2. 1 of 6 ACE’s funded by the CDC’s National Center for Injury Prevention and
Control (5 U01 CE001948)
Acknowledgements:
o Martica Bacallao, Ph.D., Co-Director for Implementation*
o Shenyang Guo, Ph.D., Co-Director for Evaluation
o James Barbee, MPA, Center Coordinator
o Greg Bunn, School Success Profile Data Coordinator
o Teen Court: Shaun Barefoot, Meredith Bower, Natalie Singletary, Megan Jacobs, Rubelina
Oxendine
o Positive Action Program: Ruth Cihla, Mitchell Locklear, Shalise Thornton, Ashley Spence,
Chelsea Locklear
o Parenting Wisely: Sabrina Utley, Ashley Spence
o Pre-Doctoral Fellows: Caroline Evans, Katie Cotter, Qi Wu
o Research Assistants
3. Distinction: Only NCIPC YVPC working in a rural area. Scaling up to an
entire county for intervention.
Why Robeson County, NC?
• One of the poorest counties in U.S.
• 13% unemployed (2012).
• Child poverty (2011) 43%.
• The most ethnically diverse rural county in U.S. (Child population 40%
Native American, 26% African American, 20% White, 13% Latino).
• Largest non-reservation concentration of Native Americans (Lumbee
Nation). Not federally recognized, no resources.
• Homicide rate 23.9/100,000 4x national rate 5.2/100,000. Population
135,496.
4. CTC is installed in a community through a five-phase process implemented over a 1-2
year period:
1) Get Started—assessing community readiness to undertake collaborative
prevention efforts;
2) Get Organized—getting a commitment to the CTC process from community
leaders and forming a diverse and representative Community Youth Violence
Prevention Board or coalition;
3) Develop a Profile—using epidemiologic data to assess prevention needs;
4) Create a Plan—choosing effective prevention practices, and programs based on
assessment data;
5) Implement and Evaluate—implementing the new strategies with fidelity, in a
manner congruent with the programs’ theory, content, and methods of delivery, and
evaluating progress over time.
5. NC-ACE Youth Violence Prevention Initiative: Create A
Plan
Primary Prevention
Universal Coverage
Secondary Prevention – Targeted
Coverage for Children at Risk of
Poor Outcome
Tertiary Prevention : Targeted
Coverage After Poor Outcome (1st
time offenders) 120 per yearTeen
Court
Parenting Wisely
(1) Positive Action
(All 13 RC schools with 6, 7, and 8th grades)
(2) Students Against Violence Everywhere
(All 19 RC schools with 6th grades)
Community Service and Pro-Social
Activities
(Open to all youth in RC)
Individual
Family
School
Community
6. Figure 1: NC-ACE Youth Violence Prevention Initiative:
Synergy Among Programs
Teen
Court
Parenting Wisely
(1) Positive Action
(All 13 RC schools with 6, 7, and 8th grades)
(2) Students Against Violence Everywhere
(All 19 RC schools with 6th grades)
Community Service and Pro-Social
Activities
(Open to all youth in RC)
11. NCACE Community Violence Prevention Advisory Council
•Robeson County Health Dept.
•Public Schools of Robeson County
•Juvenile Crime Prevention Council
•NC Department of Juvenile Justice
United Way of Robeson County
•EastPointe MH Services (SOC)
•Communities In Schools
•Lumbee Tribe of NC
•UNC-Pembroke
•Lumberton Police Dept.
•Robeson County Sheriff’s Office
•District Juvenile Court Services
•Faith Based Community
•Chamber of Commerce
•Department of Social Services
13. Teen Court Sample
o N= 257 Adolescents, 215
Caregivers
o Mean Age=14.35 (SD=2.18)
o 61.83% Male
o 80.71% Free/Reduced Lunch
o 58.75% Lived in a two parent
family
Normative Sample
o N= 2,260
o Mean Age=13.78 (SD=1.62)
o 49.02% Male
o 60.59% Free/Reduced Lunch
o 73.78% Lived in a two parent
family
Native American-
African American-
Mixed/Other
-
Caucasian-50.35%
African American-28.44%
-Comparing the Teen Court sample at pre-test and post-test we can see that adolescent reports of Delinquent Friends, peer pressure, internalizing symptoms, Aggression, and Violent behavior decreased significantly.
-In addition, parent reports of adolescent violent, aggressive, and delinquent behavior and parent-adolescent conflict also decreased significantly
-The Cohen’s D statistic represents the strength of that change and values indicate that the strength is moderate to highly moderate
-The teen court sample pre-test score is higher than the comparison sample, but by post-test both samples are similar
-Again, we see for both violence and aggression that at pre-test the teen court sample reported much higher rates of both behaviors and by post-test these deviant behaviors have significantly decreased and the teen court sample is more similar to the normative sample.
-By post-test, teen court participants reported that their friends engaged in less delinquency than the friends of participants from the normative sample, suggesting that teen court participants might have changed the peers they spend time with.
-In addition, rates of peer pressure reported by teen court participants significantly decreased to levels similar to that of the normative comparison sample.
-Unfortunately we do not have parent data for the normative sample, but these pre-post comparisons for parents in the teen court sample illustrate significant decreases in parents perceptions of adolescent violence, aggression, and delinquency
-Parents also reported a significant decrease in the amount of parent-adolescent conflict occurring in the home