The American Recovery and Reinvestment Act (ARRA) (P.L. 111-5) and the Affordable Care Act (ACA) (P.L. 111- 148) made significant investments in health promotion and disease prevention, over and above what is already being invested at the national, state and local levels. From ARRA’s Communities Putting Prevention to Work initiative to the ACA’s Community Transformation Grants, for example, the U.S. is making an unprecedented investment in community-based prevention programs. It is incumbent upon Congress and the federal agencies administering these grants to ensure that grantees are maximizing the use of funding and ultimately spreading and scaling up the most effective interventions in order to optimize health and wellness. One way of accomplishing this is to examine the exemplary work that has already been done in spreading and scaling place-based prevention interventions for children. Much can be learned from the participants in the Children’s Outcomes Project (COP).

Developed by the Children’s Outcomes Project (COP); supported by Nemours and The California Endowment