North Carolina

The ICTP project in North Carolina provides resources and support to state, regional, and local Triple P coordinators; community Triple P lead agency and service agency leaders; statewide funders and policymakers; and other organizations providing implementation-focused training and technical assistance for Triple P in North Carolina. Specifically, ICTP:

  • Provides active implementation support to regional Triple P initiatives with the goal of strengthening local Triple P implementation capacity, performance, and sustainability.
  • Works with Prevent Child Abuse North Carolina (PCANC) and Triple P America (TPA) to develop and align additional Triple P support activities to serve statewide Triple P partners and local Triple P collaborative needs.
  • Develops resources, guidance, and learning opportunities for counties scaling-up Triple P (see the ICTP Simulation Lab).
  • Provides implementation science guidance and consultation to the State Triple P Leadership Team, the North Carolina Triple P Learning Collaborative, and statewide Triple P funders and partners.

Triple P - Positive Parenting Program

The Triple P – Positive Parenting Program system of interventions offers evidence-based parenting and family support strategies designed to reach all families for community wide impact. Triple P is currently being implemented in 25 countries around the world and its success is due, in part, to its public health approach to serving families. As shown in Figure 1, this is accomplished by offering families varying intensities of support across flexible delivery formats (e.g., individual, group, online), in a number of different settings (i.e., healthcare settings, school systems, private practice). For more information about Triple P, visit the Triple P website.

Figure showing the 5 levels of Triple P intervention

Triple P in North Carolina

The Triple P system, with program support from Triple P America and funding support from the North Carolina Division of Public Health (DPH), the North Carolina Division of Social Services (DSS), and The Duke Endowment, is currently being scaled-up within 36 counties in North Carolina. Additionally, there are 12 counties that have some trained practitioners, but do not currently have support for community-wide scale-up of the full Triple P system. North Carolina’s Triple P Model Scale Up Plan can be referenced here. To ensure a community-wide reach of evidence-based parenting and family support, these counties are organized into eight regional clusters of Triple P collaboratives and one independent county Triple P coalition in Cabarrus county (all supported by NC DHHS), plus one additional independent county Triple P coalition in Wake County that is supported by the John Rex Endowment (see figure 2). Clusters consist of multiple counties implementing Triple P, often involve an array of local family serving agencies, organizations, and schools that are delivering various interventions from the Triple P system, and are supported by a Local Implementing Agency (LIA).  

Triple P coordinators participate in the North Carolina Triple P State Learning Collaborative, supported by Triple P America and the North Carolina Triple P State Leadership Team. The North Carolina Learning Collaborative meets regularly to engage in county-level peer support and improve Triple P across the state. Partnering the North Carolina Learning Collaborative with county or regional Triple P implementation teams, local agencies implementing Triple P, and agency Triple P practitioners creates a system of support from the state level to community practitioners to support the implementation and scale-up of Triple P.

Figure 2: Triple P State and Non-State Funded Implementing Sites 

Monitoring Program & Population-Level Impact

In North Carolina counties scaling-up Triple P, three outcomes are being monitored:

  1. Substantiated child abuse and neglect,
  2. Out-of-home foster care placements, and
  3. Emergency department visits indicating child injury.

In a randomized, place-based, controlled trial of the Triple P system in South Carolina, large and favorable effects were demonstrated relative to these population-level outcomes[i].  Individual Triple P interventions have also demonstrated positive child and family outcomes across a number of research and evaluation trials globally. View the full Triple P evidence-base.

[i] Prinz, R. J, Sanders. M. R., Shapiro, C. J., Whitaker, D. J., & Lutzker, J. R. (2009). Population-based prevention of child maltreatment: The U.S. Triple P system population trial.  Prevention Science, 10, 1-12.

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