Community Predeterminants Individual Predeterminants Concentrated Poverty Lack of Job Opportunities Lack of Educational /Job Training Programs Lack of Family Support Services Lack of Effective Behavioral Interventions Lack of access to affordable health care Lack of mentoring/tutoring services Lack of safe/affordable recreation Misperceptions of civic responsibility and role of law enforcement Lack of safe/affordable housing Individual Predeterminants Exposure to Trauma Impacts Behavior Stress in the Home Illiteracy/Unable to Read on Grade Level No access to job skills/training No income or ability to earn for family Unaddressed Physical/Mental Health Needs Unaddressed Substance Abuse Needs Insufficient time with responsible/positive adult role models Insufficient problem-solving, coping and conflict resolution skills Disengaged from School due to: Health Bullying/School Climate Lack of support/role models Familial Predeterminants Household Poverty Single Parent or Working Parent Limited Access to a Responsible Adult for Civic Education, Homework Help or Support. Guardian has a history of trauma Guardian has history of foster care involvement and/or incarceration Guardian has unaddressed health and behavioral health needs Guardian does not engage with school. Family does not have access to health care or resources Lack of access to transportation. Disconnected from Community Housing Instability