Major Projects

Targeting the broader community (Birth-to-22 scope)

1.

Public Health Framework

Palm Beach County adopts a Public Health Framework for Fighting ACEs strategies

2.

Plotting Services and Collaboratives

Palm Beach County plots programs and services along a continuum of Universal, Selected, Indicated by age group, and geography with the goal to identify investment allocation, resources, gaps, and equity

3.

Return of Investment

Palm Beach County partner with the Infant and Early Childhood action team to develop a Return on Investment for Adverse Childhood Experiences prevention, early intervention, and treatment approach

Major Project 1: Palm Beach County adopts a Public Health Framework for Fighting ACEs strategies.

The Fighting ACEs initiative recommends a Public Health Approach for Palm Beach County building on the Birth to 22, Youth Master Plan for Palm Beach County, the needs identified from the Southeast Florida Behavioral Health Network's Needs Assessment, and the Fighting ACEs Initiative's Community Readiness and Think Tank recommendations45

ACEs and trauma have been called one of the worst public health crises of our time Through the Fighting ACEs Initiative, Center for Child Counseling sees the work in Palm Beach County through a public health lens impacting the larger societal population This means seeing the services, programs, institutions, community sectors, priorities and funding on a continuum of universal, selected, and indicated approaches targeting individuals, relationships, communities and society across the life span from prenatal to geriatric ages

This framework allows for a broader approach rather than the traditional disease-centric model which aims to measure health as the absence of disease

Show Landscape of Resources:

To begin the landscape study Palm Beach County can use existing resources. There are several levers of change, potential levers of innovation (new programs and groups), community assessments, and a youth master plan from birth to 22 with supporting available data which can provide the foundation for plotting the services and programs The work and organizational efforts can be plotted within the public health framework where strengths and opportunities can be visualized to show both effort and funding United Way of Palm Beach County is a resource for identifying available programs, along with the 211 informational directory.

The Fighting ACEs Initiative encourages Palm Beach County to identify and plot the available services organization, mission, focus and impact within this public health framework of prevention focusing on community sector and level of prevention with attention to age and target or impact within the socio-ecological model. It is helpful to begin to understand how this framework shapes messages and prioritization strategies, speci cally how approach expectations relate to effort and impact within systems and sectors in Palm Beach County Palm Beach county could demonstrate community strategies along the continuum of prevention and target age group

If this basis of understanding is available, collectively, it is possible to strategically transcend the professional barriers that exist due to discipline, funding, and focus, to nd cross sector opportunities for systems change ACEs and trauma are common, they occur in clusters, and they have lasting effects that underpin many of our community challenges The approach we take to solve the problem might be different individually or organizationally, but the opportunity to evaluate efforts and identify gaps through a systems framework is powerful. 45

Return on Investment (ROI) analyses can be a useful tool to encourage expanded coverage and investment by the state of Florida An ROI strategy enables policymakers to weigh the value of partnerships investments in social services that are likely to improve medical outcomes. It is unethical to hinge treatment on purely financial calculations ROI tools for prevention are not required for other health conditions (eg, cancer and heart disease) It would be useful for planning purposes to know probable ROIs for prevention programs for children

Possible return on investment calculators to model after include:

Commonwealth Fund: ROI Calculator for Partnerships to Address the Social Determinants of Health ROI Calculator Assesses Risks and Rewards of Integrating Social Services with Health Care New York NY, Commonwealth Fund, 2018 https://wwwcommonwealthfundorg/publications/interactive/2018/may/roicalculator-assesses-risks-and-rewards- integrating-social

The Washington State legislature has directed the Washington State Institute for Public Policy (WSIPP) to calculate the ROI to taxpayers from a variety of education, prevention, and intervention programs and policies Bene t Cost Results Olympia, WA, Washington State Institute for Public Policy, 2018 http://wwwwsippwagov/BenefitCost/WsippBene tCost AllPrograms45