The North Carolina Department of Health and Human Services is investing $3 million to expand access to Child First, an evidence-based, early childhood intervention program proven to reduce the risk of child maltreatment and prevent young children and families from entering the foster care system. This investment, awarded to Alliance Health, Trillium Health Resources and Vaya Health, will expand Child First services to additional counties across the state, providing critical, community-based access to behavioral health care and family support services.
Child First is a nationally recognized, two-generation care model that provides home-based clinical therapy for young children (prenatal through age five) and their parents or primary caregivers while also connecting families to essential resources in their communities. The program has been proven to strengthen parent-child relationships, reduce maternal depression and build resilience for families experiencing challenges like poverty, domestic violence, substance abuse, homelessness or incarceration.
Child First is a front-end, upstream resource that can support young families before abuse or neglect occurs, preventing the need for intervention through child welfare services in the future.
"We know that the earliest years of life set the foundation for a child’s future health and well-being," said North Carolina Health and Human Services Secretary Dev Sangvai. "By expanding access to Child First, we are ensuring that more families receive the support they need to create stable, nurturing environments where young children can thrive."
The goal of NCDHHS’ $3 million investment is to expand access to evidence-based programs in underserved communities in North Carolina to improve outcomes for children and families. Trillium Health Resources and Alliance Health have been awarded $1 million each to expand Child First into a combined 22 additional counties across the state. Vaya Health has dedicated $350,000 to expanding Child First in western North Carolina, and the remainder of their $1 million award will support other evidence-based behavioral health programs, including Parent-Child Interaction Therapy and Trauma-Focused Cognitive Behavioral Therapy.
Child First is currently available in 31 North Carolina counties through providers such as Children’s Home Society, RHA Health Services, Easter Seals PORT Health and Coastal Horizons. With this expansion, more families will have access to trauma-informed, family-focused care and support in their own homes.
"Investing in early intervention and prevention services is one of the most effective ways we can support children and families, helping them build stability and resilience before a challenge becomes a crisis," said NCDHHS Deputy Secretary for Opportunity and Well-Being Susan Osborne. "By expanding access to Child First, we are ensuring more families receive comprehensive, evidence-based support – laying the foundation for lifelong health and well-being."
To strengthen the overall impact of the program across the state, NCDHHS is launching a Child First Learning Collaborative. The collaborative will bring together providers, the participating LME/MCOs and Child First NC partners to assess the program’s effectiveness, support successful implementation and help to inform the department’s future investments in evidence-based, community-based services.
This initiative is part of the department’s broader $835 million investment to transform behavioral health in North Carolina. Of these funds, $80 million is committed to building a child behavioral health system that improves outcomes for children and families through trauma-informed, family-centered care. The goal is to integrate a continuum of services into North Carolina’s homes, communities and schools to meet children and families where they are, ensuring access to the right services at the right time to meet their needs.
For more information, go to the Child First NC website.
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