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

Bibliographic Data

ID15480700
AuthorsE Bromley (0000-0002-2256-7214, West Los Angeles College, corresponding author), David P Eisenman (0000-0003-4320-1331, University of California, Los Angeles), David Eisenman (Division of General Internal Medicine, David Geffen School of Medicine at UCLA; Los Angeles, CA 90095, USA), Aizita Magaña (Los Angeles County Department of Public Health), Malcolm Williams (0000-0001-7945-1194, RAND Corporation), Biblia Kim (Loma Linda University), Michael McCreary (0000-0001-6709-5129, University of California, Los Angeles), Anita Chandra (0000-0002-9061-879X, RAND Corporation), Kenneth B Wells (0000-0002-7454-6589, West Los Angeles College), Kenneth Wells (Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, CA 90095, USA)
Year2017
Volume14
Issue10
Pages1267-1267
Publication date2017-10-21
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph14101267
PMID29065491
OpenAlexW2765890471
LanguageEN
Citations received10
References cited18

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

Citizen journalism · Community engagement · Community organization · Community resilience · General partnership · Government (linguistics · Operationalization · Participatory action research · Political science · Preparedness · Public health · Public relations · Qualitative research · Resilience (materials science · Resource (disambiguation · Social science · Sociology · Thematic analysis · Community Health and Development · Disaster Management and Resilience · Disaster Response and Management · Medicine · Nursing

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