Communities That Care (CTC)

[Communities That Care (CTC)]

Targets | Content | Outcomes | Installation

Program Outcomes:

Communities That Care was tested in a randomized controlled trial. 24 communities across 7 states were matched in pairs within state and randomly assigned to either receive CTC or serve as control communities.

In this trial, a panel of 4407 students from CTC and control communities was followed and surveyed annually from Grade 5. By the spring of Grade 8, significantly fewer of the panel students from the CTC communities had health and behavior problems than those from the control communities. Panel students from CTC communities were:
  • 25% less likely to initiate delinquent behavior
  • 32% less likely to initiate the use of alcohol
  • 33% less likely to initiate cigarette use than control community youths
These significant effects were sustained through Grade 10, one year after the intervention phase of the trial ended. By the end of Grade 10, panel students from CTC communities also had 25% lower odds of engaging in violent behavior in the past year than those from control communities.

Research shows that communities successful installed CTC
In this randomized trial, CTC communities implemented over 90% of the core components of the CTC system over multiple years. Key leaders in CTC communities were significantly more likely to adopt a science-based approach to prevention. CTC coalitions faithfully implemented more evidence-based programs than control communities and achieved over 90% fidelity with respect to adherence to stated program objectives, core components, and dosage. These evidence based programs served more children, youth, and parents in CTC communities compared to control communities.

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Hawkins, J. David, Oesterle, Sabrina, Brown, Eric C., Arthur, Michael W., Abbott, Robert D., Fagan, Abigail A., Catalano, Richard F. (2009). Results of a type 2 translational research trial to prevent adolescent drug use and delinquency: A test of Communities That Care. Archives of Pediatrics and Adolescent Medicine, 163(9), 789-798

© 2017, Social Development Research Group