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.