Community Coalition Prevention Models
Community coalitions have the potential to prevent substance use disorders in communities. Coalitions can strengthen collaboration between public and private organizations in communities, address factors in the community that increase the risk of substance misuse, and support interventions that promote environmental strategies to address substance use disorders in the community.
Examples of Community Coalition-based Prevention Models
- PROmoting School-community-university Partnerships to Enhance Resilience (PROSPER): PROSPER is a partnership-based universal model in the local Cooperative Extension System. The PROSPER model connects the school system with local universities and other community based organizations to form PROSPER teams. These teams work to implement evidence-based programs, conduct needs assessments, monitor implementation, and evaluate outcomes. Once teams are formed, they are charged with selecting the most appropriate universal family or school-based programs for youth and their families within the community. PROSPER has shown to reduce use of marijuana, methamphetamine, and inhalants and lifetime prescription opioid misuse and prescription drug misuse. PROSPER has demonstrated a benefit to cost ratio of $1.89 in benefit per dollar spent and is listed in The Surgeon General's Report on Alcohol, Drugs, and Health as an evidence-based prevention program.
- Communities That Care (CTC): CTC is a universal, coalition-based community prevention model created to prevent substance use disorders and other problem behaviors among youth. CTC is an ongoing process that is comprised of five phases: identifying stakeholders, organizing workgroups, developing a community profile, creating an action plan, and implementing and evaluating the action plan. The Washington State Institute for Public Policy found a benefit to cost ratio of $5.31 on CTC programs. CTC training materials are free of charge and available for download on the CTC website. This intervention is listed in The Surgeon General's Report on Alcohol, Drugs, and Health as an evidence-based prevention program.
- Project Northland: Project Northland is a universal, multilevel intervention designed to delay the onset of alcohol use among students in grades six through eight. The program focuses on different themes at different grade levels, with sixth grade focusing on home-based activities, seventh grade focusing on teacher-led curriculum, and eighth grade focusing on peer-led programs. Project Northland has demonstrated a benefit to cost ratio of $4.51 in benefit per dollar spent and is listed in The Surgeon General's Report on Alcohol, Drugs, and Health as an evidence-based prevention program.
Considerations for Implementation
Community coalition prevention models may focus on developing new policies, changing social norms and beliefs in the community about substance use disorders, and supporting schools and other organizations in addressing substance use disorders.
Resources to Learn More
Community Anti-Drug Coalitions of America
Resources for starting a new community coalition or finding an existing local coalition, including a handbook for community anti-drug coalitions and strategies for coalition building.
Organization: Community Anti-Drug Coalitions of America
Community Tool Box
Chapter five of the Community Tool Box provide resources on starting and maintaining a coalition including checklists and sample agendas.
Organization: Work Group for Community Health and Development, University of Kansas
Communities Support Program
A federal grant program that funds and supports community-based coalitions whose goal is to prevent substance use among youth.
Organization: Office of National Drug Control Policy