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Communities that Care (CTC)

Strong Communities, Successful Kids

Larimer County Department of Health and Environment has been awarded a grant by the Colorado Department of Public Health and Environment for implementation of Communities That Care (CTC) in Fort Collins and Estes Park.

What is CTC?

CTC is an evidence-based process that uses community collaboration to address the health concerns affecting youth. The five phase system is designed for sustainability and targets predictors of problems rather than waiting until problems occur.

How does CTC work?

CTC communities identify prevention priorities through available data. This gives each community the flexibility to address their unique needs and implement proven strategies to address gaps in services and align community-wide programming.

CTC Research & Results

CTC was tested in a randomized controlled trial in 24 communities across 7 states. After 4 years, CTC communities reported significantly fewer health and behavior problems among youth than control communities. CTC community youth were less likely to:

  • engage in violent behavior1
  • initiate delinquent behavior1
  • initiate the use of alcohol1
  • initiate cigarette use1

CTC has also been shown to be economically beneficial. For every dollar spent on CTC, $5.30 is returned in the form of lower criminal justice system, crime victim, and health care costs.2


  1. Hawkins, J. David, Oesterle, Sabrina, Brown, Eric C., Abbott, Robert D., & Catalano, Richard F. (2014). Youth problem behaviors 8 years after implementing the Communities That Care prevention system. A community randomized trial. JAMA Pediatrics, 168(2), 122-129.
  2. Kuklinski, M. R., Briney, J. S., Hawkins, J. D., & Catalano, R. F. (in press) Cost-benefit analysis of Communities That Care outcomes at eighth grade. Prevention Science, online first Nov 23, 2011; doi:10.1007/s11121-011-0269-9.
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