ACHH Maritimes involved the expansion of our original UnPPAC work to four Maritime communities across the Mi’kma’ki and Wolastoqey territories. Conversation sessions were completed with youth, Elders, parents, teachers and health professionals. In addition, youth also participated in art sessions to explore the expression of pain through artwork. Health data was also reviewed to compare the rates of pain related conditions in Mi’kmaw children and youth compared to non-Mi’kmaw children and youth.