Box 1.

Expected outputs and outcomes

• System-level changes

○ Prevention focus

○ Proportionate universal response

○ Multi-sectoral working, improved system integration, reduced service silos

○ Collaboration, upskilling, and professional satisfaction of service providers

○ Reduced barriers to access, improve system responsiveness

○ System efficiency

• Individual-level outputs

○ Parental support for access to services to prevent or reduce substance use, domestic violence, or mental ill health, including anti-poverty/income maximization, thereby preventing/reducing childhood exposure to ACEs

○ Support for children to access support for social and emotional needs, reducing susceptibility to the impact of exposure to ACEs

• Individual-level outcomes

○ Maximise family income

○ Parental wellbeing

○ Children’s wellbeing including reduction of socio-emotional problems, better relationships with families, more time spent at school, and increased social and educational opportunities

○ Life course impacts of ACEs, and therefore of prevention