Sustainability of the communities that care prevention system by coalitions participating in the community youth development study

Kari M. Gloppen, Michael W. Arthur, J. David Hawkins, Valerie B. Shapiro

Research output: Contribution to journalArticlepeer-review

39 Scopus citations


Community prevention coalitions are a common strategy to mobilize stakeholders to implement tested and effective prevention programs to promote adolescent health and well-being. This article examines the sustainability of Communities That Care (CTC) coalitions approximately 20 months after study support for the intervention ended. The Community Youth Development Study is a community-randomized trial of the CTC prevention system. Using data from 2007 and 2009 coalition leader interviews, this study reports changes in coalition activities from a period of study support for CTC (2007) to 20 months following the end of study support for CTC (2009), measured by the extent to which coalitions continued to meet specific benchmarks. Twenty months after study support for CTC implementation ended, 11 of 12 CTC coalitions in the Community Youth Development Study still existed. The 11 remaining coalitions continued to report significantly higher scores on the benchmarks of phases 2 through 5 of the CTC system than did prevention coalitions in the control communities. At the 20-month follow-up, two-thirds of the CTC coalitions reported having a paid staff person. This study found that the CTC coalitions maintained a relatively high level of implementation fidelity to the CTC system 20 months after the study support for the intervention ended. However, the downward trend in some of the measured benchmarks indicates that continued high-quality training and technical assistance may be important to ensure that CTC coalitions maintain a science-based approach to prevention, and continue to achieve public health impacts on adolescent health and behavior outcomes.

Original languageEnglish (US)
Pages (from-to)259-264
Number of pages6
JournalJournal of Adolescent Health
Issue number3
StatePublished - Sep 2012

Bibliographical note

Funding Information:
This work was supported by a research grant from the National Institute on Drug Abuse ( R01 DA015183-8 ), with co-funding from the National Cancer Institute, the National Institute of Child Health and Human Development, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the Center for Substance Abuse Prevention. This written manuscript was funded in part by NIMH grant T32MH20010 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding agencies. The authors acknowledge the contributions of the communities and prevention coalitions participating in the Community Youth Development Study.


  • Coalition
  • Communities That Care
  • Community practice
  • Community research
  • Evidence-based practice
  • Macro practice
  • Prevention
  • Prevention science
  • Social work


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