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dc.contributor.advisorHawkins, J. D.en_US
dc.contributor.authorShapiro, Valerie B.en_US
dc.date.accessioned2012-09-13T17:28:42Z
dc.date.available2012-09-13T17:28:42Z
dc.date.issued2012-09-13
dc.date.submitted2012en_US
dc.identifier.otherShapiro_washington_0250E_10275.pdfen_US
dc.identifier.urihttp://hdl.handle.net/1773/20668
dc.descriptionThesis (Ph.D.)--University of Washington, 2012en_US
dc.description.abstractTested and effective approaches are available to prevent mental, emotional, and behavioral problems in youth, but they are underutilized. Communities That Care (CTC) is a coalition-based strategy that creates a local infrastructure for prevention service delivery that facilitates the community-wide adoption of a scientific approach to preventing these problems. A community-randomized trial of CTC in 24 communities, matched in pairs and randomly assigned to a control or an intervention condition, has demonstrated that CTC significantly increases the community-wide adoption of a science-based approach to prevention, as reported by community leaders. For this dissertation, I first examined the extent to which the effect of CTC on the adoption of a community-wide scientific approach to prevention varied significantly across matched community pairs. Results indicated significant and substantial variation in the effect of CTC on the adoption of a scientific approach to prevention across the 12 community pairs. Next I explored potential sources of the variation across community pairs in community transformation toward a scientific approach to prevention. These sources included five coalition capacities: member knowledge, member acquisition of new skills, member attitudes, organizational linkages, and influence on organizations. Findings indicated that CTC coalitions successfully built capacities. Results also showed that new skill acquisition by coalition members and the engagement of diverse sectors in coalition work, as reported by coalition members, moderated the relationship between CTC and the community-wide adoption of a science-based approach to prevention. Finally, I explored whether the internal functioning of CTC coalitions predicted community-wide adoption of a science-based approach to prevention directly or through a coalition culture that builds capacities necessary for coalitions to achieve system transformation. No significant direct effects of four dimensions of coalition functioning, (goal-directedness, efficiency, opportunities for participation, or cohesion,) on community-wide adoption of a science-based approach to prevention were found. However, results suggest that coalition functioning may affect community adoption of a science-based approach to prevention through an indirect pathway of building specific capacities: new member skills and organizational linkages to diverse sectors. Identification of these malleable coalition processes and capacities, which facilitate the community-wide adoption of a scientific approach to prevention, should be useful for improving the effectiveness of community coalitions focused on preventing adolescent mental, emotional, and behavioral problems.en_US
dc.format.mimetypeapplication/pdfen_US
dc.language.isoen_USen_US
dc.rightsCopyright is held by the individual authors.en_US
dc.subjectAdoption; Communities That Care; Community Capacity; Community Coalition; Macro Practice; Preventionen_US
dc.subject.otherSocial worken_US
dc.subject.otherPublic healthen_US
dc.subject.otherPsychologyen_US
dc.subject.otherSocial work - Seattleen_US
dc.titleCommunity coalitions: Resolving the gap between research and practice for the prevention of youth mental, emotional, and behavioral problemsen_US
dc.typeThesisen_US
dc.embargo.termsNo embargoen_US


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