Prevention Science

, Volume 16, Issue 8, pp 1136–1146

Building Local Infrastructure for Community Adoption of Science-Based Prevention: The Role of Coalition Functioning

  • Valerie B. Shapiro
  • J. David Hawkins
  • Sabrina Oesterle

DOI: 10.1007/s11121-015-0562-y

Cite this article as:
Shapiro, V.B., Hawkins, J.D. & Oesterle, S. Prev Sci (2015) 16: 1136. doi:10.1007/s11121-015-0562-y


The widespread adoption of science-based prevention requires local infrastructures for prevention service delivery. Communities That Care (CTC) is a tested prevention service delivery system that enables a local coalition of community stakeholders to use a science-based approach to prevention and improve the behavioral health of young people. This paper uses data from the Community Youth Development Study (CYDS), a community-randomized trial of CTC, to examine the extent to which better internal team functioning of CTC coalitions increases the community-wide adoption of science-based prevention within 12 communities, relative to 12 matched comparison communities. Specifically, this paper examines the potential of both a direct relationship between coalition functioning and the community-wide adoption of science-based prevention and a direct relationship between functioning and the coalition capacities that ultimately enable the adoption of science-based prevention. Findings indicate no evidence of a direct relationship between four dimensions of coalition functioning and the community-wide adoption of a science-based approach to prevention, but suggest a relationship between coalition functioning and coalition capacities (building new member skills and establishing external linkages with existing community organizations) that enable science-based prevention.


Communities That Care Coalition Functioning Capacities Science-based prevention Community-level intervention 

Copyright information

© Society for Prevention Research 2015

Authors and Affiliations

  • Valerie B. Shapiro
    • 1
  • J. David Hawkins
    • 2
  • Sabrina Oesterle
    • 2
  1. 1.School of Social WelfareUniversity of California at BerkeleyBerkeleyUSA
  2. 2.Social Development Research Group, School of Social WorkUniversity of WashingtonSeattleUSA

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