Skip to main content

2017 Annual Meeting

September 12–14, 2017

Aurora, Colorado

The links below contained detailed information for the upcoming 2017 Safe States Alliance Annual Meeting, taking place September 12-14, 2017 in Aurora, Colorado.

Please note:

Local Health Department Cost Considerations for Parenting and Family Support Programs

Wednesday, September 13, 2017 at 4:15 PM–5:30 PM MDT
Aurora Ballroom 1
Learning Objectives

In this session, participants will:

1. Understand the program components of Triple P.

2. Understand the implementation costs for starting Triple P at the local level.


Statement of Purpose

Implementing evidence-based programs to prevent child abuse and neglect continues to be an important tool for communities. LHDs often serve as the coordinator for these programs. This session will describe in detail the cost considerations when planning and implementing a communitywide prevention program, Triple P – Positive Parenting Program.


The costs of implementing Triple P include direct expenditures associated with provider training and support, program coordination, and implementation of all five levels of the program. Using quarterly financial reports from the implementation sites and NACCHO’s financial records, NACCHO estimated the costs of the project implementation for each of the sites. These costs were coded and estimated for three distinct aspects of program implementation between 2012 and 2014: Level 1 implementation costs, professional training costs, and program management and implementation costs. The average cost of implementing Triple P in these two communities was $215,818 per year.



This analysis was published in a NACCHO report, "Local Health Department Cost Considerations for Parenting and Family Support Programs." This report can be useful for LHDs planning to implement Triple P or other similar programs. Understanding the full implementation costs of a project is essential for budgeting effectively and ensuring program sustainability. 

Conclusions & Significance to the Field

Implementing evidence-based programs to prevent child abuse and neglect continues to be an important tool for communities. As budget cuts within LHDs continue, a reported 25% in 2015, they are trying to do more with less. The good news is that 24% of LHDs reported expanding their population-based prevention services.  A 2012 study of LHDs found that more than one-third of LHDs surveyed provided parenting education programs. This demonstrates an opportunity for LHDs to implement Triple P and similar programs as a population-based primary prevention strategy to prevent child abuse and neglect. Communities looking to implement Triple P or similar programs should closely evaluate all costs associated with implementation of the program. In particular, LHDs should identify initial start-up costs associated with training providers and program coordination.


Margaret Carr, NACCHO

Margaret Carr, BS is a Senior Program Assistant at the National Association of County and City Health Officials. In this position she supports NACCHO’s Safe and Healthy Families team providing training and technical assistance to LHDs, developing resources and materials, disseminating information to LHDs, and producing team webinars. She started her work at NACCHO on the Breastfeeding Project where she was responsible for performing administrative activities in support of 63 grantee organizations, developing evaluation tools and assessments, analyzing and presenting data, and supporting the development of the project’s community of practice site. Areas of interest include immunization, data visualization, and evaluation. Ms. Carr graduated from American University with a BS degree in public health and a minor in statistics.

Sheree Keitt, MPH, National Association of County and City Health Officials


Primary Contact

Margaret Carr, NACCHO