A review of the program's operation over the last 10 years addresses program background and structure; the strengthening of the grants program through an emphasis on a more balanced approach to prevention planning, support for selecting evidence-based programs, and improvements in the training and technical assistance curriculum; and the history of Title V appropriations and earmarks. The next section of the report examines the States' efforts to sustain their delinquency prevention activities, local-level Title V accomplishments in 2003, and how the Office of Juvenile Justice and Delinquency Prevention (OJJDP) supported these efforts. The report then discusses the impact of the suspension of Title V funding in 2003, including effects on State and local prevention efforts. The report concludes with a discussion of OJJDP's commitment to delinquency prevention, emphasizing the importance of continuing and expanding Federal financial support so more communities can implement the Title V delinquency prevention model. As the program enters its second decade, OJJDP is preparing to release a set of recommended Title V performance measures under which the States will report annually on the effectiveness of their subgrantees' prevention efforts. These performance measurement tools will support local, State, and OJJDP outcome management, resource allocation, strategic planning, and decisionmaking. 5 exhibits and 11 references