The Vanderbilt Center of Excellence for Children in State Custody (COE) is part of a statewide network funded under an agreement with the State of Tennessee to improve the public health by enhancing the quality of services provided to children in or at-risk of entering the Tennessee child welfare or juvenile justice systems. Children and families involved with these child-serving systems are more likely to have developmental, physical or psychiatric disabilities, and to have had adverse childhood experiences such as abuse, neglect and household dysfunction.