Original ArticlesA Tailored Approach to Launch Community Coalitions Focused on Achieving Structural Changes Lessons Learned From a HIV Prevention Mobilization StudyChutuape, Kate S. MPH; Willard, Nancy MS; Walker, Bendu C. MPH; Boyer, Cherrie B. PhD; Ellen, Jonathan MD the Adolescent Medicine Trials Network for HIVAIDS InterventionsAuthor Information Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland (Mss Chutuape, Willard, and Walker); Division of Adolescent and Young Adult Medicine, University of California, San Francisco (Dr Boyer); and All Children's Hospital, Johns Hopkins Medicine, St Petersburg, Florida (Dr Ellen). Correspondence: Kate S. Chutuape, MPH, Department of Pediatrics, Johns Hopkins School of Medicine, Mason F. Lord Bldg, Center Tower Ste 4200, 5200 Eastern Ave, Baltimore, MD 21224 (email@example.com). This work was supported by the Adolescent Trials Network for HIV/AIDS Interventions (ATN) from the National Institutes of Health (U01 HD 040533 and U01 HD 040474] through the National Institute of Child Health and Human Development [B. Kapogiannis, S. Lee]), with supplemental funding from the National Institutes on Drug Abuse (K. Davenny, R. Jenkins) and Mental Health (P. Brouwers, S. Allison). Connect to Protect has been scientifically reviewed by the ATN's Behavioral and Community Prevention Leadership Groups. The authors acknowledge the contribution of the investigators and staff at the following ATN sites that participated in this study: Children's Diagnostic and Treatment Center (Ana Puga, MD, Jessica Roy, MSW, Jamie Blood, MSW); Childrens Hospital of Los Angeles (Marvin Belzer, MD, Miguel Martinez, MSW/MPH, Veronica Montenegro, Julia Dudek, MPH); John H. Stroger Jr. Hospital of Cook County and the CORE Center (Lisa Henry-Reid, MD, Jaime Martinez, MD, Ciuinal Lewis, MS, Antionette McFadden, BA); Children's Hospital National Medical Center (Lawrence D'Angelo, MD, William Barnes, PhD, Stephanie Stines, MPH); Montefiore Medical Center (Donna Futterman, MD, Michelle Lyle, MPH, Bianca Lopez, MPH); Mount Sinai Medical Center (Linda Levin-Carmine, MD, Meg Jones, MPH, Michael Camacho, BA); Tulane University Health Sciences Center (Sue Ellen Abdalian, MD, Sybil Schroeder, PhD); University of Maryland (Ligia Peralta, MD, Bethany Griffin-Deeds, PhD, Kalima Young, BA); University of Miami School of Medicine (Lawrence Friedman, MD, Kenia Sanchez, MSW); Children's Hospital of Philadelphia (Bret Rudy, MD, Marne Castillo, PhD, Alison Lin, MPH); University of Puerto Rico (Irma Febo, MD, Carmen Rivera RN, MPH); University of California at San Francisco (Barbara Moscicki, MD, Johanna Breyer, MSW, Kevin Sniecinski, MPH); University of South Florida (Patricia Emmanuel, MD, Amanda Schall, MA, Rachel Stewart-Campbell, BA); Baylor College of Medicine, Texas Children's Hospital (Mary Paul, MD, Kimberly Lopez, DrPH); Wayne State University (Elizabeth Secord, MD, Angulique Outlaw, MD, Emily Brown, MPP); Johns Hopkins University School of Medicine (Allison Agwu, MD, Renata Sanders, MD, Marines Terreforte, MPA); The Fenway Institute (Kenneth Mayer, MD, Liz Salomon, EdM, Benjamin Perkins, MA, MDiv); and University of Colorado (Daniel Reirdan, MD, Jamie Sims, MSW, Moises Munoz, BA). Network, scientific, and logistical support was provided by the ATN Coordinating Center (C. Wilson, C. Partlow) at The University of Alabama at Birmingham. Network operations and analytic support was provided by the ATN Data and Operations Center at Westat, Inc (J. Korelitz, B. Driver, R. Mitchell, M. Alexander, and D. Monte). The authors declare no conflicts of interest. Journal of Public Health Management and Practice: November/December 2015 - Volume 21 - Issue 6 - p 546-555 doi: 10.1097/PHH.0000000000000182 Buy Metrics AbstractIn Brief Public health HIV prevention efforts have begun to focus on addressing social and structural factors contributing to HIV risk, such as unstable housing, unemployment, and access to health care. With a limited body of evidence-based structural interventions for HIV, communities tasked with developing structural changes need a defined process to clarify their purpose and goals. This article describes the adaptations made to a coalition development model with the purpose of improving the start-up phase for a second group of coalitions. Modifications focused on preparing coalitions to more efficiently apply structural change concepts to their strategic planning activities, create more objectives that met study goals, and enhance coalition procedures such as building distributed coalition leadership to better support the mobilization process. We report on primary modifications to the process, findings for the coalitions, and recommendations for public health practitioners who are seeking to start a similar coalition. This article describes a tailored approach for launching community coalitions seeking to build a structural change agenda to address a challenging public health issue such as HIV/AIDS. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.