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History

History

From a research group in Seattle to a randomised trial in 24 towns and a European network: how Communities That Care came to be and reached Europe.

Contents
  1. 01A model from social work
  2. 02Developed with communities, not for them
  3. 03The Community Youth Development Study
  4. 04Arriving in Europe

A model from social work

The roots of Communities That Care reach back to the early 1980s and the University of Washington in Seattle. There, the Social Development Research Group, based in the School of Social Work, began under J. David Hawkins and Richard F. Catalano to draw together what decades of prevention research had established. CTC comes from social work itself: its authors describe it explicitly as a model of social-work practice in the tradition of community organising.

Their aim was a prevention approach for adolescent problem behaviour, above all substance misuse, violence and offending, that rested on scientific evidence rather than good intentions. From the outset the central idea was not to address individual behaviours one at a time, but to identify the underlying risk and protective factors in the settings where children grow up, family, school, peer group and community, and to influence them deliberately.

Building on the Social Development Model, the researchers reached a conclusion that still defines the approach: lasting change in young people's lives requires communities that can make evidence-based decisions about their own prevention work and carry them out. The point was to equip communities, with knowledge and with tools, to recognise local needs objectively and to act on them effectively.

Milestones

  1. 1980s

    A vision from research

    University of Washington

    J. David Hawkins and Richard F. Catalano condense decades of prevention research into one systematic approach. The Social Development Model becomes the theoretical basis of CTC.

    Sources
    1. Hawkins, J.D., Catalano, R.F. and J.Y. Miller (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112(1), 64–105. doi.org/10.1037/0033-2909.112.1.64In the library →
  2. 1990s

    Tested with communities

    Hundreds of communities

    CTC is tried out with hundreds of communities in the United States and refined continuously, along what are today the five phases.

    Sources
    1. Hawkins J.D., Catalano R.F., Arthur M.W. (2002). Promoting science-based prevention in communities. Addictive Behaviors, 27(6), 951–976. doi.org/10.1016/s0306-4603(02)00298-8In the library →
  3. 1998

    First European adaptations

    United Kingdom and the Netherlands

    The Joseph Rowntree Foundation funds the first CTC sites in the United Kingdom; a year later the Dutch government buys the CTC licence and DSP-groep adapts the youth survey. From 2000, neighbourhoods in Amsterdam, Arnhem, Rotterdam and Zwolle pilot the process and the Netherlands Institute for Care and Welfare compiles the first European inventory of promising programmes.

    Sources
    1. Crow, I., France, A., Hacking, S., & Hart, M. (2004). Does Communities that Care work? An evaluation of a community-based risk prevention programme in three neighbourhoods. Joseph Rowntree Foundation. core.ac.uk/download/288389332.pdfIn the library →
    2. Jonkman, H., Junger-Tas, J., van Dijk, B. (2005). From Behind Dikes and Dunes: Communities that Care in the Netherlands. Children & Society, 19(2), 105–116. doi.org/10.1002/chi.865In the library →
    3. Groeger-Roth, F., van den Hazel, B., & de Vries, R. (2016). Communities That Care in Europe 1998–2015. The implementation of a community based prevention strategy in Europe: Overview & experiences. Technical report on the CTC Implementation Guide. CTC European Network, with the financial support of the Prevention of and Fight against Crime Programme, European Commission. communities-that-care.eu/downloads/ctc-european-network-implementation-guide-2016.pdfIn the library →
    4. van Dijk, B., Geldorp, M., & Tulner, H. (2004). Eindrapportage vier pilotprojecten CtC: Amsterdam, Arnhem, Rotterdam, Zwolle. DSP-groep. dsp-groep.nl/publicatie/eindrapportage-vier-pilotprojecten-ctc/In the library →
    5. France, A., & Crow, I. (2001). CTC – the story so far: An interim evaluation of Communities That Care. Joseph Rowntree Foundation. hdl.handle.net/2134/2507In the library →
  4. 2003

    Community Youth Development Study

    24 communities

    A randomised controlled trial follows 4,400 young people from grade 5 into adulthood. The effect of CTC is documented comprehensively for the first time.

    Sources
    1. Hawkins, J.D., Oesterle, S., Brown, E.C., Arthur, M.W., Abbott, R.D., Fagan, A.A., & Catalano, R.F. (2009). Results of a type 2 translational research trial to prevent adolescent drug use and delinquency: A test of Communities That Care. Archives of Pediatrics & Adolescent Medicine, 163(9), 789. doi.org/10.1001/archpediatrics.2009.141In the library →
    2. Hawkins, J. D., Oesterle, S., Brown, E. C., Abbott, R. D., & Catalano, R. F. (2014). Youth Problem Behaviors 8 Years After Implementing the Communities That Care Prevention System. JAMA Pediatrics, 168(2), 122. doi.org/10.1001/jamapediatrics.2013.4009In the library →
  5. 2008–2011

    Arrival in Germany

    Lower Saxony

    In the EU co-funded SPIN project the Crime Prevention Council of Lower Saxony brings CTC to Germany with Dutch partners, adapted structurally, culturally and linguistically, and starts the Grüne Liste Prävention.

    Sources
    1. Landespräventionsrat Niedersachsen. (n.d.). SPIN – Sozialräumliche Prävention in Netzwerken. ctc-info.de/nano.cms/spin-niedersachsen
    2. TH Köln, Forschungsschwerpunkt Sozial · Raum · Management. (2012). SPIN – Evaluationsbericht, Phasen 4–5 [Evaluation report]. Landespräventionsrat Niedersachsen. ctc-info.de/communities-that-care/Media/SPIN_Evaluationsbericht_Phasen_4-5_final.pdf
  6. 2013–2015

    The CTC European Network

    Nine partners, seven countries

    The EU-funded project "Making CTC work at the European level" links Germany, the Netherlands, the United Kingdom, Austria, Sweden, Cyprus and Croatia, compares youth-survey data across countries and reviews Europe's effective programmes.

    Sources
    1. Groeger-Roth, F., van den Hazel, B., & de Vries, R. (2016). Communities That Care in Europe 1998–2015. The implementation of a community based prevention strategy in Europe: Overview & experiences. Technical report on the CTC Implementation Guide. CTC European Network, with the financial support of the Prevention of and Fight against Crime Programme, European Commission. communities-that-care.eu/downloads/ctc-european-network-implementation-guide-2016.pdfIn the library →
    2. Axford, N., Sonthalia, S., Wrigley, Z., Webb, L., Mokhtar, N., Brook, L., Wilkinson, T., Hunt, A., Timmons, L., Raja, A., Rawsthorn, M., Goodwin, A., Ohlson, C., Price, H., Whybra, L., Jamison, K., & Morpeth, L. (2016). What works in Europe? Developing a European Communities that Care database of effective prevention programmes. Dartington Social Research Unit, for the CTC European Network. communities-that-care.eu/downloads/ctc-european-network-what-works-in-europe-2016.pdfIn the library →
    3. Farrington, D. P., Jonkman, H., & Groeger-Roth, F. (Eds.). (2021). Delinquency and Substance Use in Europe: Understanding Risk and Protective Factors. Springer. doi.org/10.1007/978-3-030-58442-9
  7. 2022–2023

    Frontline Politeia

    Belgium, Estonia, Greece, Portugal

    An EU Justice Programme project carries the CTC youth survey into three further countries and trains the prevention frontline in CTC tools.

    Sources
    1. HOGENT. (n.d.). Frontline Politeia (EU Justice Programme, grant 101045880) [Project website]. frontline-politeia.eu/
    2. Siilbek, E., & Streimann, K. (2024). Adaptation of the Communities That Care Youth Survey for Use in Estonia: A Pilot Study. Journal of Prevention, 45(4), 483–500. doi.org/10.1007/s10935-024-00777-zIn the library →
    3. ΕΚΤΕΠΝ [Greek Documentation and Monitoring Centre for Drugs] (2024). Κοινότητες που Νοιάζονται: Προσαρμογή στα ελληνικά, πιλοτική εφαρμογή και έλεγχος της αξιοπιστίας του ερωτηματολογίου. University Mental Health, Neurosciences and Precision Medicine Research Institute (UMHRI), Athens. ektepn.gr/ctc-2023In the library →
    4. Henriques, S., & Rabelo, R. P. (2024). Adaptação do Communities That Care Youth Survey para Portugal: Um estudo piloto. Revista Foco, 17(12), Article e7361. doi.org/10.54751/revistafoco.v17n12-187In the library →
  8. 2025

    Ireland starts

    Newbridge, Ireland

    The South Western Regional Drug and Alcohol Task Force (SURF) launches Ireland's first CTC cycle in Newbridge, County Kildare, coordinated through Foróige's drug-prevention project, with Trinity College Dublin as survey partner.

    Sources
    1. Dillon, L. (2025). Communities That Care in Ireland. Drugnet Ireland, (91), 32–34. drugsandalcohol.ie/43357/In the library →
    2. Center for Communities That Care. (2025, March 4). Key leaders supporting CTC in Ireland. University of Washington. communitiesthatcare.net/2025/03/04/key-leaders-supporting-ctc-in-ireland/
  9. Every year

    A European network that meets

    EUSPR conference

    The European CTC groups meet at the annual conference of the European Society for Prevention Research, most recently in Dublin in 2026.

    Sources
    1. European Society for Prevention Research. (n.d.). EUSPR conference past programmes. euspr.org/euspr-conference-past-programmes/

Developed with communities, not for them

Through the late 1980s and the 1990s, CTC was tested and refined in a participatory process with hundreds of American communities, at times more than 470. The system was adapted to communities of very different kinds. Two problems common in prevention practice were the explicit targets: the use of measures without adequate evidence, and the poor implementation of programmes that had been shown to work.

CTC was therefore built around local coalitions of key people from different sectors: local government, schools, youth services, police, health services and civil society. These coalitions learn to identify their community's specific risk and protective factors using the CTC youth survey, a standardised questionnaire completed by school pupils, to set priorities, and to select and implement evidence-based programmes with attention to quality. The structured five-phase process, with clear milestones from readiness through to evaluation, became the hallmark of the approach.

The Community Youth Development Study

The scientific confirmation came with the Community Youth Development Study. Launched in 2003, this randomised controlled trial in 24 rural towns across seven US states followed more than 4,400 young people from fifth grade into early adulthood. Its results confirmed the logic of the model at each step:

  • System change: CTC communities were measurably more likely to adopt a science-based approach to prevention and to improve cooperation across sectors.
  • Fewer risks, stronger protection: targeted interventions produced measurable improvement in the factors each community had prioritised.
  • Less problem behaviour: young people in CTC communities started using alcohol and tobacco later, and showed significantly lower rates of substance use, violence and offending.
  • Effects that lasted: at age 21 the differences persisted, and a twelve-year benefit-cost analysis found that every dollar invested had returned nearly thirteen.

The evidence page sets out these findings in detail, alongside the Australian replication and the more cautious verdicts from Europe.

Arriving in Europe

CTC crossed the Atlantic in the late 1990s. The United Kingdom was first: between 1998 and 2008 the charity Communities that Care UK worked with more than sixty sites in all four nations, around thirty of which ran the full process, with Wales and London most strongly represented. Its operations ceased in 2009. The Netherlands followed and, for some fifteen years, built the broadest European CTC practice: more than 25 municipalities and neighbourhoods, guided by the Netherlands Youth Institute with DSP-groep's youth survey and evaluated by the Verwey-Jonker Institute. No Dutch community is known to run the process today. Germany adopted the approach through the EU-funded SPIN project (2008–2011), led by the Crime Prevention Council of Lower Saxony, with the first pilot sites starting in 2009. Cyprus (from 2006), Croatia and Sweden each ran their own adaptations; Austria adapted and piloted the youth survey in a single Upper Austrian municipality, Sierning, in 2013.

Between 2013 and 2015 these efforts were connected for the first time. The EU-funded project Communities That Care European Network: Making CTC work at the European level brought together partners from seven countries to answer three questions. Does the CTC youth survey measure the same thing across borders? Which prevention programmes have actually been tested in Europe? And how should a new country go about introducing the approach? Its answers, a cross-national survey analysis, a European programme review that fed the EUDA's Xchange register, and an implementation guide, remain the foundation for CTC work on this continent.

This site continues that work. It is operated by FINDER e.V., a German non-profit that provides CTC training and survey infrastructure, and it exists to make the European adaptations visible to each other, and to the countries that do not yet have one.

Next steps

Read on

  • About CTC

    The approach

    Risk and protective factors, and the model behind them

  • About CTC

    Evidence

    What the trials found, including where the evidence is thin

  • Europe

    CTC in Europe

    Where the approach runs today, by country