Health Certification Research Articles

Vaccine-hesitant people misperceive the social norm of vaccination.

Vaccine hesitancy is one of the main threats to global health, as became clear once more during the COVID-19 pandemic. Vaccination campaigns could benefit from appeals to social norms to promote vaccination, but without awareness of the social norm in place any intervention relying on social norms may backfire. We present a two-step approach of social norm diagnosis and intervention that identifies both whether a vaccination norm exists or develops over time and corrects misperceptions. In two studies ( and ) conducted in Rome, Italy from June to August 2021 (during the first COVID-19 vaccination campaign), we show that vaccine-hesitant people strongly underestimated vaccine acceptance rates for COVID-19 despite increases in region-wide vaccination rates. This suggests a false consensus bias on the social norm of vaccination. We presented a subgroup of vaccine-hesitant people with the accurate vaccine acceptance rates (both planned uptake and vaccine approval) and tested if this social information would lower their vaccine hesitancy. We do not find clear effects, most likely because of the introduction of the COVID-19 health certificate (the "green pass") that was implemented during our data collection. The green pass reduced both misperceptions in the social norm and vaccine hesitancy, thus undermining our treatment effect. We conclude that to alleviate misperceptions on the social norm of vaccination in early stages of the vaccination campaign governments and media should report not just the current vaccination rate, but also about vaccination intentions and approval.

A Documentary History of the Immunity (or Vaccine) Passport: Health Certificates of Public Health, Personal Identity and Power from the Plague to the Coronavirus Pandemic

Summary The immunity (or vaccine) passport of the coronavirus pandemic, as a concept and object, is not unprecedented. This health and identity document features a history spanning over half-a-millennium and appearing across diverse geopolitical and sociocultural contexts. This article presents a documentary history of the immunity passport and its heterogeneous material instantiations, uses and effects across divergent historical settings. It illuminates how the immunity passport has helped shaped identities and public health, as well as impacted individual and institutional agency, during health crises. Four historical cases are explored, including the plagues ravaging the Renaissance Mediterranean region, the 1665 Great Plague of London, the yellow fever outbreaks in the antebellum slave-era southern USA and the chronic cholera conditions confronting colonial-era British India. Although disparate, these historical cases share the immunity passport as a non-pharmaceutical intervention into their respective health crises that played important roles in people’s lives during these troubled times.

Development of PCR-based assays to diagnose the major fungal pathogens infecting pulse crops, potential for germplasm health certification and quarantine processing

Plant diseases cause serious economic losses of agriculture production worldwide. Rapid, accurate and reliable diagnostic methods are required to alleviate the detection of fungal plant pathogens to prevent their spread and achieve effective management. This study was aimed to develop fast, reliable and highly sensitive diagnostics to detect fungal plant pathogens for quarantine processing, safe exchange and conservation of germplasms of pulse crops. Multiplex and real time PCR assays were developed for detection of Rhizoctonia solani, Macrophomina phaseolina, Ascochyta rabiei, Alternaria alternata, A. tenuissima, Fusarium oxysporum f. sp. ciceris, Sclerotium (Athelia) rolfsii, Sclerotinia sclerotiorum, Pseudocercospora cruenta and Cercospora canescens causing various diseases in pulse crops. Twenty-two sets of primers from various genomic regions such as cytochrome oxidase subunit (COX 1), internal transcribed spacer region (ITS), translation elongation factor-1 alpha (TEF-1α), large subunit (LSU), small subunit (SSU) and β-tubulin as well as two SCAR primers from RAPD profile were designed. The developed markers proved to be species-specific and validated against other fungal plant pathogens associated with pulses for cross-reactivity. The markers proved highly sensitive during conventional and qPCR analysis. Duplex PCR assays for R. solani and M. phaseolina; C. canescens and P. cruenta; A. alternata and A. tenuissima; and a quadruplex PCR assay for A. rabiei, S. sclerotiorum, S. rolfsii and F. oxysporum f. sp. ciceris were developed and validated for simultaneous detection of these pathogens in a single reaction. The assays developed in the present study were able to detect and identify major fungal plant pathogens causing disease in pulse crops.

Analyzing the application of cleanliness, health, safety, and environmental sustainability (CHSE) certification in the hotel business sector during the covid-19 pandemic: perspectives of managers

Purpose – This research aims to analyze the application of cleanliness, health, safety, and environmental sustainability (CHSE) certification in the hotel business sector during the COVID-19 pandemic from the managers’ perspective. Methodology/Design/Approach – A qualitative research method was adopted and data were collected through in-depth interviews with 35 hotel managers. Six main themes were identified in the thematic analysis, including hotel business conditions during the COVID-19 pandemic, health conditions, cleanliness, safety measures and procedures, environmental sustainability practices, and perceptions of managers about CHSE certification. Findings – Results indicated that health protocol standards were the top priority of current management, followed by cleanliness and procedures to maintain guest and hotel employee safety. Originality of the research – This research provided theoretical implications regarding hotel business certification and standards during a pandemic, with cleanliness, health, safety, and environment being the top priorities. Operational implications showed that CHSE certification provided operational standards for the hotel industry during the pandemic and ensured guest safety and comfort. Based on these results, further research is recommended to obtain data from regulatory agencies that set certification policies, including the government, hotel guests, and hotel staff.

IETS management of the challenges associated with embryo pathogen interaction

One of the very first challenges the International Embryo Transfer Society (IETS) addressed was concern about disease transmission via the transfer of in vivo–derived (IVD) bovine embryos. IETS commissioned its Import/Export Committee, later named Health and Safety Advisory Committee (HASAC), to resolve this matter, with the assistance of the Data Retrieval Committee following its formation in 1991. Since its first meeting in 1984, considerable achievements have been made, including meeting the numerous challenges created by the many innovations in this industry. Based on research studies and their designs, the IETS HASAC developed a system for categorising pathogens and diseases potentially susceptible to interaction with IVD embryos. This has been instrumental in defining safe operating protocols and ultimately leading to the development of the now universally accepted techniques for certification of embryo health. The close cooperation of IETS/HASAC with the World Organization of Animal Health (WOAH, formerly OIE) has facilitated the establishment of guidelines for regulators worldwide, thus ensuring the safety of international trade with embryos, while avoiding unjustified regulatory measures. In addition, IETS/HASAC produced and published the IETS Manual: A Procedural Guide and General Information for the Use of Embryo Transfer Technology Emphasising Sanitary Procedures for the embryo transfer industry (1st edition, 1987; 5th edition, 2023). This manual and its updates were designed to provide the industry world-wide with a source of information on safe and sanitary handling procedures for embryos, to describe the procedures necessary to ensure that the transfer of embryos does not result in transmission of pathogenic agents or disease, and to ensure consistent and accurate identification of embryos. The result of these 40 years of IETS/HASAC involvement is that embryo transfer technology is recognised as having a comparative advantage in international movement of germplasm.

Defended by you from the dangers of the sea. Xylographic and chalcographic printing in health certificates of Malaga

Las Patentes de Sanidad tuvieron una importancia fundamental durante las epidemias, al certificar que una población estaba libre de contagio, convirtiéndose en un documento indispensable para transitar por el territorio. Esta certificación se solía ilustrar con motivos religiosos, heráldicos o mitológicos, en estampaciones tanto en entalladura como en calcografía, algunas técnicamente muy rudimentarias y otras de esmerada composición y grabado. Afortunadamente en el caso malagueño se conserva un significativo número de patentes, que ha permitido su análisis.

Vocational High School Prospective Graduates' Employability via Dual Vocational Certification (DVC)

Purpose - VHS are educational institutions aiming to prepare ready-to-employ graduates by prioritizing their skills and expertise according to their areas of expertise. This study attempts to reveal the newness strategy for intensifying Vocational High School prospective graduates' employability through Dual Vocational Competency, which covers areas of expertise and supplementary certification (DVC) such as Occupational Safety and Health (OSH) certification. Methodology/Technique - A non-experimental quantitative research design was implemented in this study using ex post facto. The data collected in this study through Likert-scale questionnaires were competency certification, OSH certification, and prospective graduates' employability. Findings - The findings showed that each variable denoted that all variables were in the adequate category. It denoted that competency and Occupational Safety and Health (OSH) certification correlated to the employability rate of Vocational High School prospective graduates. Novelty - This article denotes the new strategy implemented called dual certification, which combines expertise and OSH certification. This certification model is held during the study period of the prospective graduates, and each variable denotes that all variables are in a good category. Type of Paper - Empirical Keywords: Dual certification; vocational high school; employability JEL Classification: I20; I25 Reference to this paper should be made as follows: Sherly, S; Kisno, K; Sitanggang, N; Dharma, E; Sihombing, H.B.M. (2022). Vocational High School Prospective Graduates' Employability via Dual Vocational Certification (DVC), J. Mgt. Mkt. Review, 7(4), 194 – 202. https://doi.org/10.35609/jmmr.2022.7.4(2)

Development of Loop-Mediated Isothermal Amplification Assay for the Rapid Detection of Pyrenophora graminea in Barley Seeds

Barley leaf stripe, caused by Pyrenophora graminea, is an essential systemic seed-borne disease in barley worldwide. Barley is a major cereal crop in the Qinghai–Tibet Plateau, and barley production has been threatened by leaf stripe in this region, particularly in organic farming regions. Detecting the pathogen in infected barley seeds is crucial for managing barley leaf stripe. In this study, a loop-mediated isothermal amplification (LAMP) assay was developed to detect the pathogen based on primers designed based on the sequence of the pig 14 gene (GenBank: AJ277800) of P. graminea. The optimal concentrations of MgSO4, dNTPs, and enzymes in the LAMP reaction system were established as 10.0 mM, 1.0 mM, and 8 U in a 25 μL reaction volume, respectively. The established LAMP methods for detecting P. graminea were optimally performed at 63 °C for 70 min with high reliability. The minimum detection limit was 1 × 10−2 ng·μL−1 in the 25 μL reaction system. The specificity of LAMP for P. graminea was validated with eight fungal species. All DNA extracts from P. graminea-infected barley seeds with incubation, intact, and smashed treatments were applied in LAMP and confirmed to enable the detection of the pathogen. The LAMP assay in this study could facilitate the detection of P. graminea in barley seeds onsite, provide information for seed health certificates, and help decide on seed treatment in leaf stripe management.

WORKFORCE DEVELOPMENT: AGING NETWORK CARE MANAGERS AS BEHAVIORAL HEALTH PROVIDERS FOR OLDER ADULTS IN COMMUNITIES

Abstract Background and Objectives The population of older adults (65 and over) continues to increase with projections of one in five by 2030. Furthermore, one in four older adults have a behavioral health problem, and over 63% are not receiving behavioral health (BH) services. Many older adults living in the community depend on aging networks for home- and community-based services. However, most care managers' current education and training do not cover the skills and competencies to provide adequate care for older adults with BH needs. This study aimed to evaluate the effectiveness of a training intervention on the perceived self-efficacy of care managers working with older adults with BH issues in the aging network. Research Design and Methods The study used a quasi-experimental design with a pre-and post-tests approach. The study used convenience sampling (n=90). Results We found a significant difference in the mean self-efficacy scores related to working with clients with mental health problems between pre-test (M=62.31, SD=10.11) and post-test (M=65.88, SD=7.40). In addition, results indicated a significant difference in the mean self-efficacy score between the pre-test (M=59.81, SD=10.68) and post-test (M=65.60, SD=9.85) related to working with clients with substance use problems. Discussion and Implications: The study found that self-efficacy was higher at post-test than pre-test. In addition, there was no difference in the self-efficacy scores of those participants who had previously completed a mental health course or certification and those who had not.

Health and Hygiene Certification Programs in Tourism Recovery

Associative Journal of Health Sciences Health and Hygiene Certification Programs in Tourism Recovery Jeff Wilks1* and Sarah Prager2 1Griffith Institute for Tourism, Griffith University, Australia 2Barrister at Deka Chambers, London, UK *Corresponding author: Jeff Wilks, Griffith Institute for Tourism, Griffith University,Australia Submission: December 01, 2022;Published: December 06, 2022 DOI: 10.31031/AJHS.2022.02.000532 ISSN:2690-9707 Volume2 Issue2

How do rice consumers trade off sustainability and health labels? Evidence from Vietnam

IntroductionStrategies for increasing rice production in the Asian Mega-Deltas have led to environmental degradation, resource overexploitation, and high greenhouse gas emissions. Certified sustainable production labels can support governments in their efforts to render rice value chains more sustainable by simultaneously fostering planetary and human health. Little is known, however, about how consumers trade off sustainability and health attributes in staple crops such as rice. This study aims to fill this knowledge gap by investigating Vietnamese consumers' preferences and willingness to pay for rice characterized by multi-attribute sustainability and health certification labels.MethodsWe collected empirical data from 410 supermarket consumers in Can Tho, Vietnam using a choice experiment survey. The results were analyzed using a mixed logit model to determine consumers' preferences for sustainability and health traits in rice. Four price levels were used to elicit willingness-to-pay for four certification labels: low-emission, eco-friendly, ethically produced, and low glycemic index rice. By separating the components that make up the concept of sustainability and by including a label related to personal health and diet preferences, we are able to gain an understanding of the value consumers place on attributes that benefit the common good vs. attributes that benefit the individual consumer.ResultsThe results showed that consumers were willing to pay a price premium for all certification labels, with the highest marginal utility assigned to low glycemic index rice.DiscussionCertification of eco-friendly and ethical production generated similar utility levels, while low-emission rice was valued lower, although it still fetched a significant price premium compared to the status-quo option of rice with no certifications. The results of this study can help policymakers and value chain actors develop rice value chains that integrate sustainable production practices as well as foster the nutrition and health of rice consumers.

Examination of the Licensure Differences of Mental Health Professionals in National Collegiate Athletic Association Division I Athletic Departments

The high rates of depression, anxiety, suicide, and other mental health disorders among collegiate student-athletes have resulted in the need for appropriate mental health services. The National Collegiate Athletic Association (NCAA) has released a best practices guide for mental health in college sport that includes licensed psychologists (LP), licensed clinical social workers (LCSW), and licensed professional counselors (LPC) as competent to provide mental health services to student-athletes. However, an examination of the differences between these three licenses is absent from the literature. This essay offers an overview on these differences to clarify the purview of each license as there is confusion surrounding the different types of professionals that can provide mental health services. A detailed description of what is means to hold an LP, LCSW, and LPC distinction is provided, followed by a discussion of the difference between mental health licensure and certification as a certified mental performance consultant (CMPC). This will assist administrators, athletic administrators, and student-athletes in making informed decisions about mental health care.

Public views on the Covid-19 immunity certificate: A scoping review.

IntroductionAlready in its first implementation, the introduction of the Covid‐19 immunity certificate has generated some debate among the public. This debate might be a hindrance to the effective realization of this policy. This study aimed to systematically review published research evaluating public feeling of the Covid‐19 immunity certificate policy measure and to find which factors might influence its acceptance.MethodsWe followed the scoping review methods manual by the Joanna Briggs Institute. We included studies with no time limits that presented novel data, and no exclusions have been made based on study design. We excluded articles that presented just expert opinions.ResultsWe found and reviewed 17 articles. The included studies were conducted in two main countries (the United Kingdom and Switzerland), with the rest from Israel, Italy, Spain, Germany, Australia, Taiwan and China. Both qualitative and quantitative studies were included, and nonrepresentative samples were mostly used to explore the public feeling about the Covid‐19 immunity certification. The included studies showed that public views on immunity certification are quite contradictory and influenced by age, gender, ethnicity, political orientation and attitudes towards Covid‐19 vaccination. The topic more often addressed by the included studies was the public's views on the positive and negative implications of the Covid‐19 immunity certificate in terms of ethical, legal and behavioural consequences of this measure.ConclusionThe varying acceptance rates are notable and may partly be linked to differences in demographics, Covid‐19 concerns and ideological beliefs, as seen in other health‐related tracking policies. Moreover, dominant factors behind the (un)success of this policy are complex and entangled with the cultural and political dimensions rather than being just technical. For this reason, it is important to expand psychosocial research to better understand the concerns behind health certifications and allow planning of culturally based and ethically sound suitable strategies. This would be very relevant to increasing public approval and compliance with this public health measure.Patient or Public ContributionThis does not apply to our work as it was a review paper.

Social Surveillance In The Covid Pandemic: A Case Study Of Shanghai After An Extent Lockdown

China is the first country to employ digital tracking systems (Jiankang Ma) on social media apps like WeChat and Alipay as monitoring devices to monitor people's travels to prevent the spread of Covid-19. The system collects citizens' individual information, including personal data (gender, I.D. number, etc.), personal health information (body temperature, contact with people from high-risk areas, etc.), travel history in the past 14 days, and health certification information (COVID-19 test by authorized organizations) to help effectively control the spread of COVID-19 pandemic. Although the health code policy showed effective outcomes after its implementation, there are significant worries regarding the system's potential for abuse or exploitation at the expense of individual rights due to the seeming unrestricted collection of personal data. Citizens began to question whether the Health Code is a technology for regulating the virus or a tool to surveil individuals' privacy, revealing the problem of information regulation policies of the Chinese government. This essay, therefore, will provide a deep insight into the operation mode of the Chinese Health code and seek the balance between the effectiveness of pandemic control and the infringement of citizens' privacy due to the unrestricted collection of personal information.

Aerosolized Hydrogen Peroxide Decontamination of N95 Respirators, with Fit-Testing and Viral Inactivation, Demonstrates Feasibility for Reuse during the COVID-19 Pandemic.

ABSTRACTIn response to the demand for N95 respirators by health care workers during the COVID-19 pandemic, we evaluated decontamination of N95 respirators using an aerosolized hydrogen peroxide (aHP) system. This system is designed to dispense a consistent atomized spray of aerosolized, 7% hydrogen peroxide (H2O2) solution over a treatment cycle. Multiple N95 respirator models were subjected to 10 or more cycles of respirator decontamination, with a select number periodically assessed for qualitative and quantitative fit testing. In parallel, we assessed the ability of aHP treatment to inactivate multiple viruses absorbed onto respirators, including phi6 bacteriophage, herpes simplex virus 1 (HSV-1), coxsackievirus B3 (CVB3), and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). For pathogens transmitted via respiratory droplets and aerosols, it is critical to address respirator safety for reuse. This study provided experimental validation of an aHP treatment process that decontaminates the respirators while maintaining N95 function. External National Institute for Occupational Safety & Health (NIOSH) certification verified respirator structural integrity and filtration efficiency after 10 rounds of aHP treatment. Virus inactivation by aHP was comparable to the decontamination of commercial spore-based biological indicators. These data demonstrate that the aHP process is effective, with successful fit-testing of respirators after multiple aHP cycles, effective decontamination of multiple virus species, including SARS-CoV-2, successful decontamination of bacterial spores, and filtration efficiency maintained at or greater than 95%. While this study did not include extended or clinical use of N95 respirators between aHP cycles, these data provide proof of concept for aHP decontamination of N95 respirators before reuse in a crisis-capacity scenario.IMPORTANCE The COVID-19 pandemic led to unprecedented pressure on health care and research facilities to provide personal protective equipment. The respiratory nature of the SARS-CoV2 pathogen makes respirator facepieces a critical protective measure to limit inhalation of this virus. While respirator facepieces were designed for single use and disposal, the pandemic increased overall demand for N95 respirators, and corresponding manufacturing and supply chain limitations necessitated the safe reuse of respirators when necessary. In this study, we repurposed an aerosolized hydrogen peroxide (aHP) system that is regularly utilized to decontaminate materials in a biosafety level 3 (BSL3) facility, to develop a method for decontamination of N95 respirators. Results from viral inactivation, biological indicators, respirator fit testing, and filtration efficiency testing all indicated that the process was effective at rendering N95 respirators safe for reuse. This proof-of-concept study establishes baseline data for future testing of aHP in crisis-capacity respirator-reuse scenarios.

Implementation of “health promoting educational institute” strategies in the state of Himachal Pradesh, India: challenges, opportunities and the way forward

Health promotion is the process of enabling people to increase control over, and to improve their health. Schools and other educational institutes can play a vital role in inculcating health promoting behaviour at early stage of life for sustainable health and well-being. A health promoting school is one that constantly strengthens its capacity as a healthy setting for living, learning and working through multi stakeholder engagements. Health Department has a key role in developing strategies and building partnerships for health promotion at school level. Keeping in view these facts, the department of health and education developed the protocol and implementation plan for certification of educational institute as “health promoting educational institute” in the state of Himachal Pradesh in northern India. The World Health Organization (WHO) protocol for health promoting schools (HPS) has been adopted with some state specific modifications which came into force from 6th November 2020 through a notification by the state government. However, the process of certification got delayed due to the COVID pandemic and closure of the schools. The institutional ethics committee (IEC) activities and capacity building measures were strengthened and Government Senior Secondary School Mahunag in district Mandi with strength of 120 students from 6-12th class was certified as the first health promoting educational institute in the state on 18th December 2021. The purpose of this study is to discuss the process for certification of health promoting educational institute in the state of Himachal Pradesh so that the strategy can be replicated in similar settings.

Association Between Maternal Exposure to SO2 and Congenital Ear Malformations in Offspring: A Population-Based Case-Control Study in Liaoning Province, China.

Objectives: To examine associations between maternal sulfur dioxide (SO2) exposure and congenital ear malformations risk in offspring. Methods: We surveyed 1676 cases with congenital ear malformations and 7950 controls from the Maternal and Child Health Certificate Registry of Liaoning Province between 2010 and 2015. SO2 concentrations were obtained from the Municipal Environment Protection Bureau of Liaoning Province. Multivariable logistic regression models and Restricted cubic splines (RCS) model were used to assess the aforementioned association. Results: There were significant associations between maternal SO2 exposure and congenital ear malformations risk during the 3 months before conception (OR Q4 vs. Q1 = 1.93, 95% CI = 1.43–2.59) and the 3 months after conception (OR Q4 vs. Q1 = 1.63, 95% CI = 1.22–2.18). Similar results were obtained in the analysis of single-month exposure windows, except for the third month before conception and the third month after conception. Moreover, these findings were broadly consistent across subgroups and robust in sensitivity analyses. There were non-linear dose-response associations between SO2 exposure and congenital ear malformations based on restricted cubic spline model analysis. Conclusion: Maternal SO2 exposure is associated with increased congenital ear malformations risk in offspring.

Implementation of Wadiah Agreement on IB Makbul Hajj Savings at PT Bank Sumut Syariah Katamso

Bank Sumut Syariah Katamso, which is a bank that collects and distributes funds to the public, through several products including the Hajj savings account iB Makbul. In carrying out its activities, namely raising funds, of course, banks need a strategy to attract customers to open iB Makbul Hajj savings at Bank Sumut Syariah Katamso. The purpose of this study was to determine the management of the iB Makbul Hajj savings product at the Katamso Syariah Bank Sumut, namely to determine the application of the iB Makbul Hajj savings product at the Katamso Syariah Sumut Bank and to find out the obstacles and obstacles faced in implementing the iB Makbul Hajj savings product at the Katamso Syariah Sumut Bank. . The results of the study show that Bank Sumut Syariah Katamso applies the type of Hajj savings product iB Makbul which uses a product with the principles of deposit (wadiah yad adh-dhamanah), namely an agreement in which the recipient of the deposit can use the deposited item with permission to guarantee and guarantee to return the deposit. in its entirety at any time when the owner wishes it. From this study, it was concluded that Bank Sumut Syariah Katamso applied the iB Makbul Hajj savings product using a wadiah yad adh-dhamanah contract for savers, Hajj savings management was by opening a Hajj savings account, making a health certificate, filling out a registration letter to go for Hajj at the Ministry of Religion office. , payment at the bank, reported to the office of the Ministry of Religion, payment of the costs of organizing the pilgrimage (BPIH).

DIPLOMASI PERDAGANGAN PALA MALUKU UTARA KE BELANDA PADA TAHUN 2015-2020


 The main supplier of Nutmeg imported by the Netherlands is the North Maluku region. However, in the period of 2016, the demnad for Nutmeg exports experienced a drastic decline due to regulations set by the European Union. This regulations is related to food safety and hygiene as stipulated by the RASFF (Rapid Alert System Food and Feed) which is a system owned by the European Union was noted that Indonesia recived several warnings regarding the Nutmeg comodity exported to the Netherlands that contained alflatoxin too much, which caused the export of Nutmeg from North Maluku to decline. The problem formulation of this research is how the trade diplmacy of North Maluku Nutmeg to Netherlands in 2015-2020. Thus research use the analysis of diplomacy theory with a focus on the concept of trade diplomacy and international trade theory. From this research, it can be conclude that the indonesian state must attach a health certificate from food supervisory agency stating that the exported from North Maluku Nutmeg comodity meets the maximum standard of aflatoxins. 
 

Pairing policy change with investments in supports to improve outcomes for children impacted by family violence: The Arkansas experience

Children who experience family violence are at heightened risk for a multitude of physical, emotional, and behavioral difficulties. Fortunately, research has revealed several evidence-based ways to improve outcomes for this vulnerable population across child-serving systems. This manuscript highlights the collaborative efforts in Arkansas to pair policy changes designed to support children impacted by family violence with investments in supports necessary to ensure the success of policy changes. Specifically, this manuscript highlights initiatives designed to support children with histories of trauma exposure, including family violence, across key child-serving systems including child welfare, behavioral health, and early care and education. More specifically, three trauma-informed initiatives are described that paired policy changes with implementation supports: child welfare system training in trauma-informed care; expulsion prevention efforts for children ages birth to 5, particularly those with experiences of trauma; and Medicaid-related infant mental health certification requirements intended to emphasize evidence-based mental health care services. Processes, successes, and lessons learned are discussed.