Conclusion:
The 11 Start Strong sites made substantial policy impacts within the context of their TDV prevention efforts. Start Strong sites developed and/or enhanced policy even though they: 1) worked within the constraints of a two-year timeline; 2) operated within very different contexts and; (3) had varying, and often low levels of resources in practice change areas at the beginning of the initiative.
Start Strong grantees received guidance on strategies and a model policy that included sample language and implementation tools. The initiative’s funding terms did not allow grantees to directly promote specific legislation. Instead, grantees enhanced policy by raising awareness of TDV among policymakers, broadening the base of support for policy change, and acting as expert resources within the policy development process.
About the Evaluation:
Start Strong’s independent evaluation included a multimethod evaluation of the initiative’s policy component. The policy evaluation focused on grantees’ efforts to improve policy through adoption of new policy, adaptation of existing policy, and implementation of existing policy, as well as interim and short-term outcomes.