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How Do Communities Use a Participatory Public Health Approach to Build Resilience? The Los Angeles County Community Disaster Resilience Project.
Int J Environ Res Public Health. 2017 10 21; 14(10)IJ

Abstract

Community resilience is a key concept in the National Health Security Strategy that emphasizes development of multi-sector partnerships and equity through community engagement. Here, we describe the advancement of CR principles through community participatory methods in the Los Angeles County Community Disaster Resilience (LACCDR) initiative. LACCDR, an initiative led by the Los Angeles County Department of Public Health with academic partners, randomized 16 community coalitions to implement either an Enhanced Standard Preparedness or Community Resilience approach over 24 months. Facilitated by a public health nurse or community educator, coalitions comprised government agencies, community-focused organizations and community members. We used thematic analysis of data from focus groups (n = 5) and interviews (n = 6 coalition members; n = 16 facilitators) to compare coalitions' strategies for operationalizing community resilience levers of change (engagement, partnership, self-sufficiency, education). We find that strategies that included bidirectional learning helped coalitions understand and adopt resilience principles. Strategies that operationalized community resilience levers in mutually reinforcing ways (e.g., disseminating information while strengthening partnerships) also secured commitment to resilience principles. We review additional challenges and successes in achieving cross-sector collaboration and engaging at-risk groups in the resilience versus preparedness coalitions. The LACCDR example can inform strategies for uptake and implementation of community resilience and uptake of the resilience concept and methods.

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Authors+Show Affiliations

Bromley E
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, CA 90095, USA. ebromley@ucla.edu. West Los Angeles VA Healthcare Center, Los Angeles, CA 90073, USA. ebromley@ucla.edu. RAND Corporation, Santa Monica, CA 90401, USA. ebromley@ucla.edu.
Eisenman DP
Division of General Internal Medicine, David Geffen School of Medicine at UCLA; Los Angeles, CA 90095, USA. DEisenman@mednet.ucla.edu. UCLA Fielding School of Public Health, Los Angeles, CA 90095, USA. DEisenman@mednet.ucla.edu.
Magana A
Los Angeles County Department of Public Health, 313 N Figueroa St, Los Angeles, CA 90012, USA. aimagana@ph.lacounty.gov.
Williams M
RAND Corporation, Santa Monica, CA 90401, USA. mwilliam@rand.org.
Kim B
School of Public Health, Loma Linda University, Loma Linda, CA 92350, USA. bskim@llu.edu.
McCreary M
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, CA 90095, USA. mmccreary@mednet.ucla.edu.
Chandra A
RAND Corporation, Arlington, VA 22202, USA. chandra@rand.org.
Wells KB
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, CA 90095, USA. kwells@mednet.ucla.edu. West Los Angeles VA Healthcare Center, Los Angeles, CA 90073, USA. kwells@mednet.ucla.edu. UCLA Fielding School of Public Health, Los Angeles, CA 90095, USA. kwells@mednet.ucla.edu. RAND Corporation, Santa Monica, CA 90401, USA. kwells@mednet.ucla.edu.

MeSH

Community ParticipationDisaster PlanningFocus GroupsHumansLos Angeles

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29065491

Citation

Bromley, Elizabeth, et al. "How Do Communities Use a Participatory Public Health Approach to Build Resilience? the Los Angeles County Community Disaster Resilience Project." International Journal of Environmental Research and Public Health, vol. 14, no. 10, 2017.
Bromley E, Eisenman DP, Magana A, et al. How Do Communities Use a Participatory Public Health Approach to Build Resilience? The Los Angeles County Community Disaster Resilience Project. Int J Environ Res Public Health. 2017;14(10).
Bromley, E., Eisenman, D. P., Magana, A., Williams, M., Kim, B., McCreary, M., Chandra, A., & Wells, K. B. (2017). How Do Communities Use a Participatory Public Health Approach to Build Resilience? The Los Angeles County Community Disaster Resilience Project. International Journal of Environmental Research and Public Health, 14(10). https://doi.org/10.3390/ijerph14101267
Bromley E, et al. How Do Communities Use a Participatory Public Health Approach to Build Resilience? the Los Angeles County Community Disaster Resilience Project. Int J Environ Res Public Health. 2017 10 21;14(10) PubMed PMID: 29065491.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - How Do Communities Use a Participatory Public Health Approach to Build Resilience? The Los Angeles County Community Disaster Resilience Project. AU - Bromley,Elizabeth, AU - Eisenman,David P, AU - Magana,Aizita, AU - Williams,Malcolm, AU - Kim,Biblia, AU - McCreary,Michael, AU - Chandra,Anita, AU - Wells,Kenneth B, Y1 - 2017/10/21/ PY - 2017/10/05/received PY - 2017/10/18/revised PY - 2017/10/18/accepted PY - 2017/10/26/entrez PY - 2017/10/27/pubmed PY - 2018/4/4/medline KW - community coalitions KW - community participatory methods KW - community resilience KW - disaster preparedness KW - disaster risk reduction KW - public health nursing JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 14 IS - 10 N2 - Community resilience is a key concept in the National Health Security Strategy that emphasizes development of multi-sector partnerships and equity through community engagement. Here, we describe the advancement of CR principles through community participatory methods in the Los Angeles County Community Disaster Resilience (LACCDR) initiative. LACCDR, an initiative led by the Los Angeles County Department of Public Health with academic partners, randomized 16 community coalitions to implement either an Enhanced Standard Preparedness or Community Resilience approach over 24 months. Facilitated by a public health nurse or community educator, coalitions comprised government agencies, community-focused organizations and community members. We used thematic analysis of data from focus groups (n = 5) and interviews (n = 6 coalition members; n = 16 facilitators) to compare coalitions' strategies for operationalizing community resilience levers of change (engagement, partnership, self-sufficiency, education). We find that strategies that included bidirectional learning helped coalitions understand and adopt resilience principles. Strategies that operationalized community resilience levers in mutually reinforcing ways (e.g., disseminating information while strengthening partnerships) also secured commitment to resilience principles. We review additional challenges and successes in achieving cross-sector collaboration and engaging at-risk groups in the resilience versus preparedness coalitions. The LACCDR example can inform strategies for uptake and implementation of community resilience and uptake of the resilience concept and methods. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/29065491/How_Do_Communities_Use_a_Participatory_Public_Health_Approach_to_Build_Resilience_The_Los_Angeles_County_Community_Disaster_Resilience_Project_ DB - PRIME DP - Unbound Medicine ER -