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

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  • Elizabeth Bromley

    (Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, CA 90095, USA
    West Los Angeles VA Healthcare Center, Los Angeles, CA 90073, USA
    RAND Corporation, Santa Monica, CA 90401, USA)

  • David P. Eisenman

    (Division of General Internal Medicine, David Geffen School of Medicine at UCLA; Los Angeles, CA 90095, USA
    UCLA Fielding School of Public Health, Los Angeles, CA 90095, USA)

  • Aizita Magana

    (Los Angeles County Department of Public Health, 313 N Figueroa St, Los Angeles, CA 90012, USA)

  • Malcolm Williams

    (RAND Corporation, Santa Monica, CA 90401, USA)

  • Biblia Kim

    (School of Public Health, Loma Linda University, Loma Linda, CA 92350, USA)

  • Michael McCreary

    (Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, CA 90095, USA)

  • Anita Chandra

    (RAND Corporation, Arlington, VA 22202, USA)

  • Kenneth B. Wells

    (Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, CA 90095, USA
    West Los Angeles VA Healthcare Center, Los Angeles, CA 90073, USA
    UCLA Fielding School of Public Health, Los Angeles, CA 90095, USA
    RAND Corporation, Santa Monica, CA 90401, USA)

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.

Suggested Citation

  • Elizabeth Bromley & David P. Eisenman & Aizita Magana & Malcolm Williams & Biblia Kim & Michael McCreary & Anita Chandra & Kenneth B. Wells, 2017. "How Do Communities Use a Participatory Public Health Approach to Build Resilience? The Los Angeles County Community Disaster Resilience Project," IJERPH, MDPI, vol. 14(10), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1267-:d:115947
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    References listed on IDEAS

    as
    1. David Eisenman & Anita Chandra & Stella Fogleman & Aizita Magana & Astrid Hendricks & Ken Wells & Malcolm Williams & Jennifer Tang & Alonzo Plough, 2014. "The Los Angeles County Community Disaster Resilience Project — A Community-Level, Public Health Initiative to Build Community Disaster Resilience," IJERPH, MDPI, vol. 11(8), pages 1-16, August.
    2. Wells, K.B. & Tang, J. & Lizaola, E. & Jones, F. & Brown, A. & Stayton, A. & Williams, M. & Chandra, A. & Eisenman, D. & Fogleman, S. & Plough, A., 2013. "Applying community engagement to disaster planning: Developing the vision and design for the Los Angeles county community disaster resilience initiative," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 1172-1180.
    3. Plough, A. & Fielding, J.E. & Chandra, A. & Williams, M. & Eisenman, D. & Wells, K.B. & Law, G.Y. & Fogleman, S. & Magaña, A., 2013. "Building community disaster resilience: Perspectives from a large urban county department of public health," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 1190-1197.
    4. Chandra, A. & Williams, M. & Plough, A. & Stayton, A. & Wells, K.B. & Horta, M. & Tang, J., 2013. "Getting actionable about community resilience: The Los Angeles county community disaster resilience project," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 1181-1189.
    5. DeSalvo, K. & Lurie, N. & Finne, K. & Worrall, C. & Bogdanov, A. & Dinkler, A. & Babcock, S. & Kelman, J., 2014. "Using medicare data to identify individuals who are electricity dependent to improve disaster preparedness and response," American Journal of Public Health, American Public Health Association, vol. 104(7), pages 1160-1164.
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    1. Vladimir M. Cvetković & Jasmina Tanasić & Adem Ocal & Želimir Kešetović & Neda Nikolić & Aleksandar Dragašević, 2021. "Capacity Development of Local Self-Governments for Disaster Risk Management," IJERPH, MDPI, vol. 18(19), pages 1-33, October.
    2. Malcolm V. Williams & Anita Chandra & Asya Spears & Danielle Varda & Kenneth B. Wells & Alonzo L. Plough & David P. Eisenman, 2018. "Evaluating Community Partnerships Addressing Community Resilience in Los Angeles, California," IJERPH, MDPI, vol. 15(4), pages 1-13, March.
    3. Kristen Burwell-Naney & Sacoby M. Wilson & Siobhan T. Whitlock & Robin Puett, 2019. "Hybrid Resiliency-Stressor Conceptual Framework for Informing Decision Support Tools and Addressing Environmental Injustice and Health Inequities," IJERPH, MDPI, vol. 16(8), pages 1-19, April.

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