High expectations, inclusion, innovation and a culture of learning and continuous improvement guide APPI’s efforts. These efforts build upon Washington’s past success and current infrastructure to help reduce costs and improve lives.
The work of the APPI collaborative is guided by the following principles:
1) Building a community level culture of continuous learning from the rapidly evolving science of brain development fosters the understanding of root causes of health and social problems needed to drive innovations in prevention and mitigation of ACEs.
2) Developing community capacity by fostering resident leadership and valuing the contributions of each individual promotes community level innovation informed by experience, leading to improved child, family and community outcomes.
3) Rigorous evaluation methodologies are needed to expand upon existing evidence of the effectiveness of community level efforts focused on the prevention or mitigation of ACEs–through more strategic use of existing data sources, as well as development of new data sources.
4) Reinvestment of avoided public costs from prevention and mitigation of ACEs into targeted, community-directed prevention approaches that are scalable and sustainable can leverage continuous improvements in the well-being of children, families and communities.
5) Community engagement processes that promote the co-construction of shared community goals and aligned strategies and resources are critical components of community level approaches to preventing ACEs and mitigating their effects.
6) In pursuit of population level improvements in the prevalence of ACEs, their antecedents, effects and moderating factors, addressing the needs of people of all ages and multiple generations can interrupt the cycle of ACEs transmission.
7) Multi-sector coordination and resource alignment increases the collective impact of the work of many people and organizations – operating at the practice or program level, at the community level, and at the state or system level – and can marshal resources from multiple sectors – including the public sector, business community, nonprofit sector, faith communities, and philanthropy – toward achievement of common purpose.
8) Both leveraging existing resources and building on existing evidence and strategies are critical to improving child, family and community outcomes in times of resource scarcity, requiring a high level of coordination among activities with interrelated goals and resources pursuing community-driven ACEs prevention and mitigation approaches.