Jessica Roach is the co-founder and C.E.O. of Restoring Our Own Through Transformation, (ROOTT) a Non-Profit, Black Women led Reproductive Justice Organization focused in Maternal Child Health and Birthing Justice Columbus, Ohio. Her work has spanned over 20 years in areas such as clinical nursing, public health advocacy and independent scholarship. Ms. Roach has a deeply experiential perspective in her research both personally and professionally, related to the effects of stress related to structural determinants, and the social determinants created as consequence of those structures, with focus on inter-generational and historical trauma as it relates to policy development. Ms. Roach currently serves as the co-lead of the care working group for the Black Mamas Matter Alliance and has been featured in Rewire, The Atlantic, Columbus Underground, and Columbus Alive. She has served as a full spectrum doula, homebirth midwife and assistant, consultant to various organizations and is the mother of three young women, one of which was a pre-term infant.