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We have created this site because state health departments can play a leading role in child maltreatment prevention through programs and services that enhance family resiliency and foster positive child development. With public health infrastructure existing in every state and territory within the United States, the public health system is well-positioned to create a prevention system for children and families. We hope the information provided in this site is helpful in supporting your efforts to promote the health and well-being of children.

This work was supported by the Doris Duke Charitable Foundation.

In partnership with National Center for Injury Prevention and Control (NCIPC), Division of Violence Prevention at the Centers for Disease Control and Prevention (CDC) and the CDC Foundation

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State Examples

Braiding funding in North Carolina: Leveraging resources to ensure better outcomes for kids

[Strategy 2.3: Leverage Resources]

Recognizing the challenges of implementing effective strategies to address child maltreatment at both the state and local levels, North Carolina child maltreatment prevention partners have created an advisory group, The Alliance for Evidence-Based Family Strengthening Programs, to support local communities in the implementation of evidence-based parenting and family support programs. The Alliance currently funds implementation of three evidence-based programs, Nurse-Family Partnership; Incredible Years Program; and the Strengthening Families Program, across the state. However, the primary goal of the Alliance is to provide communities with the staff skills and tools needed to select and implement programs that are both evidence-based and appropriate for community needs. A major component of the group’s work has been the provision of technical assistance and training in communities to build capacity for selection and implementation of prevention programs. Although staffed by the state’s health department, funding is provided cooperatively through the 30 different agencies and organizations that make up the Alliance memberships, including the Division of Public Health, Division of Social Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services, the North Carolina Partnership for Children (SmartStart), Prevent Child Abuse North Carolina, state universities, and private foundations. These agencies and organizations use common request for proposals for community-level grants, implementation guidelines, and evaluation tools. Benefits of this approach identified by the Alliance are:

  • Community partners recognizing the state has a coordinated approach to child maltreatment prevention.
  • Collaboration between state-level agencies and organizations serve as a model for community-level programs.
  • Consistent communication in the messages each is communicating to communities about using evidence-based programs and implementing with fidelity.
  • Government and non-profit funders working together helps prevent duplication of effort.