What are common signs of mental health concerns that CHWs should be aware of?

• A. Persistent sadness, anxiety, changes in sleep/appetite, withdrawal, hopelessness; CHWs do not diagnose and should refer when needed.
• B. Excessive social activity.
• C. No changes in behavior.
• D. Only physical symptoms.

Answer: (A)

Recognizing emotional and behavioral changes is what signals possible mental health concerns. Persistent sadness, ongoing anxiety, changes in sleep or appetite, withdrawal from friends or activities, and feelings of hopelessness are classic signs that someone may be struggling and could benefit from support. These symptoms reflect mood and anxiety shifts that can disrupt daily functioning. As a CHW, you don’t diagnose; your role is to notice these changes, listen with empathy, and help connect the person to appropriate care. If you observe these signs, approach the person in a nonjudgmental way, ask about how long the symptoms have been present, and encourage seeking help from a clinician, counselor, or local mental health resources. If there is any risk of self-harm or harm to others, follow safety protocols and involve a supervisor or emergency services as needed. Document what you observe and offer to assist with making an appointment or navigating resources. The other options don’t capture the typical pattern, since excessive social activity, no changes in behavior, or only physical symptoms don’t reflect the common emotional and behavioral signs CHWs look for.