Impact studies examine the impact of a novel system alignment strategy on relevant measures of health and well-being for affected populations. These studies build on pilot studies confirming the feasibility and acceptability of the systems alignment strategy and use rigorous research methods to...

This study, funded as part of the Robert Wood Johnson Foundation’s Systems for Action research program, evaluates the feasibility of a modified Church-based home visiting program that aims to align health and social services for households with young children and dismantle forms of structural racism faced by these households. The program to be modified and tested is delivered by Shiloh Baptist Church in Trenton New Jersey, a predominantly Black congregation, with the goal of reducing adverse childhood experiences (ACES) and promoting positive childhood experiences within historically marginalized families and communities.

Lack of coordination of health and community services with individual agencies working in isolation leads to wasted resources and poor outcomes for the most vulnerable in our nation’s neighborhoods. One method of addressing this lack of coordination is by adopting a place-based system integration...

The prolonged activation of stress response systems among children responding to adversity such as homelessness, hunger, or neglect, is a predictor of poor health and continued poverty among low-income families. To study the health and economic impacts and systems implications of integrated services...

Members of the homeless population bear greater risk than other populations for many preventable diseases but are less likely to access healthcare systems. These individuals need to be engaged by multiple systems to access services and support related not only to stable housing but also to reliable...

This study, funded as part of the Robert Wood Johnson Foundation’s Systems for Action research program, assesses the effectiveness of Continuum of Care homeless service networks (CoCs) in addressing health and social service needs created by the COVID-19 pandemic for populations experiencing...

Fragmentation and lack of coordination between health care delivery, public health, and community service systems represent a significant barrier to improving health, well-being, and equity. Drawing from health care, public health, social work, criminology, health economics, and biomedical...