{"id":31685,"date":"2024-01-24T16:34:22","date_gmt":"2024-01-24T16:34:22","guid":{"rendered":"https:\/\/caseyfamilyv2.wpengine.com\/texas-public-health-approach-abuse-neglect\/"},"modified":"2026-03-24T21:39:55","modified_gmt":"2026-03-24T21:39:55","slug":"texas-public-health-approach-abuse-neglect","status":"publish","type":"post","link":"https:\/\/www.casey.org\/es\/texas-public-health-approach-abuse-neglect\/","title":{"rendered":"\u00bfC\u00f3mo ha avanzado Texas en un enfoque de salud p\u00fablica para la prevenci\u00f3n del abuso y la negligencia?"},"content":{"rendered":"<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph --><\/p>\n<p><strong>Editor\u2019s note<em>: <\/em><\/strong><em>In September 2024, the division of Prevention and Early Intervention (PEI) moved to the Texas Health and Human Services Commission and was renamed the <\/em><a href=\"https:\/\/fss.hhs.texas.gov\/\" target=\"_blank\" rel=\"noopener\"><em>Family Support Services<\/em><\/a><em> division. <\/em><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">In most states, the prevention of child abuse and neglect is limited to services provided after maltreatment occurs and once the family is involved with child protective services. For child protection agencies that invest in upstream prevention, a crisis such as a high profile child death often triggers a cycle of reduction in prevention services and reinvestment in costly foster care services.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p>The Texas Department of Family and Protective Services (DFPS) sought to end this cycle by creating a division solely devoted to addressing risk factors that lead to abuse and neglect. Rather than waiting for a child to be harmed before intervening, the division of\u00a0Prevention and Early Intervention (PEI)\u00a0\u2014 renamed <a href=\"https:\/\/fss.hhs.texas.gov\/\">Family Support Services<\/a> in September 2024 \u2014 applies a public health approach to keeping children safe: providing population-based services to all families; normalizing a parent\u2019s need to seek help; and instilling a collective sense of responsibility for the safety and well-being of all children.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p>By investing in primary and secondary prevention services that equip communities to promote safe, stable, nurturing relationships and environments, Texas is working to build a family well-being system, where a broad network of stakeholders collaborate upstream to <a href=\"https:\/\/www.casey.org\/prevention\/\">prevent maltreatment<\/a> and promote the skills and strengths parents need to keep their children safe and thriving.<a href=\"#footnotes\"><sup>1<\/sup><\/a><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>A population-based and coordinated approach to prevention<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">PEI\u2019s strategies are rooted in the belief that families want to do what is best for their children and keep them safe from harm, but often need some form of support to make that happen. Strengthening families and communities and preventing child abuse requires a diverse set of public and private-sector leaders at the state and local level working together in strategic and purposeful partnerships. To do this, a public health framework is applied to support positive child, family, and community outcomes by addressing the root causes of child abuse and neglect: poverty, family instability, poor health, substance abuse, and mental illness.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p>There has been a 182% increase in state and federal funding for PEI programs since 2012. In addition, the passage of the <a href=\"https:\/\/familyfirstact.org\/\" target=\"_blank\" rel=\"noopener\">2018 Family First Prevention Services Act<\/a> (FFPSA) allows child welfare agencies to draw down federal Title IV-E funds for evidence-based preventive services for children, parents, and relative caregivers to prevent foster care placement. It is an unprecedented opportunity for DFPS to further expand its investment in prevention services and build a robust family well-being system.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>PEI model<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Once PEI became its own division, the team conducted conversations with community members and experts in the field and developed a strategic plan. It was decided that a public health model would be adopted and organized around the following three activities:<\/p>\n<ul class=\"wp-block-list\">\n<li>Invest in community-based organizations and local governments to provide access to voluntary health, wellness, and family-strengthening programs.<\/li>\n<li>Support and enhance community-driven work, so that communities can identify and mend systemic issues that impact child and family well-being.<\/li>\n<li>Deliver public awareness initiatives that destigmatize and normalize a parent\u2019s need for support.<\/li>\n<\/ul>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- \/wp:list --> <!-- wp:heading {\"level\":3,\"className\":\"p4\"} --><\/p>\n<h3 class=\"wp-block-heading p4\"><b>Prevention across the continuum<\/b><\/h3>\n<p><!-- \/wp:heading --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">The Department of Family and Protective Services\u2019 PEI division was established in 1999 by the Texas Legislature to consolidate child abuse and neglect prevention, juvenile delinquency prevention, and early intervention programs within a single state agency, under Child Protective Services (CPS). In 2014, PEI was separated from CPS so that it could have its own leadership and funding solely devoted to prevention. At the same time, the Texas Home Visiting program at Health and Human Services (HHS) merged with PEI to eliminate fragmentation and duplication of state prevention activities for vulnerable children, youth, families and communities.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">PEI invests in all levels of prevention along the continuum. Universal prevention provides a wide range of activities directed at the general population. Primary prevention programs provide services to individuals or families at higher risk for maltreatment. Secondary prevention programs target individuals or families when there\u2019s early indication of maltreatment. Tertiary prevention programs provide services to reduce the likelihood of future maltreatment. Universal, primary, and secondary prevention programs focus on preventing abuse and neglect from occurring in the first place, rather than intervening afterwards to reduce any impact caused from maltreatment and to prevent future incidents.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">For example, <a href=\"https:\/\/familyconnects.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">Family Connects<\/span><\/a> \u2013 a universal prevention program funded by PEI \u2013 provides up to three nurse home visits to every family in Austin who gives birth at St. David\u2019s South Austin Medical Center beginning at about three weeks of age, regardless of income or circumstances. For most families, this amount of support will suffice; families at higher risk are referred to primary prevention programs such as <a href=\"https:\/\/www.nursefamilypartnership.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">Nurse Family Partnership<\/span><\/a> for more intensive services. Current and former youth in foster care who are pregnant and\/or parenting are offered services through Helping through Intervention and Prevention (HIP), an example of a PEI secondary prevention program which provides support to reduce the chance of future CPS intervention. PEI also funds a specialized court in San Antonio designed to address child abuse and neglect by helping parents regain control of their lives and custody of their children.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">PEI prioritizes investments in evidence-based, data-driven programs whenever possible. It also partners with community-based organizations to build their capacity to measure the effectiveness of their programs. The division works closely with providers, model developers, and research and evaluation experts to expand use of, and fidelity to, evidence-based models.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p>PEI now manages eight programs that offer free, voluntary services to children, youth, and parents across Texas. The division does not provide direct services, but rather maintains over 160 contracts with nonprofits, governments, and schools to provide local services within their communities. In 2022, PEI served just over 60,000 youth, children and families with a budget of $111 million through the following programs and services:<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"faq  content-section light  wp-block-f-a-q backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5 grid\">\n <div class=\"faq--title-callout\">\n <h2 class=\"mb-5\">Programs<\/h2>\n  <\/div>\n <ul class=\"faq__list\" data-functionality=\"accordion\">\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood open\">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Community Youth Development (CYD)\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p>Mentoring, Youth Advisory Committee, Youth Leadership Development, Life Skills, Recreational Activities, Academic Support Services, Youth Based Curriculum<\/p>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Family and Youth Success Program (FAYS), formerly Services to At-Risk Youth\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.123magic.com\/\" target=\"_blank\" rel=\"noopener\">1-2-3 Magic<\/a>, <a href=\"https:\/\/activeparenting.com\/\" target=\"_blank\" rel=\"noopener\">Active Parenting<\/a>, <a href=\"https:\/\/aggressionreplacementtraining.com\/\" target=\"_blank\" rel=\"noopener\">Aggression Replacement Training<\/a>, <a href=\"https:\/\/traumaawareschools.org\/index.php\/learn-more-bounce-back\/\" target=\"_blank\" rel=\"noopener\">Bounce Back<\/a>, <a href=\"https:\/\/www.cebc4cw.org\/program\/defiant-children-a-clinician-s-manual-for-assessment-and-parent-training\/\" target=\"_blank\" rel=\"noopener\">Defiant Children<\/a>, Defiant Teens, <a href=\"https:\/\/www.loveandlogic.com\/\" target=\"_blank\" rel=\"noopener\">Love and Logic<\/a>, <a href=\"https:\/\/parentingnow.org\/parenting-educators\/make-parenting-a-pleasure-second-edition\/\" target=\"_blank\" rel=\"noopener\">Make Parenting a Pleasure<\/a>, <a href=\"https:\/\/www.nurturingparenting.com\/\" target=\"_blank\" rel=\"noopener\">Nurturing Parenting<\/a>, <a href=\"https:\/\/www.cebc4cw.org\/program\/parenting-wisely\/detailed\" target=\"_blank\" rel=\"noopener\">Parenting Wisely<\/a>, <a href=\"https:\/\/www.positiveaction.net\/\" target=\"_blank\" rel=\"noopener\">Positive Action<\/a>, <a href=\"https:\/\/www.cebc4cw.org\/program\/systematic-training-for-effective-parenting\/\" target=\"_blank\" rel=\"noopener\">Systematic Training for Effective Parenting (STEP)<\/a>, <a href=\"https:\/\/www.attachmenttraumanetwork.org\/trust-based-relational-interventions-tbri\/\" target=\"_blank\" rel=\"noopener\">Trust-Based Relational Intervention (TBRI)<\/a>, <a href=\"https:\/\/whytry.org\/\" target=\"_blank\" rel=\"noopener\">Why Try<\/a>, Kinship Navigator, <a href=\"https:\/\/www.cebc4cw.org\/program\/c-a-t-project\/detailed\" target=\"_blank\" rel=\"noopener\">CAT Project<\/a>, <a href=\"https:\/\/www.parenting.org\/Pages\/common-sense-parenting.aspx\" target=\"_blank\" rel=\"noopener\">Common Sense Parenting<\/a>, <a href=\"https:\/\/www.copingcatparents.com\/\" target=\"_blank\" rel=\"noopener\">Coping Cat<\/a>, <a href=\"https:\/\/www.incredibleyears.com\/\" target=\"_blank\" rel=\"noopener\">Incredible Years<\/a>, <a href=\"https:\/\/motivationalinterviewing.org\/\" target=\"_blank\" rel=\"noopener\">Motivational Interviewing<\/a>, <a href=\"https:\/\/www.samhsa.gov\/resource\/dbhis\/seeking-safety\" target=\"_blank\" rel=\"noopener\">Seeking Safety<\/a>, <a href=\"https:\/\/strengtheningfamiliesprogram.org\/\" target=\"_blank\" rel=\"noopener\">Strengthening Families<\/a><\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p><strong>Safety is a key measure<\/strong><\/p>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Fatherhood EFFECTS\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p class=\"p1\"><a href=\"https:\/\/www.cebc4cw.org\/program\/24-7-dad\/\" target=\"_blank\" rel=\"noopener\">24\/7 Dads<\/a>, <a href=\"https:\/\/nurturingfathers.com\/\" target=\"_blank\" rel=\"noopener\">Nurturing Fathers<\/a>, <a href=\"https:\/\/store.fatherhood.org\/complete-program-kit-insideout-dad-3rd-edition\/\" target=\"_blank\" rel=\"noopener\">InsideOut Dad<\/a>, <a href=\"https:\/\/www.cebc4cw.org\/program\/parenting-wisely\/\" target=\"_blank\" rel=\"noopener\">Parenting Wisely<\/a>, <a href=\"https:\/\/parentsasteachers.org\" target=\"_blank\" rel=\"noopener\">Parents as \u00a0Teachers (PAT)<\/a><\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\"><strong>Safety is a key measure<\/strong><\/p>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Healthy Outcomes through Prevention and Early Support (HOPES)\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p><a href=\"https:\/\/www.cebc4cw.org\/program\/24-7-dad\/\" target=\"_blank\" rel=\"noopener\">24\/7 Dads<\/a>, <a href=\"https:\/\/www.circleofsecurityinternational.com\/\" target=\"_blank\" rel=\"noopener\">Circle of Security<\/a>, <a href=\"https:\/\/www.nurturingparenting.com\/NPLevelsPrevent.html\" target=\"_blank\" rel=\"noopener\">Nurturing Parenting<\/a>, <a href=\"https:\/\/www.cebc4cw.org\/program\/systematic-training-for-effective-parenting\/\" target=\"_blank\" rel=\"noopener\">Systematic Training for Effective Parenting (STEP)<\/a>, <a href=\"https:\/\/www.teaching-family.org\/\" target=\"_blank\" rel=\"noopener\">Teaching Family Model (TFM)<\/a>, <a href=\"https:\/\/child.tcu.edu\/about-us\/tbri\/#sthash.gRYJeaf2.dpbs\" target=\"_blank\" rel=\"noopener\">Trust-Based \u00a0Relational Intervention (TBRI)<\/a>, <a href=\"https:\/\/ap-od.org\/home\/\" target=\"_blank\" rel=\"noopener\">Abriendo Puertas<\/a>, <a href=\"https:\/\/www.avance.org\/\" target=\"_blank\" rel=\"noopener\">AVANCE<\/a>, <a href=\"https:\/\/familyconnects.org\/\" target=\"_blank\" rel=\"noopener\">Family Connects<\/a>, <a href=\"https:\/\/homvee.acf.gov\/models\/home-instruction-parents-preschool-youngsters-hippyr\" target=\"_blank\" rel=\"noopener\">Home Instruction for Parents of Preschool Youngsters (HIPPY)<\/a>, <a href=\"https:\/\/www.incredibleyears.com\/\" target=\"_blank\" rel=\"noopener\">Incredible Years<\/a>, <a href=\"https:\/\/parentsasteachers.org\/\" target=\"_blank\" rel=\"noopener\">Parents as Teachers (PAT)<\/a>, <a href=\"https:\/\/safecare.publichealth.gsu.edu\/about-safecare\/\" target=\"_blank\" rel=\"noopener\">SafeCare<\/a>, <a href=\"https:\/\/www.triplep.net\/glo-en\/home\/\" target=\"_blank\" rel=\"noopener\">Triple P<\/a><\/p>\n<p><strong>Safety is a key measure<\/strong><\/p>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Service Members, Veterans, and Family Program\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p class=\"p1\"><a href=\"https:\/\/www.nurturingparenting.com\/NPLevelsPrevent.html\">Nurturing Parenting Program<\/a>, <a href=\"https:\/\/www.cebc4cw.org\/program\/systematic-training-for-effective-parenting\/\" target=\"_blank\" rel=\"noopener\">Systematic Training for Effective Parenting (STEP)<\/a>, Wraparound Services, <a href=\"https:\/\/www.bbbs.org\/\" target=\"_blank\" rel=\"noopener\">Big Brothers Big Sisters<\/a>, <a href=\"https:\/\/safecare.publichealth.gsu.edu\/about-safecare\/\" target=\"_blank\" rel=\"noopener\">SafeCare<\/a>, <a href=\"https:\/\/www.bu.edu\/sfsf\/project-overview\/\">Strong Families Strong Forces<\/a>, <a href=\"https:\/\/www.triplep.net\/glo-en\/home\/\" target=\"_blank\" rel=\"noopener\">Triple P<\/a><\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p><strong>Safety is a key measure<\/strong><\/p>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Statewide Youth Services Network (SYSN)\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p><a href=\"https:\/\/www.bgca.org\/\" target=\"_blank\" rel=\"noopener\">Boys and Girls Club<\/a>, <a href=\"https:\/\/www.bbbs.org\/\" target=\"_blank\" rel=\"noopener\">Big Brothers Big Sisters<\/a><\/p>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Texas Home Visiting (THV)\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p class=\"p1\"><a href=\"https:\/\/www.familyconnects.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">Family Connects<\/span><\/a><span class=\"s2\">, <\/span><a href=\"https:\/\/www.healthyfamiliesamerica.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">Healthy Families America<\/span><\/a><span class=\"s2\">, <\/span><a href=\"https:\/\/homvee.acf.gov\/models\/home-instruction-parents-preschool-youngsters-hippyr\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">Home Instruction for Parents of Preschool Youngsters (HIPPY)<\/span><\/a><span class=\"s2\">, <\/span><a href=\"https:\/\/parentsasteachers.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">Parents as Teachers (PAT)<\/span><\/a><span class=\"s2\">, <\/span><a href=\"https:\/\/www.nursefamilypartnership.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">Nurse Family-Partnership (NFP)<\/span><\/a><span class=\"s1\">, <\/span><a href=\"https:\/\/safecare.publichealth.gsu.edu\/safecare-augmented\/\" target=\"_blank\" rel=\"noopener\">SafeCare Augmented<\/a><\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p><strong>Safety is a key measure<\/strong><\/p>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Texas Nurse Family Partnership Program (TNFP)\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p class=\"p1\"><a href=\"https:\/\/www.nursefamilypartnership.org\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">Nurse-Family Partnership (NFP)<\/span><\/a><\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph --><\/p>\n<p><strong>Safety is a key measure<\/strong><\/p>\n<\/div>\n <\/li>\n  <\/ul>\n <\/div>\n<\/div>\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:heading {\"level\":3,\"className\":\"p4\"} --><\/p>\n<h3 class=\"wp-block-heading p4\"><b>Child safety is everyone\u2019s responsibility <\/b><\/h3>\n<p><!-- \/wp:heading --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Child protection agencies need help to keep children safe, and can join with other key partners that touch the lives of children and families to work collectively on efforts to prevent abuse and neglect. An effective response requires that support networks be built and families engaged before crises strike. Through PEI\u2019s partnerships with local communities, organizations are poised to build effective and coordinated collaborations that streamline efforts so families receive the help they need.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">A public health approach begins by identifying the underlying needs in the local community, particularly those that are the most wide-spread. A broad group of stakeholders then work together to identify and implement strategies to effectively meet those needs. Through many of its funded community programs, PEI supports the <a href=\"https:\/\/www.collectiveimpactforum.org\/what-collective-impact\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">collective impact approach<\/span><\/a> to coalition building which brings together stakeholders committed to a common agenda for solving a specific social problem, using a structured form of collaboration. PEI funds the backbone agency that provides the coordination and infrastructure for the collective effort, made up of community members, non-profit organizations, and government agencies. PEI provides support for existing coalitions and activates coalitions in communities that do not yet have them.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">In addition to mobilizing stakeholders to form the coalitions described above, PEI partners across sectors with schools, housing authorities, and hospitals to break down silos and improve coordination. For example, one of PEI\u2019s goals is to <a href=\"https:\/\/www.casey.org\/engaging-fathers-prevention\/\"><span class=\"s1\">improve fatherhood engagement<\/span><\/a>, since a lack of engagement is associated with child abuse and neglect. Many Texas housing authorities have policies that do not allow the fathers to be on the property of the housing facility. In one community, PEI worked with the housing authority to waive this policy so fathers can come on-site and visit with their children for a pre-determined amount of time.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">PEI also oversees the Office of Child Safety, a team that independently analyzes individual child abuse and neglect fatalities, near fatalities, and serious injuries investigated by DFPS or that occur while the child is involved with DFPS. Through analyzing trends in child abuse and neglect fatalities and near fatalities, this team assesses root causes to provide advanced consultative assistance to agency staff and local stakeholders, government agencies, and community organizations on the most effective prevention methods, as well as improvements in child welfare and prevention practices to reduce child maltreatment fatalities and near fatalities. The Office of Child safety produces an <span class=\"s1\">annual report<\/span> of its findings that can be found online on <a href=\"https:\/\/www.dfps.texas.gov\/About_DFPS\/Reports_and_Presentations\/Archive\/PEI\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">PEI\u2019s Reports and Presentations page<\/span><\/a>.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">In 2015 DFPS partnered with the Texas Department of State Health Services to analyze and link DFPS-Child Fatality Review Data (DFPS-CFR) with other data sources including birth records, death records, and community-level risk indicators to develop a <a href=\"https:\/\/web.archive.org\/web\/20250217112259\/https:\/\/www.dfps.texas.gov\/About_DFPS\/Reports_and_Presentations\/Archive\/PEI\/documents\/2022\/2022-09-01_FY2022_PEI_Strategic_Plan_Update.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">strategic plan to reduce abuse and neglect fatalities<\/span><\/a>. After reviewing all abuse and neglect fatalities from calendar years 2010 to 2012 it was discovered that over half had no prior involvement with DFPS, highlighting the importance of population-based strategies to reach vulnerable children outside of the child welfare system and involve coordinated efforts between agencies. The ultimate goal of this plan is to reduce abuse and neglect fatalities by providing timely, coordinated, and evidence-based services to families and communities before there\u2019s a crisis.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:heading {\"level\":3,\"className\":\"p4\"} --><\/p>\n<h3 class=\"wp-block-heading p4\"><b>Normalizing the need for parenting help<\/b><\/h3>\n<p><!-- \/wp:heading --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">PEI staff traveled to different communities across the state to ask parents directly what types of services and supports they needed. The answer was similar from urban areas to the most rural counties: being a parent is amazing, but it is also difficult, and there is nowhere to go to deal with the stressors and challenges of parenting and learn where to get help. Accordingly, PEI decided to invest in changing cultural and societal norms to destigmatize seeking help and advance a narrative that <a href=\"https:\/\/www.casey.org\/family-strengths-videos\/\"><span class=\"s1\">all parents need some support<\/span><\/a> to increase participation in voluntary parenting programs. PEI\u2019s message is one of parental support and building resiliency.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">PEI launched a $1 million universal public awareness campaign designed to support the parenting experience and normalize outreach for services to help parents deal with the challenges and stresses that can lead to child abuse and neglect. The campaign included television ads in the largest Texas markets, radio spots in rural Texas, and a statewide mobile and online campaign. On the <a href=\"https:\/\/www.getparentingtips.com\/\" target=\"_blank\" rel=\"noopener\">Get Parenting Tips<\/a> website, parents and other stakeholders can access <a href=\"https:\/\/www.getparentingtips.com\/video-library.asp\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">educational videos<\/span><\/a> and <a href=\"https:\/\/www.getparentingtips.com\/parents\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"s1\">tips<\/span><\/a> to address some of the most challenging aspects of parenting \u2013 behavioral challenges with teens, bedtime battles, crying babies, postpartum depression, toilet training, and more.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:heading {\"level\":3,\"className\":\"p4\"} --><\/p>\n<h3 class=\"wp-block-heading p4\"><b>Using data analytics to target resources<\/b><\/h3>\n<p><!-- \/wp:heading --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">To more effectively target resources and build capacity, PEI contracted with Population Health at University of Texas Health Science Center Tyler to develop tools that utilize geographically based risk and resiliency models to identify community maltreatment risk and the specific factors associated with that risk. In 2018, the center released maps showing the distribution of maltreatment rates in the state by residential ZIP code. These maps provide PEI with new opportunities to utilize state-of-the-art risk mapping and geographically-based risk and resiliency models to identify and allocate resources within communities of highest need.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Evidence of effectiveness<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Currently, PEI captures the effectiveness of its efforts through two major outcome measures: a validated pre- and post-services survey of protective factors, and data on entry into the child welfare and juvenile justice system. The Protective Factors Survey measures parental protective factors in five major areas: family functioning\/resiliency; social support; concrete support; child development and knowledge of parenting; and nurturing and attachment.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><h3 class=\"p1\">2022 Outcomes for PEI<\/h3>\n<ul>\n<li class=\"p1\"><span class=\"s1\"><b>97% of families remain safe*<\/b><\/span>\u00a0after 3 years of completing services<\/li>\n<li class=\"p1\">Almost\u00a0<span class=\"s1\"><b>98%<\/b><\/span>\u00a0of families show\u00a0<span class=\"s1\"><b>improvement in at least one protective factor<\/b><\/span><\/li>\n<li class=\"p1\">More than\u00a0<span class=\"s1\"><b>97%<\/b><\/span>\u00a0of youth served were\u00a0<span class=\"s1\"><b>not referred to juvenile probation<\/b><\/span><\/li>\n<\/ul>\n<p class=\"p1\">*Parents are not a confirmed perpetrator in a CPS investigation.<span class=\"Apple-converted-space\">\u00a0 \u00a0<\/span><\/p>\n<p class=\"note\"><strong>Source:<\/strong>\u00a0<a href=\"https:\/\/web.archive.org\/web\/20221207074627\/https:\/\/www.dfps.texas.gov\/About_DFPS\/Reports_and_Presentations\/Rider_Reports\/documents\/2022\/2022-12-01_Rider_20_Report%20.pdf\" target=\"_blank\" rel=\"noopener\">DFPS Prevention\u00a0and Early Intervention Outcomes Report \u2013 FY2022<\/a><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p>In addition, outcomes collected for specific PEI programs, such as home visiting and fatherhood engagement programs, showed improved parenting skills, greater family economic self-sufficiency, increased father involvement and support, and enhanced connections to support networks, such as extended family members, other parents, and faith-based organizations.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"qff_disclaimer align wp-block-disclaimer content-section\">\n <div class=\"container mx-auto px-0 md:px-5\">\n <div class=\"qff_disclaimer__wrapper text-salt-box text-xs font-sofiapro border-t-2 border-spring-wood\">\n <p>Casey Family Programs consults with individuals and teams across the country to compile research, experiences, and insights about approaches that can safely reduce the need for foster care and ensure the well-being of children and families. We share this information broadly to help child welfare leaders and their partners tackle similar issues in their own communities. For questions about this resource, or if you have other child welfare information needs, please email <a href=\"mailto:kmresources@casey.org\">kmresources@casey.org<\/a>.<\/p>\n\n <\/div>\n <\/div>\n<\/div>\n\n\n\n<div id=\"footnotes\" class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:2px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n<div class=\"footnote wp-block-footnote\">\n  <div class=\"container mx-auto px-5 text-3xs text-black-currant\">\n    <p class=\"note\">1 The information in this brief is based on an interview with Sara Abrahams, Deputy Assistant Commissioner, Prevention and Early Intervention, Texas Department of Family and Protective Services on June 28, 2019. Updates were provided in April 2023 by Anjulie Chaubal, Director of Programs, Prevention and Early Intervention, Texas Department of Family and Protective Services and Kathryn Sibley, Director of Research and Safety, Prevention and Early Intervention, Texas Department of Family and Protective Services.<\/p>\n\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><script>\nvar 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class='gfield_description' id='gfield_description_5_3'><h5>What did you like about it?<\/h5><\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_5_3' class='textarea medium'  aria-describedby=\"gfield_description_5_3\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you willing to tell us your role\/affiliation so we can learn more about our readers?<\/span><\/label><div class='gfield_description' id='gfield_description_5_4'><h5> Are you willing to tell us your role\/affiliation so we can learn more about our readers?<\/h5><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_4'>\n\t\t\t<li class='gchoice gchoice_5_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Yes'  id='choice_5_4_0'    \/>\n\t\t\t\t<label for='choice_5_4_0' id='label_5_4_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='No'  id='choice_5_4_1'    \/>\n\t\t\t\t<label for='choice_5_4_1' id='label_5_4_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Select which best describes your role\/affiliation<\/span><\/label><div class='gfield_description' id='gfield_description_5_9'><h5>Select which best describes your role\/affiliation<\/h5><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_9'>\n\t\t\t<li class='gchoice gchoice_5_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Staff at a child welfare agency or provider organization'  id='choice_5_9_0'    \/>\n\t\t\t\t<label for='choice_5_9_0' id='label_5_9_0' class='gform-field-label gform-field-label--type-inline'>Staff at a child welfare agency or provider organization<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='Staff at an Indian Child Welfare agency'  id='choice_5_9_1'    \/>\n\t\t\t\t<label for='choice_5_9_1' id='label_5_9_1' class='gform-field-label gform-field-label--type-inline'>Staff at an Indian Child Welfare agency<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_2'>\n\t\t\t\t<input name='input_9' type='radio' value='Staff at a community, neighborhood, or other non-profit organization'  id='choice_5_9_2'    \/>\n\t\t\t\t<label for='choice_5_9_2' id='label_5_9_2' class='gform-field-label gform-field-label--type-inline'>Staff at a community, neighborhood, or other non-profit organization<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_3'>\n\t\t\t\t<input name='input_9' type='radio' value='Staff at a philanthropic or private foundation'  id='choice_5_9_3'    \/>\n\t\t\t\t<label for='choice_5_9_3' id='label_5_9_3' class='gform-field-label gform-field-label--type-inline'>Staff at a philanthropic or private foundation<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_4'>\n\t\t\t\t<input name='input_9' type='radio' value='Staff in a child welfare &quot;adjacent&quot; field (e.g., education, health care, criminal justice, etc.)'  id='choice_5_9_4'    \/>\n\t\t\t\t<label for='choice_5_9_4' id='label_5_9_4' class='gform-field-label gform-field-label--type-inline'>Staff in a child welfare &#8220;adjacent&#8221; field (e.g., education, health care, criminal justice, etc.)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_5'>\n\t\t\t\t<input name='input_9' type='radio' value='Court personnel (e.g., Judge, attorney, etc.)'  id='choice_5_9_5'    \/>\n\t\t\t\t<label for='choice_5_9_5' id='label_5_9_5' class='gform-field-label gform-field-label--type-inline'>Court personnel (e.g., Judge, attorney, etc.)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_6'>\n\t\t\t\t<input name='input_9' type='radio' value='Policymaker or legislative staffer'  id='choice_5_9_6'    \/>\n\t\t\t\t<label for='choice_5_9_6' id='label_5_9_6' class='gform-field-label gform-field-label--type-inline'>Policymaker or legislative staffer<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_7'>\n\t\t\t\t<input name='input_9' type='radio' value='Person who is directly involved with the child 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