A Collaborative Approach to Child Maltreatment Prevention - North Carolina Division of Public Health Ruth Petersen, MD, MPH, Section Chief, Chronic Disease and Injury Section Alan J. Dellapenna, Jr. R.S., MPH, Branch Head, Injury and Violence Prevention Branch Catherine Joyner, MSW, Executive Director, Child Maltreatment Prevention Leadership Team
Welcome • Prevention is Prevention is Prevention! • Public-Private Partnerships. • Collaboration and Use of Evidence-Based Programs. 2
History NC Institute of Medicine Task Force on Child Abuse Prevention (2005) Enhance the Capacity of NC to Prevent Child Maltreatment Co-Chaired by the Secretary of DHHS and a leading Developmental Pediatrician 51 Members A Steering Committee Child Abuse Prevention Program Subcommittee Measurement Subcommittee 3
History New Directions for North Carolina Thirty-seven (37) recommendations State-level leadership Surveillance system Social norms and policies Evidence-based practice Enhancing existing systems Increased and/or Shifted Funding 4
State-level Leadership The NC Division of Public Health named as the public state-level agency charged with providing leadership for child maltreatment prevention Characteristics: Inclusive Effective Coordinated Flexible Evidence-based Outcomes- oriented 5
State Level Leadership Child Maltreatment Prevention PCA -NC DPH Leadership Team Executive Director EBP Infant Reframing Study Maternal Domestic CVP Mental Surveillance Social The groups Depression Violence Health Norms Alliance
Constellation of Partners: Prevent Child Abuse of NC, Smart Start, The Duke Endowment, Kate B. Reynolds Charitable Trust BCBS Foundation Division of Social Services, Division of Public Health, Working as an Alliance: Division of MH/DD/SAS Community planning, DJJDP Secure funding, GCC Training and technical assistance, Center for Child and Family Policy Evaluation, Quality assurance, Coordination (agreements to be established) Pool of Programs: Nurse Family Partnership, Strengthening Families, Incredible Years Intermediate Outcomes: Children have a medical home. Mothers have healthy pregnancies. Parents demonstrate child development knowledge and effective parenting skills. Parents provide care that promoted attachment. Parents receive increased education and employment support. Parents utilize family planning services. Parents receive effective treatment for maternal depression and other mental illness. Parents receive appropriate treatment and services for domestic violence. Parents receive appropriate treatment and support for substance abuse. Parents receive and provide appropriate social support. (issues for further discussion, such as measures) Population Level Impact: Improved School Readiness Reduction of Child Maltreatment
Child Maltreatment Surveillance The Recommendation: The NC Division of Public Health’s Injury and Violence Prevention Branch should work with a Technical Advisory Committee to develop a North Carolina data collection system for monitoring child maltreatment prevention. 8
Child Maltreatment Surveillance: Benefits • Provide a scientific basis for public decision making. • Provide the data required for prevention program planning, implementation, and evaluation. • Provide data support for the development and evaluation of child maltreatment prevention activities, support grant applications, and provide the information required for policy development. • Data will be available to practitioners, researchers, and policymakers to identify, monitor and impact the evolving public health needs of child maltreatment in the state. 9
Technical Advisory Committee • Action for Children • Smart Start • Duke Center for Child and • Prevent Child Abuse NC Family Policy • State Bureau of • Division of Public Health Investigation – ECCS • UNC- Chapel Hill – WCHS – Departments of Emergency Medicine, – IVP Family Medicine and – Office of the Chief Maternal and Child Medical Examiner Health – State Center for Health – Schools of Medicine Statistics and Public Health • Division of Social Services 10
Child Maltreatment Surveillance: Challenges • Securing adequate funding • Lack of uniform definitions of child maltreatment • Current data systems are not linked 11
Child Maltreatment Surveillance: Opportunities • Pending Legislation – Restore $65,000 to the OCME to hire one research position and reclassify an existing research position for the State Child Fatality Prevention Team (S102 and H304) • Surveillance included in CDC Core Funding Application 12
20 Articles Profiling the State of Injury & Violence Prevention in North Carolina Current Issue Nov/Dec 2010 www.ncmedicaljournal.com
For More Information • Catherine Joyner 919-707-5517 or catherine.joyner@dhhs.nc.gov • Alan Dellapenna 919-707- alan.dellapenna@dhhs.nc.gov • Full Task Force Report – http://www.nciom.org/task-forces-and-projects/?task-force-on- child-abuse-prevention 14
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