INTRODUCTIONBuilding community resilience, or the capability to rebound from a disaster (Pfefferbaum et al., 2005), is a cornerstone of national health security. Recent regional meetings with stakeholders to develop the National Health Security Strategy (NHSS) revealed that questions remain unanswered as to how to develop and measure a community's resilience in the face of manmade and natural threats. To date, we have many theoretical models articulating factors that contribute to community resilience Pfefferbaum et al., 2007;Pfefferbaum et al., 2008) such as community cohesion and the ability to marshal resources quickly, but we have less empirical evidence about what constitutes the integral components of resiliency. Despite a limited evidence base, enhanced resilience is considered critical to mitigating vulnerabilities, reducing negative health consequences, and rapidly restoring community functioning. According to the Homeland Security Presidential Directive-21 (HSPD-21), resilience is essential to limiting the need for prolonged assistance post disaster. In order to improve resilience, Bruneau (2003) argues that communities must build capabilities that are characterized by robustness (the ability to withstand stress), redundancy (resource diversity), and rapidity (the ability to mobilize resources quickly). These efforts ensure that communities (and especially those with resource poor neighborhoods) will have the ability during an event to respond quickly, even when critical parts of the community are severely impacted, and to return to normal functioning with little delay.Despite an understanding that community resilience is critical, the stakeholders responsible for ensuring national health security (both government and non-governmental organizations) do not have a working definition or a clear understanding of how to measure resilience for health security. Further, we have limited information about key strategies to enhance resilience. This literature review synthesizes the existing evidence base on resilience to identify drivers for health-related emergency planning. The review lays a foundation for upcoming analyses that will provide a working definition of community resilience, identify activities for building resilience, and offer associated metrics. These activities and metrics will be integrated into the NHSS implementation plan. (BENS 2009;SERRI/CARRI 2009), far less is understood about community resilience in the context of national health security (National health security is achieved when the Nation and its people are prepared for, protected from, respond effectively to, and able to recover from incidents with potentially negative health consequences). Further, many of the articles and reports are based on theoretical and somewhat complicated frameworks with less attention to core components that can be operationalized for action. Given the focus of the NHSS on strengthening resilience over the next four years, it is essential to consider the core components of resilience that may contribute ...

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Concerned partners (CPs) of military service members and veterans with alcohol misuse can be an important catalyst for change. We adapted the Community Reinforcement and Family Training (CRAFT) intervention into a 4-session web-based intervention (WBI) called Partners Connect. The program aims to help the CP increase their own well-being, teach the CP how to manage his/her behavior (e.g., communication) toward their partner, and identify ways the CP can help their partner reduce drinking and seek treatment. We recruited CPs through social media, and then tested the feasibility and acceptance of the WBI by conducting qualitative interviews and post-WBI session surveys after their WBI sessions. CPs (n=12) spontaneously reported improvements in communication and more effective management of their partner’s drinking due to skills learned. They discussed how the online approach can help overcome barriers to seeking in-person help. This WBI fills an important gap in clinical services for military and veteran CPs and CPs in the general population who may not otherwise seek in-person counseling.

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