title: Effects of the Communities That Care model in pennsylvania on youth risk and problem behaviors.
abstract: We undertook the first broad-scale quasi-experimental evaluation of youth outcomes in communities using the Communities That Care program (Hawkins, J. D., & Catalano, R. F., Jr. San Francisco, CA, USA: Jossey-Bass Inc, Publishers, 1992a), which targets adolescent problem behaviors. We evaluated 15 risk factors and 6 outcomes (substance use and delinquent behaviors) for 38,107 youth in 2001 and 98,436 youth in 2003 in Pennsylvania schools. Multilevel analyses compared student reports in communities with CTC programs to comparable communities without CTC, while controlling for level of poverty in the community. Results favored the CTC communities at greater than chance levels in terms of lower rates of some risk factors and outcomes. In a follow-up analysis, CTC community grade cohorts were included only if the grade cohort was expected to benefit from a CTC sponsored program (based on timing of program implementation and target age of the program). Evidence of CTC effects for grade cohorts that received evidence-based programs was even stronger. These findings suggest that community coalitions can affect adolescent public health problems at a population level, especially when evidence-based programs are utilized.
authors: College of Health and Human Development, The Pennsylvania State University, S-105 Henderson Building, University Park, PA 16802, USA. mef11@psu.edu
authors: Mark E
authors: ME
authors: Feinberg
authors: Mark T
authors: MT
authors: Greenberg
authors: D Wayne
authors: DW
authors: Osgood
authors: Jennifer
authors: J
authors: Sartorius
authors: Daniel
authors: D
authors: Bontempo
mesh_terms: D000293:Adolescent; D003256:Community Participation; D003625:Data Collection; D006801:Humans; D007604:Juvenile Delinquency / Q000517:prevention & control*; D017146:Models, Organizational; D010414:Pennsylvania; D015397:Program Evaluation / Q000706:statistics & numerical data; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000517:prevention & control*; D014481:United States
references: Eval Rev. 1998 Feb;22(1):78-94
references: 10183302
references: Psychol Bull. 1992 Jul;112(1):64-105
references: 1529040
references: J Community Health. 1983 Fall;9(1):49-64
references: 6678258
references: J Adolesc Health. 2005 Sep;37(3 Suppl):S115-8
references: 16115566
references: Prev Sci. 2005 Sep;6(3):199-202
references: 16079961
references: Annu Rev Public Health. 2000;21:369-402
references: 10884958
references: Eval Rev. 2002 Dec;26(6):575-601
references: 12465571
references: J Prim Prev. 1996 Mar;16(3):233-54
references: 24254812
references: Addiction. 2000 Feb;95(2):209-17
references: 10723849
references: Prev Sci. 2004 Dec;5(4):213-20
references: 15566047
references: Am J Prev Med. 2002 Nov;23 (4):237-45
references: 12406477
references: Prev Sci. 2004 Mar;5(1):31-9
references: 15058910
references: Prev Med. 1986 Jan;15(1):1-17
references: 3714655
references: Am J Prev Med. 2007 May;32(5):395-402
references: 17478265
references: Am J Public Health. 1995 Feb;85(2):183-92
references: 7856777
references: J Consult Clin Psychol. 1978 Aug;46(4):792-805
references: 670522
references: Am J Community Psychol. 2004 Jun;33(3-4):163-76
references: 15212176