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The Anna, Age Eight Institute was funded by the New Mexico state legislature in 2019 to reach the goal of ensuring that our children, students and families are trauma-free and empowered to succeed in family life, school and the workplace. To achieve this we’re using a data-driven and collaborative process focused on building the capacity of each county to strengthen local governmental and nongovernmental services and systems of health, safety, education, job-readiness and resilience. We are guided by decades of research focused on the social determinants of health and the social-ecological model that guides public health endeavors.

We bring to each county’s leaders and stakeholders a process of problem-solving, brainstorming, learning, mobilizing, capacity-building and innovating, all with the support of state-of-the-art technology. Locally, the Institute’s 100% New Mexico initiative helps guide collaborative efforts using the critical steps of assessing barriers to services, planning focused on identifying proven strategies to increase service access, action that builds infrastructure, and evaluation to measure increases in service access to the ten vital services shown to empower all families and communities.




Image 1. ACEs: The ten forms of adverse childhood experiences (ACEs) endured in the home that can lead to trauma in children and untreated trauma in parents and other adults in the household.

ACEs Problems

Image 2. ACEs-related challenges: ACEs can impact our health, safety, capacity to learn, be job-ready and perform at work.

Social Adversity

Image 3. Social Adversity: This graphic illustrates the social adversity our families may endure as they step outside their front door into the community.



100% New Mexico

Image 4. The 100% New Mexico Model: This graphic illustrates the ten vital services for surviving and thriving shown to increase the health, safety and self-sufficiency of families.

Social Ecological Model

Image 5. The Social-Ecological Model: This model illustrates how change can be supported on many levels within the county-based initiative.



This website is a repository for research, programs and learning opportunities. Across the menu you’ll find links to our 100% New Mexico Action Teams, 100% Power Hours, Project Overviews and Research.

Action Teams: These are the ten action teams each county forms as part of the 100% New Mexico initiative, focused on ensuring vital services within a county’s borders. These teams turn service barriers into timely access to family-friendly services.

Power Hours: This is the seven-part 100% Power Hour webinar series provided quarterly to introduce county stakeholders, elected officials, and our higher education partners to the components of the 100% New Mexico initiative.

Project Overviews: These are the various projects the county-based 100% New Mexico initiative can implement to achieve the goal of health equity. They include the 100% Community Schools Project, which is creating fully-resourced community schools with health centers; the 100% Family Center Project, which is creating a one-stop service hub; the 100% Mural Project, which provides public education and engagement; the 100% Family Services Directory Project, which is providing a web-based resource directory to ten vital services; 100% Ready, which is our readiness workshop for local initiative participants; and 100% County Projects, which provides an overview of all our county initiatives across New Mexico.

Research: Here we provide links to three areas of interrelated research guiding the 100% New Mexico initiative: Adverse Childhood Experiences (ACEs) and Research, Adversity and Research, and 10 Sectors and Research. More than 300 journal articles document the costly challenges our residents endure, as well as the evidence-informed solutions that focus on ensuring the vital services shown to increase health, safety, learning, job readiness and self-sufficiency.



We all face challenges on the individual, relationship, community and society levels. Some of us are thrust into a public health crisis or economic downturn. For others, they’re born into a world of adversity, trauma and chaos. The 100% New Mexico Initiative is about how we can strengthen systems of health and safety that serve everyone, everywhere. Working within the 100% New Mexico initiative, we provide all counties with the insights to ensure that ten vital services are working well and that each community within a county’s borders is provided with the resources to increase the health and safety of all residents.



The social determinants of health can be viewed as the services and resources that can increase the overall well-being of people, strengthening their capacity to succeed. We can measure within each county to what degree these vital services exist. We call these services that none of us can do without the “surviving services” that start with medical care and include behavioral health care, housing security programs, food security programs and transport to vital services. In addition to the services for survival, we focus on strengthening the “thriving services” which include: parent supports, early childhood learning programs, community schools, youth mentor programs and job training. Each of these services play a vital role in keeping us safe from costly challenges like childhood maltreatment, family trauma, substance use disorders, untreated mental health problems, interpersonal violence, hunger, housing insecurity, and lack of job skills. These vital services also determine how we might build the capacity to perform well in school to achieve job readiness and self-sufficiency.

The 100% New Mexico Initiative is designed to bring all county leaders and stakeholders together from ten key family serving sectors shown to strengthen families.


Image 6. 100% New Mexico local initiative organization: This graphic illustrates how a county-based initiative is structured with ten action teams, each one focused on ensuring access to a vital service.



The 100% New Mexico initiative supports local leaders and stakeholders in strengthening the local system of readiness, care and safety that makes us as crisis-proof as possible. In a world where any day can present new challenges, we can work to make all our communities as strong and prepared as possible — ready to weather any storm guided by courage, compassion, cooperation and timely facts.

We know that by investing in strong local systems of care, safety and education, community leaders can decrease the challenges of accessing vital community services. United with local leadership, we can also strengthen local capacity to address any problems related to crime, violence, adverse childhood experiences, trauma, substance misuse and injury.

At the heart of the local initiative are action teams representing ten service sectors — providing our “surviving” and “thriving” services. Action team members work to achieve the goal of ensuring 100% of county residents have access to the ten vital services for surviving and thriving. Our vision is expansive because the need is urgent and the opportunities are abundant.

Short-Term Goals: Build the organizational structure to implement the 100% New Mexico framework, educating county residents about the costs of adverse childhood experiences, family trauma and social adversity. Build ten action teams with a shared vision, goals, interconnected activities and a protocol for using data, technology and communication.

Intermediate Goals: Support ten action teams in identifying barriers to vital services, guiding initiative project leaders through the process of assessment, planning, acting and evaluation. Identify funding and resources to support our three main strategies: 1) building the 100% Family Center, a one stop service hub offering access to all ten vital services; 2) Transforming public schools into fully-resourced 100% Community Schools offering access to all ten services to students and parents; 3) ending the digital divide so that 100% of residents can access ten vital services online.

Long-Term Goals: With service barriers removed within each community within a county’s borders, we can measure increases in family self-sufficiency, school achievement, job readiness, work performance and community engagement focused on growing a culture of caring where every child is the top priority.


These reports identify where and why service barriers exist, hindering resident’s capacity to find support services.Click to download a PDF copy of the county survey reports for Doña Ana, Rio Arriba, Socorro and Otero counties and a special report on targeted populations in Santa Fe County. Additional county reports are currently being completed and will be published as soon as they are available. These reports serve as the starting point for our county initiatives, with our action teams focused on addressing the service barriers identified in all ten sectors.

Click to download a PDF copy of the county survey reports.


Bernalillo AAEI_SurveyReport_Catron_2021_final.jpg Doña Ana Otero Rio Arriba Santa Fe San Miguel Socorro


7 STEPS TO 100%

The 100% New Mexico initiative is a seven-step process starting with a survey of community members, assessing what percentage of those who needed each service had difficulty accessing them, and why. Barriers identified can range from the service not being available in the community to inability to access transportation to the service. Each county has ten action teams, one representing each of the ten sectors who then take that data, analyze it, identify solutions to the barriers, implement those solutions, and evaluate progress. And then that process is repeated until the barriers are removed and 100% of residents have access to the services. It’s a radically simple framework with an ambitious, audacious goal: ensure the local services that prevents childhood trauma, adverse community experiences, and social adversity.
100% New Mexico

Image 7. 100% New Mexico partners: These are the seven steps of the 100% New Mexico initiative.


Everyone thrives! With an investment in the 100% New Mexico initiative, we can reduce service barriers to increase family functioning, school achievement, job readiness and workforce performance. We can also work on the local economic engine to revitalize downtowns and increase employment and small businesses. We can decrease costly involvement with child welfare, law enforcement, the courts and first responders and ER visits.

With service barriers removed, all residents can access the vital services to improve health and address historical trauma and all the costly public health challenges that are associated with ACEs and social adversity. Each county can reach results through collaboration, courage and creativity, with full support of the Anna, Age Eight Institute technical assistance team.

With alignment of all local leadership, both elected and informal, each county can become an engine for local problem-solving to ensure all residents are healthy, safe and resilient. The work of the initiative builds on current local efforts to improve systems of care, always committed to working in alignment with city government, county government and local nonprofit organizations.


Our theory of change guiding the 100% New Mexico Initiative is informed by a wealth of research focused on a wide variety of topics including the public health social-ecological model and decades of research focused on the social determinants of health, health equity, health and education disparities and historical trauma.

THEORY OF CHANGE: If we ensure that all our families and community residents have access to the five surviving services and the five thriving services, we will increase self-sufficient, healthy and resilient family households.

Framework for change

Image 8. The Framework for Change: This graphic illustrates the change process within all communities within a county’s borders leading to outcomes.


100% New Mexico

Image 9. County Initiative Partners: This graphic illustrates the various partnerships that strengthen the work of the initiative, including elected leaders on the city and county levels.


In our rush to connect everyone on the planet over the last two decades, we forgot to make sure that 100% of residents had access to the internet and to encourage service providers to use technology to make their services as cost-effective and user-friendly as possible.

Revolutionary advances in the promotion of idea-sharing, the prevention and treatment of health challenges, and strengthening of countywide systems of safety, health, education and economic stability depend on technology. We have to step back to take a realistic look at how technology could or should help us create healthier communities where we’re all in, leaving no one out. There are powerful tools out there waiting to be used effectively.


Visit our county websites:

Bernalillo Catron Curry & Roosevelt Dona Ana Guadalupe Mckinley Otero Rio Arriba San Juan San Miguel Socorro Taos Valencia




The 100% New Mexico initiative is demonstrating how New Mexico can bring together leaders in the public and private sectors to innovate and design systems of health, safety and education in New Mexico that serve everyone. The initiative has a very large umbrella, inviting the engagement of youth, college students, parents, grandparents, community activists and business people.

Amid a collision of crises, with a new one appearing almost weekly, each county has a choice to make. Either we surrender to manmade chaos or we, as local leaders and stakeholders, forge a new path. We can collaborate on the state, county, city and organizational levels to ensure 100% of us are safe and successful. We have the strategies, vision, goals and inspiring local leaders, as well as a tested collaborative process for measurable and meaningful progress. Join us in making every county in New Mexico a place where 100% of children, parents, students, caregiving grandparents, elders and businesses — everyone, everywhere — thrives.


Dr. Courtney Image

Katherine Ortega Courtney, PhD

Dr. Courtney is a changemaker, psychologist, author, and life coach. Her work in child welfare advocacy has instilled change in data-driven trauma prevention in states across the country. She has worked in policy and research and has led community initiatives through her work at the Santa Fe Community Foundation and the New Mexico Early Childhood Development Partnership. As a psychologist and life coach, she coaches individuals and organizations on interrupting the cycles of trauma, addressing the burnout rate in government jobs and child welfare, and providing the tools and skills to achieve the work-life balance that will trickle down to better outcomes in prevention. Her doctorate work at Texas Christian University was in experimental psychology focused on substance abuse treatment and prevention. She is also the co-author, with Dominic Cappello, of Anna, Age Eight: The data-driven prevention of childhood trauma and maltreatment, which served as a catalyst for the development of the Anna, Age Eight Institute in Santa Fe, New Mexico, where she serves as co-director. Dr. Ortega Courtney and Dominic Cappello wrote the follow-up book 100% Community to guide local leadership in every county in their work designing trauma-free and truly family-friendly cities and towns. Email:

Dominic Cappello Image

Dominic Cappello

Cappello is a New York Times bestselling author and TEDx Conference curator with decades of experience advocating for health, safety and education. He has a Master of Arts in Liberal studies with an emphasis on Language and Communication from Regis University. He worked for the New Mexico Department of Health Epidemiology and Response Division and the New Mexico Child Protective Services Research, Assessment and Data Bureau, where he co-developed the Data Leader for Child Welfare program, which he implemented in New York City, Connecticut and New Mexico. Cappello is the creator of the Ten Talks book series on family safety that gained a national audience when he discussed his work on the Oprah Winfrey Show. He is also the co-author of Anna, Age Eight: The data-driven prevention of childhood trauma and maltreatment, which served as a catalyst for the development of the Anna, Age Eight Institute in Santa Fe, New Mexico, where he serves as co-director. Cappello and Dr. Ortega Courtney wrote the follow-up book 100% Community to guide local leadership in every county in their work designing trauma-free and truly family-friendly cities and towns. Email:

Gregory Sherrow Image Gregory Sherrow

Gregory began as an educator, but his early career sharply veered off into the world of information technology and web-based enterprises, giving Gregory decades of experience in creating educational, nonprofit, and commercial technology solutions. He has architected learning management systems for the Data Leaders for Child Welfare program in New Mexico, Connecticut, and New York City; he developed the technology prototypes for the Safety+Success learning management systems focused on family safety and health piloted in South Carolina and New Mexico; and his learning management system clients have included state departments of health, state departments of education and offices of attorneys general. Over the last decade and a half, he has become an author and resource for remote work management strategies and a proponent of using technology to positively empower agencies and communities while strengthening national, state, and local systems of public health, safety, and education. Email:

Marangellie Trujillo Image Marangellie Trujillo

Marangellie has over 15 years of experience in initiating and developing collaborative partnerships with communities, organizations, and institutions; and in leading, planning, and implementing statewide health-related and educational programs. Recently, she led and advanced the community schools strategy in New Mexico, directed the ECHO for Community Schools Program, facilitated statewide performance management systems, and conducted research and evaluation. Marangellie’s academic background is in science (Bachelor of Science in Cellular and Molecular Biology from Universidad Metropolitana in Puerto Rico; Master’s in Biotechnology with a concentration in Biodefense from The Johns Hopkins University in Maryland), communicable and infectious diseases, public health, and education, among others. Marangellie values the strength of New Mexico’s diverse communities, the multilingualism, resilience, creativity, culture, and compassion for one another. She strives to create a culture of shared governance, where we can rethink school-community relationships, and can re-define the core values of parents as first teachers. Marangellie firmly believes in community schools as an equitable strategy that will transform education and positively change the social determinants of health for the children of New Mexico. She is committed in making this vision a reality. Email: