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Reach and Impact

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Our Reach and Impact

Whether a federal or state agency, city or county government, health service provider, or insurance organization, each is finding great benefit from the Predict-Align-Prevent (PAP) Program by leveraging analyses findings to meet specific needs.

Below are just a few examples of how the PAP methodology is impacting the nation.

Stopping child maltreatment before it happens

In Arkansas, the PAP work is supporting a Byrne Criminal Justice Innovation program that will utilize a place-based strategy to deter future crime. Community schools will become hubs for promoting personal resilience and neighborhood empowerment.

The Arkansas Department of Children & Family Services is utilizing PAP results for programmatic planning to support future projects such as working with African American fraternities on fathering initiatives and partnering with schools as part of the American Rescue Act.

The Chief Education Officer for Little Rock City utilized PAP data to focus prevention efforts for school districts and community schools in the development of parent classes and prevention strategies within the school districts.

The city of Little Rock, in response to PAP’s results, formed the Little Rock Data Task Force. This group helps community programs understand what data points are needed for actionable insights.

PAP provided expert knowledge regarding Adverse Childhood Experiences data, the need for accessible data sharing, what place-based predictive analytics encompasses, the importance of tying outcomes and measurement of prevention programming to identified child maltreatment risk factors, and understanding of how various data systems can create flexibility in tracking spatial data and outcomes.

This knowledge and PAP Program results are now supporting widespread community prevention, providing greater benefit for the residents of Little Rock City.

Other Jurisdictions

Other jurisdictions have chosen to support foster family recruitment, improved utilization of foster homes, and reduced distance between children in foster care and placement location.

In New Hampshire, PAP results are now actively used to align foster resources and caseworkers to existing homes and to re-evaluate how families are recruited and maintained in the foster system.

For Washington state, the PAP methodology was used to provide a group of child placement agencies with a data-driven framework to improve foster family recruitment. Implementation incented a culture shift; agencies are now learning how to use data to improve services, ensuring families and children are appropriately identified, matched, and well-supported.

Through a market-wide collaboration between agencies and the state, stakeholders are learning more about service gaps, both geographically and demographically, and are positioning the field to respond aptly.

In Oregon, PAP partnered with the Department of Human Services (DHS) to minimize child maltreatment-related fatalities throughout the state as well as improve outcomes for foster children.

PAP collaborated with DHS researchers to develop urban and rural geospatial models and trained staff on the inner workings of geospatial analysis associated with location and neighborhood effects.

DHS gained valuable insights, technical expertise, and an innovative approach to improve outcomes for foster children with which they are supporting system change.

Here are just a few of the state, county, and city initiatives and programs that PAP analyses are supporting:

Here are just a few of the state, county, and city initiatives and programs that PAP analyses are supporting:

  • Health equity initiatives
  • Bias prevention training for multiple groups such as Juvenile Justice
  • School parenting class development
  • Expanding mobile lab offerings and routes
  • Increased lead level screening and resources
  • Education and community awareness regarding services around lead exposure
  • Human trafficking risk group identification
  • Early Childhood Alliance initiatives
  • Increased enrollment for the Women, Infants, and Children program
  • Open Airways, to reduce school absences due to asthma
  • Education health regarding chronic conditions such as urinary tract infections and diabetes
  • Improved water quality
  • Family Resource Centers to increase enrollment and determine new facility location placement

On the ground

Predict-Align-Prevent’s on-the-ground community prevention processes are ensuring initiatives succeed.

Analysis results are used to facilitate inclusive and diverse community prevention coalitions that work together to address primary prevention and reduce ACEs in a population.

Using location-based predictive analytics upstream in prevention work means moving away from looking at the individual, reducing the risk of data being used in a punitive way, and ensuring assumptions are not guiding prevention efforts.

Learn how the state of New Hampshire is utilizing the PAP Program to support its community prevention efforts.

Predict-Align-Prevent partnered with the New Hampshire Department of Health and Human Services (DHHS) to deliver the PAP Program for five urban and rural communities.

Working with Community Implementation Teams, PAP led the development of Plan-Do-Study-Act (PDSA) prevention cycles to address risk factors identified during geospatial analyses.

NH Partnership

Prevention Cycle Example

One prevention cycle included eighteen community-based organizations which convened to participate in a multi-part wellness series for families with young children.

The goal: to mitigate child abuse and neglect by providing opportunities to receive community-based services and engage in universal prevention.

This involved the coordination of mobile resources in PAP identified high-needs areas to align and improve protective factors, including social connections, parental resilience, knowledge of parenting and child development, social-emotional competence of children, and concrete support in times of need.

Services Delivered

Community Services Delivered

  • Prevention materials distributed
  • Vaccines administered
  • Enrollments in NH Easy (assistance programs and community services)
  • Participant eligibility for benefits verified
  • Referrals to additional state programs
  • Referrals to primary care physicians
  • Family enrollment in Women, Infants, and Children (WIC)
  • Application submissions for Head Start and Early Head Start
  • Meals distributed
  • Enrollments in kindergarten
  • Fresh fruits and vegetables made accessible

PDSA Cycles

Additional PDSA prevention cycles are underway, focusing on increasing enrollment at Family Resource Centers to improve familial outcomes and reduce child maltreatment. These include the distribution of “Strengthening Family” coloring books which contain bookmarks on the dangers of lead poisoning, a top risk factor identified during the PAP analysis.

Teams have partnered with local police departments, mental health counselors, and preschool directors using these family-friendly outreach materials with the goal of increasing the likelihood of family engagement and enrollment, and providing education surrounding the dangers of lead poisoning.

Five thousand lead training books have been delivered and distributed within the identified high-risk areas, and partnerships have been formed with the Adverse Childhood Experiences (ACEs) Response Teams within law enforcement to support lead awareness.

PAP New Hampshire Program Maps showing areas in the highest need of services and resources can now be found at the New Hampshire Health and Services Data Portal under Community Collaborations.

These maps are supporting local communities to implement ongoing targeted programs and align interventions that are likely to have the greatest impact.

Multiple communities around the country now use PAP maps and resources to support grassroots prevention by engaging and informing community members’ efforts to reduce ACEs.


PAP Psychographic Segmentationh

In addition, PAP’s psychographic segmentation analysis is improving program messaging, reach, and impact while leveraging limited prevention resources.

New Hampshire Community Implementation Teams called upon segmentation findings to support the advertisement of wellness events, ensuring messaging and broadcast methods successfully motivated and reached target audiences.

Community teams are now sharing psychographic insights with their partners, adding value and supporting broader messaging and engagement.

The psychographic analysis continues to support New Hampshire to create efficiencies and maximize the benefit of prevention efforts.


The Predict-Align-Prevent methodology is providing actionable insights to jurisdictions across the nation at the population level, while enabling targeted prevention that supports community needs, ensuring achievement of optimal outcomes.

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