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Int. J. Environ. Res. Public Health 2017, 14(10), 1267; doi:10.3390/ijerph14101267

How Do Communities Use a Participatory Public Health Approach to Build Resilience? The Los Angeles County Community Disaster Resilience Project

1
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, CA 90095, USA
2
West Los Angeles VA Healthcare Center, Los Angeles, CA 90073, USA
3
Division of General Internal Medicine, David Geffen School of Medicine at UCLA; Los Angeles, CA 90095, USA
4
UCLA Fielding School of Public Health, Los Angeles, CA 90095, USA
5
RAND Corporation, Santa Monica, CA 90401, USA
6
RAND Corporation, Arlington, VA 22202, USA
7
Los Angeles County Department of Public Health, 313 N Figueroa St, Los Angeles, CA 90012, USA
8
School of Public Health, Loma Linda University, Loma Linda, CA 92350, USA
*
Author to whom correspondence should be addressed.
Received: 5 October 2017 / Revised: 18 October 2017 / Accepted: 18 October 2017 / Published: 21 October 2017
(This article belongs to the Special Issue Public Health and Disasters)
View Full-Text   |   Download PDF [273 KB, uploaded 24 October 2017]

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. View Full-Text
Keywords: community participatory methods; community resilience; disaster preparedness; community coalitions; public health nursing; disaster risk reduction community participatory methods; community resilience; disaster preparedness; community coalitions; public health nursing; disaster risk reduction
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Bromley, E.; Eisenman, D.P.; Magana, A.; Williams, M.; Kim, B.; McCreary, M.; Chandra, A.; Wells, K.B. 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, 1267.

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