Stopping Diabetes in its Tracks (SDIT): Integrating a Hospital, Clinic, and Community Based Program for Type 2 Diabetes Prevention and Control

The mission of Stopping Diabetes in its Tracks (SDIT) is to develop and demonstrate an integrated set of community, clinic, and hospital interventions to prevent and control type 2 diabetes in Pomona. We are implementing a model that will be replicable, scalable, and sustainable. CTRI is collaborating in this three-year project with partners in clinical institutions (i.e., Pomona Valley Hospital Medical Center, ParkTree Community Health Center, Pomona Valley Health Center), academic institutions (e.g., Claremont Graduate University, the University of Southern California, Western University of Health Sciences), and community organizations (e.g., the Pomona Unified School District, religious institutions). Heluna Health provides grant administrative infrastructure.

Planning for Accountable Health Communities

CTRI and the County of Riverside Department of Public Health with support of RWJF have begun development of an Accountable Community for Health (ACH) as the next logical step toward creating a Culture of Health in Riverside County. ACH emphasizes community accountability and program sustainability through pooled resources to be allocated for coordinated activities that promote risk factor reduction and improved health outcomes at the individual, family, and community levels. The shared mission of the Riverside Community Health Initiatives and organizations brought together by CTRI is to improve population health by focusing on

  1. Community-wide interventions to target upstream environmental or social determinants of health.
  2. Translation of evidence-based programs strategically applied at critical points for prevention upstream to downstream. Funded by the Robert Wood Johnson Foundation.

Riverside County Veterans Health Survey

CTRI in collaboration with Riverside County created a survey designed to identify high priority issues and unmet needs for veterans living, working or going to school in Riverside County. The survey asks about military experience, knowledge and use of veteran’s benefits, individual health and access to  health services, health risks, and overall well-being.

A Population Health Approach to Primary and Secondary Prevention of Adolescent Emotional Distress and Self-Destructive Behavior

In response to an alarming increase in adolescent suicide in Corona-Norco Unified School District schools, CTRI is working with district officials to develop and pilot test a community-wide, population health approach to primary and secondary prevention of adolescent emotional distress and self-destructive behavior. In collaboration with organizations from multiple sectors in the cities CNUSD serves, including the local Riverside University Health System Community Health Center and area universities, we are employing a Personalized Ecological Model (PEM) we developed and implemented in neighboring communities to address other health issues.

Development of a Population Health Roadmap

CTRI is working with leaders in the Riverside University Health system to develop a Roadmap for an integrated and innovative Population health program inclusive of both health care (hospital, clinic, behavioral health) and community populations for optimization of health outcomes for the 2.2 million residents of Riverside County. Supported by the County of Riverside.


Diabetes Free Riverside (DeFeR)

The Community Translational Research Institute (CTRI), Jurupa Valley Diabetes Free Riverside (DeFeR) Demonstration and Feasibility Assessment Project, brings together the Riverside County Public Health Department, local hospitals, and City and County management along with community leaders and academic institutions to strengthen their infrastructure as a whole, and achieve integrated, multi-sectorial effectiveness in addressing the obesity epidemic among the adults and children residing in Jurupa Valley, California. Funded by the County of Riverside.