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The National Academies of Sciences, Engineering and Medicine
Forum on Promoting Children's Cognitive Affective and Behavioral Health
Forum on Promoting Children's Cognitive Affective and Behavioral Health
Division of Behavioral and Social Sciences and Education
Collaborative on Accountable Communities for Health (ACH)
for Children and Families

The Collaborative on Accountable Communities for Health for Children and Families (ACHCF) is organized by the Forum for Children's Well-Being under the leadership of Nemours Children’s Health System and Mental Health America. Collaborative membership is comprised of individuals from health systems, funders, innovative community leaders and other child health experts, who recognize the role of the social determinants of health in impacting a child’s overall health trajectory. Accountable Communities for Health, structured collaborations among multi-sector partners and residents to improve health in a community, are an emerging model being tested and catalyzed through public and private investments. To date, with some exceptions, the model has primarily been focused on the adult population. 
To promote optimal health and development for children, members of the ACHCF Collaborative will work to identify factors that have led to and can catalyze further ACH models focused on children and families. Additional testing of the model would help to ultimately inform whether and how the ACH model can effectively address the needs of the pediatric population and be sustained over time.
The ultimate goal of the collaborative is catalyzing and supporting community health models that will nurture healthy and resilient children and families.


The Collaborative was launched following a meeting co-hosted by Nemours Children's Health System (Nemours) and the Aspen Institute and subsequent calls co-led by Nemours and Mental Health America. The collaborative builds upon ideas expressed in a formative piece entitled: Defining an Accountable Community for Health for Children and Families.

The core elements continue to be refined as the Collaborative progresses, with the current version included here: Core Elements of an ACHCF. Please do not hesitate to contact Amber Hewitt, PhD, with recommendations at

The Collaborative Roster includes the stakeholders who have been invited to the closed learning sessions, but others are invited to give input to Nathaniel Counts, JD, at, or Daniella Gratale, MA, at

Learning Session Summaries

Session 1: The Core Elements
April 26, 2018
(Call 1 Summary)

Session 2: Closed Loop Community Care Coordination Systems
June 7, 2018
(Call 2 Summary)

Session 3: Portfolio of Interventions & Two-Generation Strategies
July 24, 2018
(Call 3 Summary)

Session 4: Making the Business Case/Financial Sustainability
September 13, 2018
Session 5: Synthesis and Recommendations
November 5, 2018
Final Proposed Approaches*
Final Proposed Approaches will be posted following synthesis of the learning sessions, and stakeholders are invited to give input at any time - especially on the summaries as they are released, which will inform the final proposed approahces. To the extent possible, final proposed approacheswill undergo rigorous review and build consensus and even support from interested organizations. Please do not hesitate to contact Nathaniel Counts, JD, at, or Daniella Gratale, MA, at with recommendations.

*This Collaborative is associated with the Forum for Children's Well-Being: Promoting Cognitive, Affective, & Behavioral Health for Children & Youth at the National Academies of Sciences, Engineering, and Medicine (the National Academies). This activity does not necessarily represent the views of any one organization, the Forum, or the National Academies, and has not been subjected to the review procedures of, nor is it a report or product of, the National Academies.

Staff Contact: Erin Kellogg |  

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