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An Aligned Delivery and Financing Model to Address Food Insecurity and Social Needs of Low-Income Pregnant Women

This study evaluates the effectiveness of an aligned service delivery and financing model designed to improve maternal and infant health by helping Medicaid-eligible persons receive access to healthy foods during pregnancy. The Nourishing Tomorrow (formerly Nourishing Beginnings) program uses integrated data, screening and referral systems combined with community health worker support to link people in need with healthy food delivery from a local food bank or with direct cash assistance for food purchases.

Achieving Reach in Youth Behavioral Health and Wellness through Catchment-Area Community Governance

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.

Pilot Studies

Developmental studies support exploratory, pilot studies of a novel systems alignment approach. Developmental studies are awarded to researchers who have not previously completed a pilot study to examine the feasibility of implementing the approach and the feasibility of related research strategies...

Colibri Child Wellness Program Early Childhood Systems Alignment Initiative

This study, funded as part of the Robert Wood Johnson Foundation’s Systems for Action research program, 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.

The ASSET Study: Aligning Systems for Safety and EquiTy

This study, funded as part of the Robert Wood Johnson Foundation’s Systems for Action research program, 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.

Mandela Yoga Project

Mandela Yoga Project, based in Cambridge, MA, offers an evidence-based group practice of mindful movement paired with breathing as an integrative health intervention to treat the racially traumatized nervous systems of people of color. Mandela Yoga is peer-led, which allows participants of color to...

Open Doors for Multicultural Families

Open Doors for Multicultural Families (ODMF) serves multicultural individuals with developmental and intellectual disabilities and their families in King and Pierce counties in the Seattle, WA region. Families they serve often struggle to navigate a broad network of services, opportunities and...

Community Action Hub

Community Action Hub (CAH) at the Institute for Community Health (ICH) serves the greater Boston area. This group of current and formerly homeless people have identified their systems alignment challenge as becoming effective leaders and partners at all levels of the region’s effort to end...

Systems Alignment Innovation Hub Studies

Each project supported with grant funds from the Systems Alignment Innovation Hub (SAIH) will examine an innovative systems alignment approach that engages partners from the medical, public health, and social services sectors in collaborative efforts to dismantle structural and systemic racism and...

Phoebe Downer