This study will assess the feasibility of implementing a community co-designed initiative that integrates health, social, public safety, and justice services under a single local government umbrella agency. The initiative focuses on improving the health, safety, and wellbeing of communities harmed by systemic racism and to reduce involvement in the criminal legal system.

This study will assess the feasibility, acceptability and potential impact of participatory budgeting (PB) as a mode of civic engagement to improve health outcomes and advance equity for racially and ethnically marginalized communities, using “The People’s Money” initiative as the first city-wide test of a participatory budgeting intervention for New York City. The intervention allows community residents to decide how to spend allocated Mayoral funds on projects to address prioritized needs within communities.

This study will assess the feasibility and acceptability of an intervention designed to align medical, public health, and social service systems to support integrated, culturally responsive early childhood care for Latino and farmworker families residing in California’s northern coast in order to prevent and manage early childhood developmental delays and disabilities. The intervention is designed to disrupt systemic racism in early childhood systems that limits access to care for minority communities—including language inaccessibility, fragmented referrals, disinvestment in clinical infrastructure, and institutional distrust—by redesigning access points around trusted community infrastructure.

This study will pilot test a school-embedded Point-of-Service (POS) coordination system designed to align medical care, public health, and social service systems for children and families in the historically Black Homewood neighborhood of Pittsburgh. The intervention seeks to dismantle systemic racism that manifests as fragmented systems with administrative burdens that routinely delay or deny care for Black families.

This study pilot tests a novel community-embedded, technology-supported overdose response intervention that aligns medical care, public health, and social service systems to improve outcomes for persons following the experience of an overdose among people living in the Skid Row area of Los Angeles, CA. The intervention proposes to dismantle the structural racism that channels marginalized communities into overburdened low-resource medical systems with limited capacity to address underlying health and social needs, and that excludes these communities from having a voice in how these systems operate.

Building off of the Aligning Delivery and Financing Systems to Prevent Adverse Child Experiences in St. Louis study, Washington University in St. Louis will study the impact of systemic racism on child mental healthcare and mental health equity. African-American families are disproportionately affected by barriers to preventative services leading to worsening socio-emotional, mental health, and physical health outcomes. This is especially true in St. Louis, Missouri, where a profound history of oppression, systemic racism, and mistrust have exacerbated mental health challenges.

This study tests a holistic admissions approach in health sciences education at Salt Lake Community College and its impact on the BIPOC healthcare workforce. Higher education admissions have always been fraught with systematic racism, given the equity gaps existing within the standardized tests relied upon in the process. The holistic admissions model involves including representatives from the medical system in the admissions interviews and taking into account a students lived experiences with adversity.

This study assesses effective strategies to eliminate disparities in access to COVID-19 vaccination by race and ethnicity by building on an existing nationwide initiative of the Aging and Disability Vaccination Collaborative (ADVC). The ADVC, administered by USAging with funding from the U.S. Administration for Community Living, supports community-based organizations (CBOs) to facilitate seasonal vaccinations by aligning social services, public health and health care.

This study will explore opportunities to strengthen a systems alignment approach to the refugee resettlement process in Virginia. Structural barriers in housing, healthcare, employment, and education can impede the effectiveness of resettlement and integration efforts. The current consultation process to coordinate refugee arrival and resettlement inadequately addresses these barriers while also failing to meaningfully include representatives from the medical, social, public health, and community sectors.

This study, funded as part of the Robert Wood Johnson Foundation’s Systems for Action research program, evaluates the feasibility of the Youth Wellness Hub as a hyper-local community governance model for integrating delivery and financing systems for youth behavioral health and wellness services. The Youth Wellness Hub combines three social policy tools that are separately promising or well-supported in the research literature: community governance; public health education campaigns; and service network coordination through fiscal blending.