Communities That Care (CTC) is a community-driven prevention process that is proven to reduce youth health and behavior issues.  It is based on the premise/belief that communities are each unique.  CTC helps local coalitions develop prevention plans that are specific to their community based on their community’s level of behavioral health problems and risk and protective factors.  A key leader board is created consisting of adult and youth community leaders who work together to reduce risk factors such as substance use, school dropout and antisocial behaviors while also increasing protective factors such as community engagement, recognition for prosocial behaviors and bonding to trusted adult role models. Community choice of the proven prevention interventions helps ensure local ownership.