Issue Areas

Through the Health Improvement in North Carolina program area, the Trust responds to health and wellness needs and invests in solutions that improve the quality of health for financially-disadvantaged residents of North Carolina. Grant proposals focusing on these funding interests will be given the highest priority in our funding decisions.

Access to Primary Medical Care

Increasing Health Care Coverage: Advocating around efforts to increase insurance coverage, supporting enrollment efforts designed for disadvantaged rural and vulnerable populations, and supporting outreach models that target North Carolinians ineligible for existing insurance programs.

Providing a Medical Home: Improving patient access by supporting safety net providers, which offer coordinated primary care within an affordable, accessible medical home.

Behavioral Health

Building a Continuum of Care: Efforts designed to address gaps in individual care, systemic and otherwise.

Integration of Care: Efforts that bring mental and primary health care providers together in concurrent assessment and treatment of patients.

Prevention: Efforts to identify and support those most at risk of impairment and addiction reflecting the best practices in the field.

Substance Abuse: Expansion of evidence-based treatment to those most in need.

Community-Centered Prevention

Comprehensive Prevention in a Community Setting: Efforts to improve health in a setting such as a school, child care facility, faith-based organization, public space or worksite.

Opportunities for Physical Activity: Improving the built environment to promote walkable, bikeable communities and providing greater access to parks, playgrounds, fields, trails, and other places to be active.

Access to Healthy Foods: Programs, policies, and strategies to improve healthy food access in schools and communities.


Clinical Care and Self-Management: Outcomes-based primary care paired with self-management practices to keep diabetes under control and delay, diminish or prevent its debilitating impacts on physical health and quality of life.

Prevention: Strategies to identify and target those at-risk of diabetes, taking into consideration an individual’s culture and community. Efforts will use growing evidence-base that supports connection to clinical care.

Behavioral Health: Efforts that target the intersection of diabetes and mental health/substance abuse issues to increase an individual’s ability to address either condition.

Public Awareness and Advocacy: Efforts to raise awareness about diabetes and its cost to individuals, families and communities through strategic communications and grassroots advocacy.