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

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

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”)

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

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

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

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

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

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

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

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

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

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

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.

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)