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Spotlight on the Safety Net

“When you fail to plan, you plan to fail.” — Benjamin Franklin Innovation happens at the local level in North Carolina. Our state has a state-supervised and locally administered system for human services delivery in 100 counties, 96 departments of social services, 82 health departments, and 4 local combined human services agencies—a multitude of laboratories with varied cultures, resources, and strengths to experiment with new approaches to strengthening families and keeping children safe. As important as it is to be trauma-informed and provide appropriate interventions and treatment, the best possible outcome is to strengthen families so that adverse childhood experiences (ACEs) are prevented as often as possible. The growing awareness about the ACE Study [1] and the human and financial impacts downstream have led us at the local level to experiment with ways to invest upstream to prevent ACEs, particularly child abuse and neglect. North Carolina is spending more than $2 billion annually on a preventable problem [2]. Our state and counties spend considerable time and money investing in interventions, treatments, programs, and services to address the downstream consequences, but without a comprehensive plan to actually prevent ACEs like abuse and neglect. Cumberland County has tackled this head on by creating a Community Child Abuse Prevention Plan (CCAPP). After nearly 2 years of organizing, meeting, goal-setting, and training, 22 local public and nonprofit agencies came together to present a plan that was unanimously and enthusiastically endorsed by the Board of County Commissioners on November 20, 2017. The CCAPP was built…