Essentials for Childhood (EfC) in Nevada: Preventing Adverse Childhood Experiences through Data to Action - The Nevada Center for Surveys, Evaluation, and Statistics (NCSES) and the Nevada Institute for Children’s Research and Policy (NICRP) have worked together to develop a multisector partnership that leverages resources achieve the following goals: 1) Improve ACEs/PCEs surveillance infrastructure and capacity in Nevada; 2) Implement and sustain two upstream, evidence-based ACEs prevention strategies; and 3) Conduct data-to-action activities on an ongoing basis. In addition to the required strategies and activities associated with each goal ($400,000), we are seeking enhanced funding under goal 1 to: a) synthesize and use syndromic surveillance data ($49,218); and b) link social determinants of health (SDOH) data with youth-based ACEs and PCEs surveillance data ($35,782). This statewide project has a focus on using data and corresponding prevention strategies to address SDOH and health equity. More timely and comprehensive ACEs, PCEs, SDOH, and linked data will be used to tailor prevention approaches to ensure that all children have safe, stable, and nurturing relationships and environments. We will achieve the following goals and outcomes: Goal 1. Build or improve surveillance infrastructure and capacity 1.1. Increased capacity to create, use, and disseminate data from a comprehensive ACEs and PCEs surveillance system 1.2. Increased state level collection of ACEs and PCEs data through youth-based surveillance; 1.2a. Increased state level collection of real-time ACEs and PCEs through CDC’s National Syndromic Surveillance Program (NSSP) BioSense Platform and other relevant systems* 1.3. Increased capacity to collect data on SDOH 1.3a. Increased capacity to link data on SDOH with youth-based ACEs and PCEs* 1.4. Increased access to ACEs and PCEs, risk and protective factor, and SDOH data to inform prevention strategies and identify inequities 1.5. Increased state-level monitoring of trends in ACEs and PCEs over time, and use of data from youth populations 1.5a. Increased state-level monitoring of real-time ACEs and PCEs through NSSP and other relevant systems* 1.6. Increased use of data on health inequities and the SDOH to contextualize risk factors for ACEs, and reduce inequities 1.6a. Increased use of linked SDOH and youth-based ACEs/PCEs surveillance to tailor and improve prevention strategies and reduce inequities* 1.7. Increased sustainability of a comprehensive ACEs and PCEs surveillance system Goal 2. Implement and Sustain ACEs Prevention Strategies 2.1. Increased partner awareness of existing state prevention strategies and approaches that address ACEs 2.2. Increased coordination and collaboration between state agencies and other sectors 2.3. Increased capacity to implement comprehensive ACEs prevention strategies at the state level 2.4. Increased uptake and implementation of comprehensive ACEs prevention strategies at the state level 2.5. Increased reach of prevention strategies, with a focus on communities with disproportionate needs due to SDOH 2.6. Increased evidence for population-based approaches to prevent ACEs Goal 3: Use ACEs/PCEs Data for Action 3.1. Increased understanding of state surveillance and prevention capacity related to ACEs and PCEs 3.2. Increased capacity to use ACEs and PCEs surveillance and evaluation data to identify and tailor ACEs prevention strategies, improve health equity, and SDOH 3.3. Increased data dissemination on ACEs and PCEs to state partners, policy-makers, and the public 3.4. Increased knowledge about the effectiveness of ACEs prevention strategies to improve health and wellbeing, and reduce inequities 3.5. Increased use and translation of surveillance and evaluation data to inform tailored prevention strategy implementation to reduce ACEs and improve health equity and SDOH 3.6. Increased partner response to the burden of ACEs and PCEs in their state, and public awareness of societal factors that lead to safe, stable, and nurturing relationships and environments