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.

This study tests the effectiveness of a global all-payer payment model combined with multi-sector community health teams in improving health and social outcomes for Vermont residents. The Vermont Blueprint for Health initiative is among the most ambitious statewide health financing reforms now...

This study tests an innovative model for preventing child maltreatment and adverse child experiences (ACEs) by aligning health and social services for vulnerable families in St. Louis. The Parents and Children Together - St. Louis (PACT-STL) initiative braids together services and funding streams...

This study will explore opportunities to strengthen a systems alignment approach to the refugee resettlement process in Virginia. This process is overrun with systemic racism as barriers to housing, healthcare, employment, and education negatively impact refugee health and well-being. The current...

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...