Community Health Workers (CHW) are part of an emerging workforce in the field of mental health, but few studieshave examined their training, supervision, and service delivery needs in the United States. Individual semi-structuredinterviews were conducted with CHWs (n=9) and their administrators (n=6) affiliated with a medical center and schooldistricts in Southern California. Guiding questions focused on CHW roles, work-related stress, clinical decision making,and professional development. Findings pointed to high rates of stress, primarily attributed to role ambiguity, and need(and desire) for more training and supervision related to mental health interventions, and more systematic structures fordata-informed decision-making. Discussion provides reflections and recommendations to the field about ways to supportthis growing and critical workforce.