The CAHMI partnered to create the EnAct! framework with the five-year Mississippi Thrive! Child Health and Development Project initiative, which was supported by the Health Resources and Services Administration through the State Programs of
Regional and National Significance (SPRANS) program.
The Engagement In Action (EnAct!) Framework aims to promote positive health equity for all children and families and sets forth a pathway to support national, state and local efforts to establish a family and community engaged, whole child
and family, integrated early childhood health system.
Go to the EnAct! Framework Resource Portal
The EnAct! Framework is catalyzed by the CAHMI’s Cycle of Engagement Well Visit Planner Approach to Care for early childhood services. This evidence-based
approach and family-facing online tools facilitate family-engaged care and promotes an integrated health system for children and families through streamlined data sharing across early childhood system partners. The COE WVP approach, in
addition to the Prioritizing Possibilities National Agenda and Payment for Progress Report, helped inspire the development of the EnAct! Framework, and was specifically designed for all states to apply it within their own unique contexts
for the enhancement of child, youth, family, and community services.
Watch a video about the Cycle of Engagement Well Visit Planner Approach to Care
Watch a video about the Well Visit Planner
The CAHMI, in collaboration with AcademyHealth and the Children’s Hospital Association, developed the Payment for Progress model, which aims to improve child and family well-being by investing in personalized and integrated strategies
that address social and emotional determinants of health. The model is designed to incentivize healthcare providers to prioritize prevention and early intervention and highlights several successful examples of the Payment for Progress
approach in action, proving cross-system collaborations and the alignment of financial incentives toward improved outcomes is required for systems transformation.
Read the Payment for Progress Strategic Priorities Report
Dr. Bethell’s We Are The Medicine® framework shaped the collaborative design of the Prioritizing Possibilities
National Agenda to promote child and family well-being, even when trauma and adversity are present. The national agenda sets forth recommendations to advance improvements in children’s health services by addressing the social and
emotional determinants of health and adverse childhood experiences (ACEs).
Watch this We Are The Medicine kick-off video
Read the National Agenda Report
The Child and Adolescent Health Measurement Initiative (CAHMI) staff and consultants developed the Prop 64 Recommendations Roadmap in collaboration with the California Campaign to Counter Childhood Adversity (4 CA) and
a multidisciplinary Advisory Committee of state and national advocates, California community-based organizations, providers and academics.
The Recommendations Roadmap provides a set of recommendations for California state departments to support culturally responsive, racially just, healing-centered and trauma-informed approaches in the spending of certain Prop 64 marijuana tax
initiatives funds. Although developed specifically in the context of California’s Prop 64, these recommendations serve as a starting point for policy-makers, advocates, and community leaders as they consider and advocate for public
policies related to advancing a culturally responsive, racially just, healing-centered and trauma-informed approach in the expenditure of public funding. We encourage stakeholders to utilize and adapt these recommendations for various
audiences and contexts. Moreover, we will continue updating this site with new resources as they develop.
Go to the Prop 64 website
Read the Prop 64 Recommendations Full Report
Watch a presentation on the CA Roadmap hosted by the Alliance for Boys and Men of Color (2021)
The CAHMI’s director, Dr. Christina Bethell, was pleased to partner with the California Surgeon General’s office to develop the Roadmaps to Resilience report, which aims to guide California’s health care providers and communities
in their work to promote a safe, stable, and nurturing relationships and environments for children and families and prevent and heal impacts of Adverse Childhood Experiences (ACEs). The report integrated Dr. Bethell’s leadership
state level data on ACEs and possibilities for flourishing amid adversity.
Read the CA Surgeon General’s Report