At least two relevant community-level programs have included an assessment of outcomes among adolescents. The Saving Lives Program (Hingson, et al., 1996) was implemented and evaluated among six Massachusetts communities, predominately white, that had applied for and received funding for a community MVC prevention program. These six communities were left to initiate their own program activities, which included mass media campaigns, business information programs, awareness days, speed watch hotlines, police training, high school peer-led education, SADD chapters, alcohol-free proms, beer keg registration, and heightened liquor outlet surveillance. Over the period from program implementation in 1988 to follow-up in 1993, these communities saw a decline, relative to the rest of Massachusetts, in the percentage of 16- to 19-year-olds who reported drinking and driving in the previous month. There were also overall decreases in fatal crashes involving alcohol. Since the composition of this program varied across program communities, the interpretation of these results is somewhat problematic. The authors suggest that the very process of community organizing, itself, may exert an effect on the measured outcomes; however, future study is needed to disentangle the effects of the community organizing process and of the multiple program activities.