Action Icons - Working_fia_box4_engagement_roadmaps_trama_TITLE



The CAHMI seeks to advance healing-centered and trauma-informed approaches to promote individual, family, and community resilience. Compassionate and healing interpersonal relationships, coordinated and evidence-based responses to trauma, and cross-sector collaboration are key to promoting healing and resilience at the individual and community level.

Prop 64 Recommendations Roadmap

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 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 have broader applications to policy and practice in other contexts nationwide.


The Recommendations Roadmap serves 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

Roadmap for Resilience: The California Surgeon General’s Report on ACEs, Toxic Stress, and Health

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 to advance state level data on ACEs and possibilities for flourishing amid adversity as well as her work to lead the collaborative design of the:


Read the CA Surgeon General’s Report