Sustainability of Community Coalitions: An Evaluation of Communities That Care
The relationships between community coalition processes during initial 3-year state seed funding and markers of sustainability post-funding were investigated in 20 Communities That Care (CTC) sites in Pennsylvania. Coalition processes were assessed using interviews with coalition members, ratings from the research team and ratings from state technical consultants. We found members' knowledge of prevention, coalition internal functioning, and fidelity to the CTC model during early coalition functioning predictive of later sustained coalition board activity. Findings suggest domains of early coalition functioning that may be important for understanding and promoting sustainability.
[Show abstract] [Hide abstract] ABSTRACT: 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.0Comments 1Citation
- "(1) If coalition functioning sets the stage for capacity building and the subsequent adoption of science-based prevention , what contributes or serves as barriers to high coalition functioning (Brown et al. 2012)? (2) Exploring longitudinal data to determine the developmental progression of coalition processes, activities, and outcomes over the length of the CYDS would be informative for timing training and technical assistance supports to facilitate and sustain community change (Gloppen et al. 2012; Gomez et al. 2005). Finally, these findings suggest that a formal test of mediation between coalition functioning, coalition capacities, and the adoption of science-based prevention may be useful; however , there are at least two challenges to conducting and interpreting a formal test of mediation for our purposes. "
- "Public health literature examines sustainability mostly from the viewpoint of maintaining specific health programs, such as health initiatives, or retaining knowledge, capacity and values generated from the collaboration (Bryant 2002; Israel et al. 2006; Paine-Andrews et al. 2000; Shediac-Rizkallah & Bone 1998). Less attention is given to sustaining the partnership itself (Gomez, Greenberg & Feinberg 2005; Israel et al. 2001), and investigating partnership sustainability through empirical evidence is also not granted the attention it deserves (Israel et al. 2001). A few studies have examined theoretical perspectives of sustainability. "
[Show abstract] [Hide abstract] ABSTRACT: This study examined factors associated with the predicted and actual post-funding sustainability of evidence-based interventions implemented as part of the Pennsylvania Commission on Crime and Delinquency's Research-Based Delinquency and Violence Prevention Initiative. Correlates of predicted post-funding sustainability included program staff, overall school support, and school administrator support. Additionally, predicted post-funding sustainability was strongly associated with actual post-funding sustainability. Other correlates of actual post-funding sustainability included financial sustainability planning and aligning the intervention with the goals of the agency/school. Five years post-funding 33% of the interventions were no longer operating, 22% were operating at a reduced level, and 45% were operating at the same level or a higher level than the final year of funding. These findings are discussed in terms of implications for increasing intervention sustainability, as well as implications for future research on intervention sustainability.0Comments 32Citations
- "In addition to community readiness, the extant literature suggests that collaborations with local coalitions also may impact intervention sustainability (Altman 1995; Greenberg 2004; Hawkins et al. 2002; Spoth et al. 2004). Research on Communities That Care (CTC; Hawkins et al. 2002), a model that utilizes community coalitions in order to assess community intervention needs and implement appropriate evidence-based interventions, indicates that CTC coalitions are sustainable and increase the adoption and implementation of evidencebased programs (CTC; Gomez et al. 2005; Hawkins et al. 2002). There is a dearth of research, however, on the role of coalitions in the long-term sustainability of evidence-based interventions. "