APPI Cross-Site Evaluation: Interim Report (Executive Summary)

The Adverse Childhood Experiences (ACEs) Public-Private Initiative (APPI) evaluation is a retrospective mixed-methods study designed to answer a central question: “Can a multifaceted, scalable, community-based empowerment strategy focused on mitigating or preventing ACEs succeed in producing a wide array of positive outcomes in a community, including reduction of child maltreatment and improvement of child and youth development outcomes?†This cross-site interim report describes the development, theory of change, and current activities of five sites in Washington State; the report also summarizes the state- and county-level trends in ACEs and resilience-related risk and protective factors.