and communities of learning, many of which offer CME/CNE. www.migrantclinician.org  
• Farmworker Justice offers programs for MSAWs, MSAW-serving partners, and health centers. Recent programs focus on heat safety, access to health care, skin cancer screening, wildfire smoke, disaster relief, digital literacy, and more. www.farmworkerjustice.org 
• Health Outreach Partners provides customized consultation, trainings, workshops, and webinars on focus areas like community collaborations, community health needs assessments, facilitated program planning and evaluation, organizational assessment and development, and more. www.outreach-partners.org 
• MHP Salud’s health center support focuses on building the capacity of organizations looking to start or improve upon their own Community Health Worker programs, offering in-person, virtual, and asynchronous learning options. https://mhpsalud.org/our-programs/management-based-objective/training/ 
• National Association of Community Health Centers offers online trainings for health centers including clinical workforce support, financial management, health center governance, operations and human resources, and more. https://www.nachc.org/training-events/training-for-health-center-professionals/ 
• National Center for Farmworker Health offers a health center toolbox; health education resources with information hubs on infectious disease, diabetes, mental health, and more; and consultation and technical assistance. www.ncfh.org 

Next Steps: Our Virtual Resource Page, and a Request for Feedback

Visit MCN’s Streamline webpage to access all of the resources and references mentioned in this issue by visiting https://migrantclinician.org/streamline. 

We invite you to tell us your thoughts on Streamline. What would you like to see in future issues? What MCN resources do you use the most in your health center? Email edu@migrantclinician.org or call: 512-579-4533. Thank you!