Empowering Families: Triple P Initiative in North Carolina

1. NC Department of Health and Human Services Triple P in North Carolina “Triple P Spoken Here” Marshall Tyson, MPH December 19, 2018

2. Triple P in North Carolina • NC Alliance for Implementation of Evidence-based Family Strengthening Initiatives • DPH, DSS, DMH, NCPC, PCANC, TDE, KPR, BCBS Foundation, etc. • NC Team to South Carolina (Ron Prinz) • Reps from Triple P America Sara van Driel and Rita Bostic • Fit with Division of Public Health • Population Approach • Trained Existing Practitioners • Destigmatized Parenting Support • Changed “Social Norms” • Universal and Targeted Approaches • Multiple levels and delivery modes • Meets families at their point of need • Primary Prevention and Intervention

3. Triple P in North Carolina • Strategic Decisions to Develop a Statewide Infrastructure • Fund a coordinator at each local implementing agency • Learning Collaborative • “Implementation Support”, Education, Pooling Resources • Workgroups – Data, Sustainability (Advocacy), Program (Education), Communication, TPOL • State Data Collection and Reporting System • State Leadership Team • State Executive Committee (“Strategic Planning”)

4. Triple P in North Carolina • Triple P Online • Statewide, via North Carolina Triple P Website • No Cost to Parents • Standard and Teen • Spanish • Currently have 25,000 codes • Statewide Marketing Plan for 2019

5. Triple P in North Carolina • State-level Supports • State Coordinator – Zita Roberts • Data Team – William Burke and Schatzi McCarthy • Triple P Online Coordinator – Joan Crissey • Triple P Supports • Triple P America (e.g., Implementation, Training, Stay Positive Materials, TPOL Codes) • Triple P International (e.g. Website, TPOL Online Automated Distribution System, Google Analytics) • NC Triple P Support System (Triple P America, The Impact Center, Prevent Child Abuse North Carolina

6. NC Triple P (Positive Parenting Program) Expansion 2011 Camden Alleghany Gates Northampton Currituck Rockingham Warren Ashe Surry Caswell Stokes Hertford Vance Perquimans Person Halifax Mitchell Wilkes Watauga Granville Pasquotank Yadkin Orange Bertie Chowan Franklin Forsyth Guilford Avery Nash Yancey Caldwell Durham Alamance Alexander Davie Washington Edgecombe Madison Martin Dare Iredell Tyrrell Burke Wake Davidson Wilson Buncombe McDowell Catawba Chatham Randolph Haywood Pitt Rowan Beaufort Swain Hyde Johnston Greene Lincoln Rutherford Graham Lee Henderson Cabarrus Jackson Harnett Gaston Moore Stanly Lenoir Wayne Polk Cherokee Cleveland Craven Macon Transylvania Montgomery Pamlico Clay Mecklenburg Cumberland Jones Sampson Richmond Anson Hoke Union Duplin Carteret Scotland Onslow Robeson Bladen • LAUNCH and Title V Funded – Alamance • NACCHO and CDC Funded - Pitt Pender New Hanover Columbus Brunswick

7. NC Triple P (Positive Parenting Program) Expansion March 2012 Camden Alleghany Gates Northampton Currituck Rockingham Warren Ashe Surry Caswell Stokes Hertford Vance Perquimans Person Halifax Mitchell Wilkes Watauga Granville Pasquotank Yadkin Orange Bertie Chowan Franklin Forsyth Guilford Avery Nash Yancey Caldwell Durham Alamance Alexander Davie Washington Edgecombe Madison Martin Dare Iredell Tyrrell Burke Wake Davidson Wilson Buncombe McDowell Catawba Chatham Randolph Haywood Pitt Rowan Beaufort Swain Hyde Johnston Greene Lincoln Rutherford Graham Lee Henderson Cabarrus Jackson Harnett Gaston Moore Stanly Lenoir Wayne Polk Cherokee Cleveland Craven Macon Transylvania Montgomery Pamlico Clay Mecklenburg Cumberland Jones Sampson Richmond Anson Hoke Union Duplin Carteret Scotland Onslow Robeson Bladen Pender • LAUNCH and Title V Funded – Alamance • NACCHO and CDC Funded – Pitt • Title V Funded – Appalachian Health District (Alleghany, Ashe, and Watauga), Madison and Cabarrus New Hanover Columbus Brunswick

8. NC Triple P (Positive Parenting Program) Expansion February 2013 Camden Alleghany Gates Northampton Currituck Rockingham Warren Ashe Surry Caswell Stokes Hertford Vance Perquimans Person Halifax Mitchell Wilkes Watauga Granville Pasquotank Yadkin Orange Bertie Chowan Franklin Forsyth Guilford Avery Nash Yancey Caldwell Durham Alamance Alexander Davie Washington Edgecombe Madison Martin Dare Iredell Tyrrell Burke Wake Davidson Wilson Buncombe McDowell Catawba Chatham Randolph Haywood Pitt Rowan Beaufort Swain Hyde Johnston Greene Lincoln Rutherford Graham Lee Henderson Cabarrus Jackson Harnett Gaston Moore Stanly Lenoir Wayne Polk Cherokee Cleveland Craven Macon Transylvania Montgomery Pamlico Clay Mecklenburg Cumberland Jones Sampson Richmond Anson Hoke Union Duplin Carteret Scotland Onslow Robeson Bladen Pender • LAUNCH and Title V Funded – Alamance • NACCHO and CDC Funded – Pitt • Title V Funded – Appalachian Health District (Alleghany, Ashe, and Watauga), Madison and Cabarrus • Potential Rex Foundation – Wake – Planning New Hanover Columbus Brunswick

9. NC Triple P (Positive Parenting Program) Expansion March 2013 – Early Learning Challenge (Transformation Zone) Camden Alleghany Gates Northampton Currituck Rockingham Warren Ashe Surry Caswell Stokes Hertford Vance Perquimans Person Halifax Mitchell Wilkes Watauga Granville Pasquotank Yadkin Orange Bertie Chowan Franklin Forsyth Guilford Avery Nash Yancey Caldwell Durham Alamance Alexander Davie Washington Edgecombe Madison Martin Dare Iredell Tyrrell Burke Wake Davidson Wilson Buncombe McDowell Catawba Chatham Randolph Haywood Pitt Rowan Beaufort Swain Hyde Johnston Greene Lincoln Rutherford Graham Lee Henderson Cabarrus Jackson Harnett Gaston Moore Stanly Lenoir Wayne Polk Cherokee Cleveland Craven Macon Transylvania Montgomery Pamlico Clay Mecklenburg Cumberland Jones Sampson Richmond Anson Hoke Union Duplin Carteret Scotland Onslow Robeson Bladen Pender • LAUNCH and Title V Funded – Alamance • NACCHO and CDC Funded – Pitt • Title V Funded – Appalachian Health District (Alleghany, Ashe, and Watauga), Madison and Cabarrus • Potential Rex Foundation – Wake • RTT-ELC Funded – Transformation Zone (Bertie, Beaufort, Chowan and Hyde) New Hanover Columbus Brunswick

10. NC Triple P (Positive Parenting Program) Expansion March 2013 – ELC Tier One Counties Camden Alleghany Gates Northampton Currituck Rockingham Warren Ashe Surry Caswell Stokes Hertford Vance Perquimans Person Halifax Mitchell Wilkes Watauga Granville Pasquotank Yadkin Orange Bertie Chowan Franklin Forsyth Guilford Avery Nash Yancey Caldwell Durham Alamance Alexander Davie Washington Edgecombe Madison Martin Dare Iredell Tyrrell Burke Wake Davidson Wilson Buncombe McDowell Catawba Chatham Randolph Haywood Pitt Rowan Beaufort Swain Hyde Johnston Greene Lincoln Rutherford Graham Lee Henderson Cabarrus Jackson Harnett Gaston Moore Stanly Lenoir Wayne Polk Cherokee Cleveland Craven Macon Transylvania Montgomery Pamlico Clay Mecklenburg Cumberland Jones Sampson Richmond Anson Hoke Union Duplin Carteret Scotland Onslow Robeson Bladen Pender • LAUNCH and Title V Funded – Alamance • NACCHO and CDC Funded – Pitt • Title V Funded – Appalachian Health District (Alleghany, Ashe, and Watauga), Madison and Cabarrus • Potential Rex Foundation – Wake • RTT-ELC Funded – Transformation Zone (Bertie, Beaufort, Chowan and Hyde) • RTT-ELC Funded – NE Tier One Counties (Vance, Warren, Northampton, Halifax, Hertford, Camden, Edgecombe, Martin, Washington, Tyrrell, Greene, Lenoir, Jones, Nash and Pitt Expansion) New Hanover Columbus Brunswick

11. North Carolina Triple P (Positive Parenting Program) March 2013 Camden Alleghany Gates Northampton Currituck Rockingham Warren Ashe Surry Caswell Stokes Hertford Vance Perquimans Person Halifax Mitchell Wilkes Watauga Granville Pasquotank Yadkin Orange Bertie Chowan Franklin Forsyth Guilford Avery Nash Yancey Caldwell Durham Alamance Alexander Davie Washington Edgecombe Madison Martin Dare Iredell Tyrrell Burke Wake Davidson Wilson Buncombe McDowell Catawba Chatham Randolph Haywood Pitt Rowan Beaufort Swain Hyde Johnston Greene Lincoln Rutherford Graham Lee Henderson Cabarrus Jackson Harnett Gaston Moore Stanly Lenoir Wayne Polk Cherokee Cleveland Craven Macon Transylvania Montgomery Pamlico Clay Mecklenburg Cumberland Jones Sampson Richmond Anson Hoke Union Duplin Carteret Scotland Onslow • LAUNCH and Title V Funded – Alamance • NACCHO and CDC Funded – Pitt • Title V Funded – Appalachian Health District (Alleghany, Ashe, Watauga), Madison, Cabarrus • Rex Foundation Funding – Wake • RTT-ELC Funded – Transformation Zone (Bertie, Beaufort, Chowan, Hyde) • RTT-ELC Funded – NE Tier One Counties (Vance, Warren, Northampton, Halifax, Hertford, Camden, Edgecombe, Martin, Washington, Tyrrell, Greene, Lenoir, Jones) and Nash and Pitt-- Expansion • Title V Funded – Albemarle Regional HlthSvcs (Currituck, Perquimans, Pasquotank, Gates, Bertie, Chowan, Camden), Buncombe, Mecklenburg, Nash—Expansion, Durham. Robeson Bladen Pender New Hanover Columbus Brunswick

12. A Major Decision Point Go to scale in funded counties Statewide coverage • Practitioners trained outside funded counties through State or Triple P America Open Enrollments • Triple P Online available to all parents in NC • DSS focus on primary prevention • Creating a demand from practitioners and parents

13. 2018 Positive Parenting Program in North Carolina – “Triple P Spoken Here” Service Area 5 Lead Agency Albemarle Regional Health Services Rebecca Cook (252) 506-3722 Rebecca.cook@arhs-nc.org Service Area 3 Lead Agency Durham County Health Department America Allen (919) 560-7753 aaallen@dconc.gov Service Area 2 Lead Agency Appalachian Health District Morgan Ledford (828) 264-4995 Extension 3155 morgan.ledford@apphealth.com Service Area 4 Lead Agency Halifax County Health Department Cassandra Faulcon (252) 583-5021 Ext 6277 faulconc@halifaxnc.com Service Area 1 Lead Agency Madison County Health Department Molly Coffey (828) 707- 4245 Molly.Coffey@mahec.net ALLE- GHANY GATES CAMDEN NORTH- AMPTON ASHE CURRITUCK WARREN SURRY HERT- FORD STOKES ROCKING- HAM VANCE CASWELL PERSON PASQUOTANK GRAN- VILLE HALIFAX WATAUGA PERQUIMANS WILKES CHOWAN YADKIN ORANGE BERTIE FORSYTH FRANKLIN GUILFORD AVERY ALA- MANCE MITCHELL YAN- CEY NASH ALEX- ANDER CALDWELL DURHAM EDGE- COMBE MADISON DAVIE WASH- INGTON IREDELL DAVID- SON DARE MARTIN TYRELL WAKE BURKE WILSON BUN- COMBE CHATHAM RANDOLPH HAY- WOOD CATAWBA McDowell PITT ROWAN BEAUFORT SWAIN HYDE JOHNSTON LINCOLN GREENE RUTHER- FORD LEE GRAHAM HENDER- SON CABARRUS JACK- SON WAYNE CLEVE- LAND HARNETT MONT- GOMERY TRAN- SYLVANIA GASTON LENOIR MOORE GASTON STANLY POLK MACON CHEROKEE CRAVEN MECKLEN- BURG PAMLICO CLAY CUMBER- LAND JONES SAMPSON RICH- MOND HOKE DUPLIN UNION ANSON Service Area 6 Lead Agency Pitt County Health Department Lynne Carter (252) 902-2353 lynne.carter@pittcountync.gov SCOT- LAND CARTERET ONSLOW Service Area 8 Lead Agency Mecklenburg County Health Department Gabriela Francisco (980) 314-9128 Gabriela.Francisco@mecklenburgcountync.gov Individual Sites Cabarrus Health Alliance Amy Potoczny (704) 920-1281 Amy.Potoczny@CabarrusHealth.org Project Enlightenment (Wake) Ashley Lindsay (919) 508-0812 alindsay@wcpss.net ROBESON BLADEN PENDER NEW HANOVER COLUMBUS BRUNSWICK Service Area 7 Lead Agency Cumberland County Health Department Marika Hoeckman (910) 433-3672 mhoeckmann@co.cumberland.nc.us Cabarrus (funded by Title V) and Wake (funded by the Rex Foundation) Lead Health Departments (provides Triple P coverage for the service area) July 2018

14. Triple P in North Carolina - Funding • State and Title V Federal • State Advisory Council Grant to ECAC for Stay Positive Campaign Print Materials (Three Year Procurement) • Race to the Top—Early Learning Challenge Funding for in Expansion in Tier One Counties in NE NC • Race to the Top—Early Learning Challenge Funding Lapsing Funds for Triple P Online and Stay Positive (Three Year Procurement) • DSS One-Time Funding for Training • DSS Recurring State Appropriations for Expansion • The Duke Endowment/DSS/DPH for Implementation Study • The Duke Endowment/DSS/DPH for Implementation and IO Support • Local Support – DSS, DPH, ICO4MCH, Smart Start, Juvenile Justice, Churches, Local Non-Profits, Churches, ETC.

15. Triple P in North Carolina • BUILDING BRIDGES TO THE FUTURE – NEW OPPORTUNITIES • Implementation Support (TPA, The Impact Center) • Data Collection and Reporting (Evaluation, Data Linking and Research) • Communication (and Partnership Engagement) • Advocacy (Policy and Finance) • Coaching (Workforce Development)