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Am J Public Health. 2013 Mar;103(3):529-35. doi: 10.2105/AJPH.2011.300567. Epub 2012 Jun 21.

Sustained effects of the Communities That Care system on prevention service system transformation.

Author information

1
Social Development Research Group, School of Social Work, University of Washington, Seattle, WA 98115, USA. rhew@u.washington.edu

Abstract

OBJECTIVES:

We examined whether the Communities That Care (CTC) system sustained effects 1.5 years after study funding ended on prevention system constructs expected to be important for community-level reductions in drug use and antisocial behaviors among youths.

METHODS:

Data were from a community trial of 24 towns in the United States randomized to either the CTC intervention or control conditions. Participants were 928 community key leaders interviewed at 1 to 4 waves from 2001 to 2009. Intervention activities, including training and technical assistance, were conducted between 2003 and 2008 in the CTC communities.

RESULTS:

Leaders from CTC communities reported higher levels of adoption of a science-based approach to prevention and a higher percentage of funding desired for prevention activities in 2009 than did leaders in control communities. CTC communities showed a higher increase over time in community norms against adolescent drug use as well as adoption of a science-based approach compared with control communities.

CONCLUSIONS:

These findings indicated that CTC implementation produced enduring transformation of important prevention system constructs in intervention communities, which might, in turn, produce long-term reductions in youth problem behaviors.

PMID:
22720764
PMCID:
PMC3673484
DOI:
10.2105/AJPH.2011.300567
[Indexed for MEDLINE]
Free PMC Article
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