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The Community Collective Impact Model for Change (CCIM4C) Initiative is a highly innovative approach aimed at preventing opioid use and abuse, reducing opioid-related deaths, and increasing access to treatment in the state of Ohio.  By combining a data-driven, strategic planning process (the Strategic Prevention Framework, or SPF) with an emphasis on working collectively across the continuum of care (the Collective Impact Model), the eighteen funded communities are working to address the opioid epidemic in their communities by utilizing a trauma-informed approach that reduces trauma and promotes resiliency (the Tool for Health & Resilience in Vulnerable Environments, or THRIVE, and the Adverse Community Experiences and Resilience Framework, or ACE|R).