Key points
The CDC Injury Center prioritizes funding for the prevention of adverse childhood experiences (ACEs), overdose, and suicide. This page shows how funds were appropriated in the state of North Carolina in FY23.
ACEs prevention funding - North Carolina
ACEs are preventable, potentially traumatic events that occur in childhood (0-17 years). Examples include neglect, experiencing or witnessing violence, or having a family member attempt or die by suicide.
- 60.2% of adults reported at least one ACE in North Carolina in 20201A
- 15.2% of adults reported experiencing four or more ACEs in North Carolina in 20201A
Total ACE prevention funding for North Carolina
ACE prevention programs
- Essentials for Childhood: Preventing ACEs
- North Carolina Department of Health and Human Services: $400,000
- North Carolina Department of Health and Human Services: $400,000
Overdose prevention funding - North Carolina
There were 107,968 drug overdose deaths in the United States in 2022 (34.6 deaths per 100,000 standard population), a 1.2% increase from 2021.2
- There were 4,310 overdose deaths in North Carolina in 20223
- There were 41.8 overdose deaths per 100,000 people (age-adjusted) in North Carolina in 20223
Total overdose prevention funding in North Carolina
Overdose prevention products
- Overdose Data to Action in States
- NC Department of Health and Human Services: $4,950,273
- NC Department of Health and Human Services: $4,950,273
- Overdose Data to Action: LOCAL
- Mecklenburg County Health Department: $837,708
- Mecklenburg County Health Department: $837,708
- Public Health and Public Safety
- Overdose Response Strategy: $87,600*
- Overdose Response Strategy: $87,600*
- Research
- Research Triangle Institute: $831,130
- University of North Carolina, Chapel Hill: $349,978
- Research Triangle Institute: $831,130
*average award amount
Examples of how North Carolina is working to prevent overdose
Overdose prevention training toolkit for jails
The North Carolina Harm Reduction Coalition implemented an Overdose Response Strategy Pilot Project focused on jail-based overdose prevention education. The pilot developed a standardized overdose prevention education training toolkit that highlights best practices and recommendations for working in jails, provides an overview on overdose prevention, and describes local community services and resources for individuals upon release. Jail administrators were engaged throughout the development of the toolkit to incorporate their insight into procedures, barriers, and delivery.
Rapid data collection tool
North Carolina established the Rapid Overdose Death Detection program with the goal of identifying suspected opioid overdose deaths within 30 days of an overdose. The program's data is validated against confirmed State Unintentional Drug Overdose Reporting System cases and provides timely and actionable surveillance updates, trends, and insights.
Program to support justice-involved individuals who use drugs
North Carolina created a new program to support justice-involved individuals with substance use disorder during the COVID-19 pandemic. The Opioids & COVID program funded 18 entities to implement pre-arrest or pre-trial diversion programs and re-entry or linkage to care programs. The program involved partnerships among local government entities, substance use disorder treatment providers, hospitals, health centers, clinics, pharmacies, and non-profit organizations.
Suicide prevention funding - North Carolina
- There were 1,614 suicide deaths in North Carolina in 2022
- There were 14.4 suicide deaths per 100,000 people (age-adjusted) in North Carolina in 2022
Total suicide prevention funding in North Carolina
Suicide prevention programs
- Comprehensive Suicide Prevention
- North Carolina Department of Health and Human Services: $1,003,000
- North Carolina Department of Health and Human Services: $1,003,000
North Carolina's suicide prevention priorities
North Carolina is preventing suicide with CDC Injury Center funding by:B
- Strengthening access and delivery of suicide care
- Creating protective environments
- Identifying and supporting people at risk
Some groups have higher rates of suicide than others. To address disparities, North Carolina is focusing on:
- Males
- People living in rural counties
- Veterans
- Youth and young adults ages 10-18 years
Examples of how North Carolina is working to prevent suicide
Suicide Prevention Academy
The North Carolina Department of Health and Human Services created and is running a Comprehensive Suicide Prevention Academy to train community providers to identify individuals at risk, prevent suicide, and build prevention capacity with partners to save lives.
Virtual identification of risk
The North Carolina Department of Health and Human Services plans to promote use of the National Action Alliance for Suicide Prevention guide to screen for risk of suicide during telemental health visits. Using the guide consistently could help with early identification of those at risk for suicide, thus making telehealth an even more effective tool in suicide prevention.
- ACE statistics are reported by U.S. adults and include exposure to eight types of ACEs: physical abuse, emotional abuse, sexual abuse, witnessing intimate partner violence, household substance abuse, household mental illness, parental separation or divorce, and incarcerated household member.
- This snapshot reflects suicide prevention priorities and activities under Year 1 funding of the Comprehensive Suicide Prevention (CSP) Program. This information is subject to change. For additional information, please see CSP: Program Profiles.
- Swedo EA, Aslam MV, Dahlberg LL, Niolon PH, Simon TR, Guinn AS, Mercy JA. Prevalence of Adverse Childhood Experiences Among U.S. Adults – Behavioral Risk Factor Surveillance Survey, 2011-2020. MMWR.
- Spencer MR, Miniño AM, Warner M. Drug overdose deaths in the United States, 2001–2021. NCHS Data Brief, no 457. Hyattsville, MD: National Center for Health Statistics. 2022. DOI: https://dx.doi.org/10.15620/cdc:122556
- NVSS – Drug Overdose Deaths