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Blueprints Programs = Positive Youth Development

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Promising Program Seal

Group Teen Triple P - Level 4

Blueprints Program Rating: Promising

An 8-week group-based parent-training program designed to improve parenting skills, manage family problems, and enhance positive family relationships, ultimately to prevent problem behavior among youth.

Allocating State or Local General Funds

State and local funding has been used to support many components of Triple P. Vehicle license fees, tobacco taxes, and other state laws have been instrumental in funding evidence-based programs such as Triple P. Local school districts may also have discretionary funds available to advance student success and student health services. Schools are an ideal setting for Triple P services to be delivered and as educational institutions become trauma-informed, additional support may be found there. State Innovation Model funding may also be accessed by knowledgeable hospitals and primary care clinics, which are able to link public health approaches such as Triple P with the goals of population health and the Triple Aim. Existing funding mechanisms for community clinics and federally qualified health centers also provide a route for state reimbursement of the most intensive Triple P services. It is important to approach Triple P funding with a willingness to explore options broadly.

Maximizing Federal Funds

Formula Funds: Title I grants to school systems have been used to train teachers and counselors in Triple P. TANF and Title IV-B social services funding can be used for training and interventions through parenting programs.

Discretionary Grants: Discretionary grants from the federal government can be sought from a wide array of federal agencies, including the Departments of Education, the Centers for Disease Control, National Institutes of Health, Centers for Medicare and Medicaid Services and the WIC Program. A wide-ranging review of federal grant opportunities will be important for sites considering Triple P. It is important for agencies to monitor government FOAs across HHS because many agencies may have categorical programs that can be applied to Triple P programming. This is especially true for divisions with ancillary public health missions.

Entitlements: Triple P has been funded with Medicaid, Title IV-E, and Title V dollars. Medicaid is used to fund Triple P when offered as a health, mental health, or case management service. Direct Title IV-E dollars as well as waivers to states and counties have supported direct practitioner training costs for child welfare workers and indirect administrative costs related to coordinating training. Triple P America has developed a Title IV-E toolkit to assist jurisdictions in navigating the IV-E reimbursement process. Title I, II, IV of the ESSA (re-authorizing ESEA), present opportunities for jurisdictions to fund Triple P services through a variety of school-based initiatives.

Foundation Grants and Public-Private Partnerships

Many foundations and United Ways support Triple P. With the many different targets of the Triple P intervention, interest can be garnered from a variety of foundations, especially those with priorities including child abuse, health and mental health care, violence prevention and parenting education. Triple P seeks to link its network of direct service providers with educational institutions and public agencies which have the capacity to develop research and service provision proposals. Because members of the Triple P community have expertise in basic research, clinical research, and public sector administration, public-private partnerships are seen as desirable and key in building a sustainable system within jurisdictions.

Debt Financing

Debt financing is a source of funding for initial implementation of Triple P. This is particularly effective when the program targets a population at risk of an expensive remedial intervention in the absence of Triple P.

Generating New Revenue

New revenue can be useful for both start-up costs and sustaining Triple P, particularly when the intervention desired does not have an already existing funding source. A range of approaches can be considered, from fund raising efforts to excise taxes to tax form check-offs and children’s trust funds. An openness to exploring new options for realizing new revenue should be brought to the effort. In this regard, healthcare reform initiatives present opportunities for jurisdictions to pilot programs that increase cost efficiencies and quality of care.