Skip to main content Accessibility help
×
×
Home

The Road to Resilience: Insights on Training Community Coalitions in the Los Angeles County Community Disaster Resilience Project

  • Biblia S. Cha (a1), Rachel I. Lawrence (a1), Jesse C. Bliss (a1) (a2), Kenneth B. Wells (a3), Anita Chandra (a4) and David P. Eisenman (a5)...

Abstract

Objective

Local health departments (LHDs) have little guidance for operationalizing community resilience (CR). We explored how community coalitions responded to 4 CR levers (education, engagement, partnerships, and community self-sufficiency) during the first planning year of the Los Angeles County Community Disaster Resilience (LACCDR) Project.

Methods

Sixteen communities were selected and randomly assigned to the experimental CR group or the control preparedness group. Eight CR coalitions met monthly to plan CR-building activities or to receive CR training from a public health nurse. Trained observers documented the coalitions’ understanding and application of CR at each meeting. Qualitative content analysis was used to analyze structured observation reports around the 4 levers.

Results

Analysis of 41 reports suggested that coalitions underwent a process of learning about and applying CR concepts in the planning year. Groups resonated with ideas of education, community self-sufficiency, and engagement, but increasing partnerships was challenging.

Conclusions

LHDs can support coalitions by anticipating the time necessary to understand CR and by facilitating engagement. Understanding the issues that emerge in the early phases of planning and implementing CR-building activities is critical. LHDs can use the experience of the LACCDR Project’s planning year as a guide to navigate challenges and issues that emerge as they operationalize the CR model. (Disaster Med Public Health Preparedness. 2016;10:812–821)

Copyright

Corresponding author

Correspondence and reprint requests to Biblia S. Cha, MPH, Center for Community Resilience, Office of Public Health Practice, Loma Linda University School of Public Health, 10970 Parkland St, Loma Linda, CA 92350 (e-mail: bskim@llu.edu).

References

Hide All
1. Chandra, A, Acosta, J, Stern, S, et al. Building community resilience to disasters: a way forward to enhance national health security. RAND Corporation. http://www.rand.org/pubs/technical_reports/TR915.html. Published 2011. Updated August 18, 2015. Accessed September 3, 2015.
2. The White House. National security strategy. http://www.whitehouse.gov/sites/default/files/rss_viewer/national_security_strategy.pdf. Published May 2010. Accessed September 3, 2015.
3. US Department of Health and Human Services. National health security strategy of the United States of America. http://www.phe.gov/Preparedness/planning/authority/nhss/Documents/nhss0912.pdf. Published December 2009. Accessed September 3, 2015.
4. Centers for Disease Control and Prevention Office of Public Health Preparedness and Response. Public health preparedness capabilities: national standards for state and local planning. http://www.cdc.gov/phpr/capabilities/DSLR_capabilities_July.pdf. Published March 21, 2011. Updated July 22, 2011. Accessed September 3, 2015.
5. Federal Emergency Management Agency. National disaster recovery framework: strengthening disaster recovery for the nation. http://www.fema.gov/pdf/recoveryframework/ndrf.pdf. Published September 2011. Updated February 24, 2015. Accessed July 7, 2016.
6. Assistant Secretary for Preparedness and Response. National health security strategy and implementation plan. US Department of Health and Human Services. http://www.phe.gov/Preparedness/planning/authority/nhss/Documents/nhss-ip.pdf. Published 2015. Retrieved January 4, 2016.
7. Plough, A, Fielding, JE, Chandra, A, et al. Building community disaster resilience: perspectives from a large urban county department of public health. Am J Public Health. 2013;103(7):1190-1197. http://dx.doi.org/10.2105/AJPH.2013.301268.
8. Keim, ME. Building human resilience: the role of public health preparedness and response as an adaptation to climate change. Am J Prev Med. 2008;35(5):508-516. http://dx.doi.org/10.1016/j.amepre.2008.08.022.
9. Federal Emergency Management Agency. A whole community approach to emergency management: principles, themes and pathways for action. http://www.fema.gov/medialibrary-data/20130726-1813-25045-3330/whole_community_dec2011__2_.pdf. Published December 1, 2011. Updated May 1, 2014. Accessed September 3, 2015.
10. Centers for Disease Control and Prevention. Building a learning community & body of knowledge: implementing a whole community approach to emergency management. Office of Public Health Preparedness and Response. http://www.cdc.gov/phpr/documents/whole_community_program_report_october2013.pdf. Published October 2013. Accessed December 21, 2015.
11. Eisenman, D, Chandra, A, Fogleman, S, et al. The Los Angeles County Community Disaster Resilience project- a community-level, public health initiative to build community disaster resilience. Int J Environ Res Public Health. 2014;11(8):8475-8490. http://dx.doi.org/10.3390/ijerph110808475.
12. Schoch-Spana, M, Sell, TK, Morhard, R. Local health department capacity for community engagement and its implications for disaster resilience. Biosecur Bioterror. 2013;11(2):118-129. http://dx.doi.org/10.1089/bsp.2013.0027.
13. Chandra, A, Williams, M, Plough, A, et al. Getting actionable about community resilience: the Los Angeles County Community Disaster Resilience Project. Am J Public Health. 2013;103(7):1181-1189. http://dx.doi.org/10.2105/AJPH.2013.301270.
14. Wells, KB, Tang, J, Lizaola, E, et al. Applying community engagement to disaster planning: developing the vision and design for the Los Angeles County Community Disaster Resilience initiative. Am J Public Health. 2013;103(7):1172-1180. http://dx.doi.org/10.2105/AJPH.2013.301407.
15. County of Los Angeles. Emergency survival guide. LA County Emergency. http://lacoa.org/pdf/emergencysurvivalguide-lowres.pdf. Published 2007. Updated May, 2015. Accessed September 3, 2015.
16. Alsei, P. Building enterprise-wide resilience by integrating business continuity capability into day-to-day business culture and technology. J Bus Contin Emer Plan. 2008;2(3):214-220(7). Accessed September 3, 2015.
17. Gajewski, S, Bell, H, Lein, L, Angel, RJ. Complexity and instability: the response of organizations to the recovery of Hurricane Katrina survivors in a host community. Nonprofit Volunt Sector Q. 2011;40(2):389-403. http://dx.doi.org/10.1177/0899764010362115.
18. Cho, JY, Lee, EH. Reducing confusion about grounded theory and qualitative content analysis: similarities and differences. Qual Rep. 2014;19(64):1-20.
19. Keating, A, Campbell, K, Mechler, R, et al. Operationalizing resilience against natural disaster risk: opportunities, barriers, and a way forward. Zurich Flood Resilience Alliance. http://opim.wharton.upenn.edu/risk/library/zurichfloodresiliencealliance_ResilienceWhitePaper_2014.pdf. Published 2014. Accessed September 3, 2015.
20. Sudmeier, KI, Jaboyedoff, M, Jaquet, S. Operationalizing “resilience” for disaster risk reduction in mountainous Nepal. Disaster Prev Manag. 2013;22(4):366-377. http://dx.doi.org/10.1108/DPM-02-2013-0028.
21. Brose, DA. Developing a framework for measuring community resilience: summary of a workshop. Washington, DC: The National Academies Press; 2015. http://dx.doi.org/10.17226/20672.
22. Stajura, M, Glik, D, Eisenman, D, et al. Perspectives of community-and faith-based organizations about partnering with local health departments for disasters. Int J Environ Res Public Health. 2012;9(7):2293-2311. http://dx.doi.org/10.3390/ijerph9072293.
23. McLaughlin, L. What have religious groups done after 3.11? Part 1: A brief survey of religious mobilization after the great east Japan earthquake disasters. Relig Compass. 2013;7(8):294-308. http://dx.doi.org/10.1111/rec3.12057.
24. Joshi, P. Faith-based and community organizations’ participation in emergency preparedness and response activities. Institute for Homeland Security Solutions. http://sites.duke.edu/ihss/files/2011/12/Faith-Based_DeskStudyFinalReport_3-16-10.pdf. Published February 2010. Accessed September 3, 2015.
25. De Vita, CJ, Kramer, FD. The role of faith-based and community organizations in providing relief and recovery services after Hurricanes Katrina and Rita. Office of the Assistant Secretary for Planning and Evaluation. http://www.urban.org/sites/default/files/alfresco/publication-pdfs/1001244-The-Role-of-Faith-based-and-Community-Organizations-in-Providing-Relief-and-Recovery-Services-after-Hurricanes-Katrina-and-Rita.PDF. Published December 2008. Accessed September 3, 2015.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
  • URL: /core/journals/disaster-medicine-and-public-health-preparedness
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed