Community Trust, Chronic Disease, and Mental Health

Community Trust, Chronic Disease, and Mental Health: Key Takeaways from HHCGA’s Policy Discussion at GMA Savannah

Elevating Local Health Solutions Through Collaboration

Shirley “Bella” Borghi, Executive Director and Vice Chair of the Hispanic Health Coalition of Georgia (HHCGA), joined public health leaders at the Georgia Municipal Association (GMA) event in Savannah to explore how city leaders can transform public health outcomes through policy, community engagement, and trust-building. The conversation brought together stakeholders from municipalities, research institutions, and healthcare networks to discuss real-world approaches to chronic disease, mental health, and underserved community needs.

A Voice for Underserved Communities

Borghi opened the session by highlighting HHCGA’s 37-year history serving Georgia’s Hispanic/Latino populations. From its origins at Mercy Care to its national leadership role during the COVID-19 pandemic, the coalition has consistently focused on prevention, chronic disease management, and emergency health response.

She also introduced the Georgia CEAL (Community Engagement Alliance) team—one of 10 national teams formed by NIH and HHS during the pandemic. Co-chaired by Borghi, the Georgia CEAL team was recognized by the White House for its rapid-response model and emphasis on public trust and multilingual outreach.

“We built the engine while rolling down the runway,” said Borghi, referencing the urgency and innovation required during the pandemic.

Local Policy as a Driver of Statewide Change

Borghi emphasized that municipalities are uniquely positioned to influence state health policy. She specifically cited the need for statewide certification for community health workers (CHWs) and promotores—roles essential to frontline outreach. Georgia remains one of the few states lacking such certification, which limits sustainable support for these trusted messengers.

“Municipalities are great influencers to the Dome,” she noted, referring to the Georgia Capitol. “They can push for the changes that impact the most underserved.”

Why Mental Health Must Come First

Both Borghi and Dr. Katrina Brantley (Georgia CEAL Director, Morehouse School of Medicine) called for a unified, local-first approach to mental health as a public health priority. From maternal mortality to chronic illnesses like diabetes and cardiovascular disease, mental health intersects with every outcome. Addressing stigma, access, and culturally competent care is foundational.

If she had a magic wand, Borghi said, she’d use it to implement a mental health initiative in every city and county. Dr. Brantley echoed the need for a statewide patient navigator and promotor(a) system to guide community members to the right services—especially for those overwhelmed by fragmented or hard-to-find programs.

Building and Sustaining Trust

A recurring theme in the session was community trust—how to earn it, sustain it, and avoid repeating past harms. Borghi pointed to historical injustices like Tuskegee and Puerto Rico’s sterilization practices, urging attendees to consider how these legacies affect current perceptions of healthcare and research.

“Trust is earned,” she stated. “And it’s lost when people don’t see meaningful change.”

Programs like Georgia CEAL are designed to repair trust through representation, consistency, and localized outreach. All team members are vetted community messengers who live and work in the areas they serve.

Public Health Metrics: Making the Invisible Visible

In response to a question on metrics, Borghi emphasized the importance of sustainability and authorship. Success isn’t just about programs—it’s about enduring systems shaped by community voice. She encouraged municipalities to co-author white papers, toolkits, and reports with community partners so that policymaking reflects lived realities.

A Unified Call to Action

The conversation concluded with an invitation to every city and county to:

  • Advocate for CHW/promotor(a) certification in Georgia.

  • Prioritize mental health initiatives that reduce stigma and build local resilience.

  • Leverage trusted messengers to reach underserved populations.

  • Co-author solutions with research institutions and CBOs.

  • Expand access to culturally competent care and resource navigation.

The GMA discussion made one thing clear: Georgia’s public health future will be decided at the local level—and trusted community leaders like Shirley Bella Borghi are helping lead the way.

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