Communities That Care

Communities That Care (CTC) is a prevention science-based system developed to reduce levels of adolescent substance abuse and antisocial behavior. The system is designed to assist communities in organizing and implementing prevention strategies aimed at reducing the risk factors and enhancing the protective factors associated with these issues.

Overview

CTC is a community-based prevention system that uses a public health approach to prevent youth problem behaviors including underage drinking, tobacco use, violence, delinquency, school dropout, and substance abuse. The system is based on the premise that these behaviors can be prevented by reducing risk factors and enhancing protective factors in a community.

Methodology

CTC uses a five-phase process that includes assessment, planning, action, evaluation, and sustainability. The process begins with a community assessment to identify the risk and protective factors that are most prevalent in the community. Based on the assessment, the community develops a comprehensive plan to address these factors using evidence-based prevention strategies. The plan is then implemented, and its effectiveness is evaluated. The final phase involves sustaining the effort over time.

Effectiveness

Several studies have demonstrated the effectiveness of CTC in reducing youth problem behaviors. A study published in the American Journal of Public Health found that communities that implemented CTC had lower rates of alcohol, tobacco, and other drug use among youth compared to communities that did not implement the system. Another study published in the Journal of Adolescent Health found that CTC was effective in reducing the prevalence of antisocial behavior among youth.

Conclusion

CTC is a valuable tool for communities seeking to prevent youth problem behaviors. By focusing on risk and protective factors, the system provides a comprehensive approach to prevention that is grounded in prevention science.

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