A Collaborative Approach to Child Maltreatment Prevention - North - - PowerPoint PPT Presentation

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

2

Welcome

• Prevention is Prevention is

Prevention!

• Public-Private Partnerships.
• Collaboration and Use of

Evidence-Based Programs.

3

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

4

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

5

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

Executive Director Child Maltreatment Prevention Leadership Team

EBP

The Alliance Reframing Social Norms Maternal Depression Surveillance

CVP

Infant Mental Health Study groups Domestic Violence

State Level Leadership

DPH PCA -NC

Population Level Impact: Improved School Readiness Reduction of Child Maltreatment 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) Pool of Programs: Nurse Family Partnership, Strengthening Families, Incredible Years 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, Division of MH/DD/SAS DJJDP GCC Center for Child and Family Policy Working as an Alliance: Community planning, Secure funding, Training and technical assistance, Evaluation, Quality assurance, Coordination (agreements to be established)

8

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.

Child Maltreatment Surveillance

9

• 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.

Child Maltreatment Surveillance: Benefits

Technical Advisory Committee

• Action for Children
• Duke Center for Child and

Family Policy

• Division of Public Health

– ECCS – WCHS – IVP – Office of the Chief Medical Examiner – State Center for Health Statistics

• Division of Social Services
• Smart Start
• Prevent Child Abuse NC
• State Bureau of

Investigation

• UNC- Chapel Hill

– Departments of Emergency Medicine, Family Medicine and Maternal and Child Health – Schools of Medicine and Public Health

10

11

• Securing adequate funding
• Lack of uniform definitions of child

maltreatment

• Current data systems are not

linked Child Maltreatment Surveillance: Challenges

12

• 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

Child Maltreatment Surveillance: Opportunities

Current Issue Nov/Dec 2010

www.ncmedicaljournal.com

20 Articles Profiling the State of Injury & Violence Prevention in North Carolina

14

• 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

For More Information