Theoretical Perspectives Guiding the Development and Evaluation of CTC

Abstract

Prevention science recommends that EBIs should be based on theories that describe the causes of behavioral health problems. They should also be evaluated in high-quality research studies that examine implementation and outcomes both under ideal conditions, like scientist-led efficacy trials, and naturalistic conditions, such as effectiveness trials that rely on community agencies and staff. This chapter reviews the theories guiding the development of the CTC system, including life-course developmental theory, the Social Development Model, social disorganization theory, and the Diffusion of Innovations theory. CTC has been created and evaluated using a community-based participatory approach. The benefits and challenges of this approach are also discussed.