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Historically, child abuse and neglect (CAN) prevention efforts have focused on individuals and families, with disregard for the contexts and conditions that may underlie family challenges. There is increased recognition that efforts to support families and children must include focus on the societal level (Browne, 2014), yet few studies have examined how institutional processes influence community-based CAN prevention services. I utilized institutional ethnography to identify institutional factors that impact family well-being and CAN prevention work in Alabama. I relied on three primary forms of data: 1) focus group discussions; 2) interview discussions; and 3) analysis of key documents. Preliminary analysis indicates prevention work is diverse and occurs within a system of limited institutional and public support. I will discuss the specific institutional factors that influence child and abuse prevention work in Alabama and close with a discussion of how institutional ethnography can be used to strengthen family research and policy.

Public policy has been shifting from child abuse and neglect (CAN) intervention toward prevention, using public health style frameworks, which emphasize shared community and legislative responsibilities to support families (Browne, 2014; CDC, 2014). Analysis of qualitative data from statewide focus groups held in 2019 in Alabama with 99 community-based CAN prevention workers shows strengths in community collaboration, but also, struggles to help families meet basic needs because of lack of community resources, such as transportation and quality child care, and other barriers, including stigma. The results demonstrate confusion between prevention, which is intended to build family resilience to avert crisis, and intervention, meant to reunite families after child protection services involvement. We recommend researchers consistently link CAN research to prevention frameworks so as to build meaningful understanding how to create better prevention programs. Future practitioners should understand prevention, and be prepared to document their work so as to demonstrate need.