All children in North Carolina thrive in safe, stable, and nurturing environments.

Why Is This Important?

Children’s experiences of adversity and trauma can have lifelong impact by increasing the risk of poor physical and mental health during growth and increasing their health-related challenges in adulthood. HNC 2030, p. 46

Story Behind the Curve

North Carolina is ranked 32nd among US states for the number of children with two or more Adverse Childhood Experiences (ACEs) and is ranked 1st for the lowest percent of children with 2+ ACEs at 23.6% of children ages 0-17 (2016-17). In NC 18% of children ages 0-5 have experienced 2+ ACEs. A child’s living arrangements, household income level, care needs, and race and ethnicity can all effect the risk of ACEs. The statewide goal is to decrease the percentage of children with 2+ ACEs to 18.0% by 2030. Current work involves increasing trauma-informed practices and programs that support families and children to decrease their exposure to trauma and overcome the impact of ACEs. HNC 2030 pp. 46-47

Partners
Center for Child & Family Health
https://www.ccfhnc.org/
Kellin Foundation
https://www.kellinfoundation.org/
NCCJ
https://www.nccjtriad.org/programs/
NC DHHS Division of Child Development and Early Education
https://ncchildcare.ncdhhs.gov/
North Carolina Academy of Family Physicians
https://www.ncafp.com/
North Carolina Child Treatment Program
https://www.ncchildtreatmentprogram.org/
North Carolina Homeless Education Program
https://hepnc.uncg.edu/
North Carolina Infant and Young Child Mental Health Association (NCIMHA)
https://www.ncimha.org/
North Carolina Judicial Branch- Chief Justice’s Task Force on ACEs
https://www.nccourts.gov/commissions/chief-justices-task-force-on-aces-informed-courts
North Carolina Area Health Education Centers (NC AHEC)
https://www.ncahec.net/
North Carolina Pediatric Society
https://www.ncpeds.org/
North Carolina Psychological Foundation
https://www.ncpsychology.org/
Our Children’s Place of Coastal Horizons Center
https://coastalhorizons.org/
Parenting Inside Out
http://www.parentinginsideout.org/
The Impact of Racism on Child and Adolescent Health
https://publications.aap.org/pediatrics/article/144/2/e20191765/38466/The-Impact-of-Racism-on-Child-and-Adolescent?autologincheck=redirected
The National Child Traumatic Stress Network (NCTSN)- Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS)
https://www.nctsn.org/interventions/structured-psychotherapy-adolescents-responding-chronic-stress
The North Carolina Partnership for Children, Inc.- Smart Start
https://www.smartstart.org/
Together for Resilient Youth (T.R.Y.)
https://try4resilience.org/
Wellness Recovery Action Plan (WRAP)
https://www.wellnessrecoveryactionplan.com/wrap-can-help/youth-children/
Winer Family Foundation
https://www.wffcharlotte.org/
What Works
  • Expand community and domestic violence prevention initiatives
  • Increase access to behavioral health treatment
  • Increase access to evidence-based parenting, early intervention, and home visiting programs
  • Increase minimum wage and employment opportunities
  • Increase opportunities for traumainformed parenting support
Description of Indicator Data

Children’s National Health Survey

Additional Data Needed at Local Level

DHHS, in partnership with a diverse set of stakeholders, developed a standardized set of SDOH screening questions to address and acquire data on the following:

  • Food insecurity
  • Housing instability
  • Lack of transportation
  • Interpersonal violence

https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/screening-questions

Measures
Time
Period
Current Actual Value
Current Target Value
Current
Trend
Baseline
% Change
I
2019
14.9%
0
0%
I
2019
10.4%
0
0%
I
2019
15.1%
0
0%
I
2019
15.4%
0
0%
I
2019
15.3%
2
-35%
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy