WE Achieve Real Change

We help people apply new ways of thinking and acting to achieve meaningful change in the lives of people and communities affected by inequities.  We accompany teams to design and implement complex system change.  Some example initiatives are described below.

Mental health and addictions in Delaware

We are working with the state of Delaware to design and implement a population health strategy to prevent, support and heal a state experiencing an epidemic of mental health and addictions through prevention, more connected care delivery, social needs support, policy change, information technology connection and the development of prepared, resilient, thriving communities.


This system transformation effort engages schools, foster care, police, juvenile, and adult corrections, public health, Medicaid, all hospitals, all addictions providers, social services, community-based organizations and people with lived experience of mental health and addictions as core transformation partners.


Building a strategic approach to health equity in Texas

We are supporting Methodist Healthcare Ministries to develop a strategic plan to address health equity in 74 counties in south Texas.   This includes interrupting cycles of generational poverty and health inequities by creating the conditions for people, communities and regions to thrive through direct care, investment in families and communities, cross-sector collaboration and policy change.

Partnering for population health in Rhode Island

We are supporting cross-sector teams in Rhode Island of primary care clinics, public health teams and community residents to apply a strategic and asset-based approach to improving the health and well-being of people with diabetes in up to three Health Equity Zones.  Supported with funding from the Rhode Island Department of Health and CDC via the Care Transformation Center, Rhode Island.


Prison reform in Guyana

We are supporting the School of the Nations and the Guyana Prison Service to transform the rehabilitation of prisoners by building their capacity for system design, monitoring and evaluation.  This United Nations Development Program funded initiative includes pathways to education and employment, social entrepreneurship, family connection, community stigma reduction and mental health supports for returning citizens.

From School to Prison Pipelines to Pathways of Opportunity

Using bright spots across sectors and communities, we have been developing an action community to transform school to prison pipelines to pathways of opportunity in low-income communities.  This requires trauma-informed transformation in schools, community perceptions of youth, pathways to success and leadership for high opportunity youth (Youth of Solutions), peer support, mental health support, and transformation of community policing and justice pathways.

Supported with funding through 100 Million Healthier Lives @ IHI and Robert Wood Johnson Foundation.


Bright spot: United Teen Equality Center, which has reduced incarceration rates from 75% to <5%.

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Well Connected Communities HEAL

Through a partnership with National 4H Council, Community Initiatives, and County Health Rankings and Roadmaps, we are integrating community transformation strategies developed through 100 Million Healthier Lives into the Well Connected Communities as part of an action community highlighting bright spots and best practices for Healthy Eating, Active Living.  Supported with funding from 100 Million Healthier Lives @ IHI, National 4H Council, and Robert Wood Johnson Foundation.