A Nurse-Led, Well-Being Promotion Using the Community Resiliency Model, Atlanta, 2020–2021

Abstract

The wrath of COVID-19 includes a co-occurring global mental health pandemic, raising the urgency for our health care sector to implement strategies supporting public mental health. In Georgia, a successful nurse-led response to this crisis capitalized on statewide organizations’ existing efforts to bolster well-being and reduce trauma. Partnerships were formed and joint aims identified to disseminate a self-care modality, the Community Resiliency Model, to organizations and communities throughout the state. (Am J Public Health. 2022;112(S3):S271–S274. https://doi.org/10.2105/AJPH.2022.306821 )

Workforce Engagement for Compassionate Advocacy, Resilience, and Empowerment (WE CARE)

“…40,41 Grabbe and colleagues 42 found moderate-tolarge effect sizes in their randomized clinical trial of nurses in 2 tertiary care hospitals in Georgia. 43 Those who received the CRM intervention reported improved well-being, greater resiliency, less secondary traumatic stress, and fewer physical symptoms of stress. Participants used CRM skills for selfstabilization during stressful and traumatic work events.…”

“…Participants used CRM skills for selfstabilization during stressful and traumatic work events. [43][44][45] PFA training is a free Coursera course, developed by Johns Hopkins University, and is used as a tool to promote personal and community resilience using the RAPID (Reflective listening, Assessment of needs, Prioritization, Intervention, and Disposition) model. [46][47][48][49] This is offered to individuals experiencing any type of distress.…”

“…The CRM is a set of wellness skills based on a biological model, which has empirical support in the treatment of trauma and stress 40,41. Grabbe and colleagues42 found moderate-to-large effect sizes in their randomized clinical trial of nurses in 2 tertiary care hospitals in Georgia 43. Those who received the CRM intervention reported improved well-being, greater resiliency, less secondary traumatic stress, and fewer physical symptoms of stress.…”

“…Those who received the CRM intervention reported improved well-being, greater resiliency, less secondary traumatic stress, and fewer physical symptoms of stress. Participants used CRM skills for self-stabilization during stressful and traumatic work events 43-45…”

The Community Resiliency Model, an interoceptive awareness tool to support population mental wellness

“…At Tier 3, CRM is a long-term, preventative intervention because certified teachers can train large numbers of persons simultaneously in person or virtually and those learners can practice the skills as they wish to with no clinical intervention for the rest of their days (Trauma Resource Institute, n.d. ; Duva et al, 2022 ). In addition, because CRM is a task-sharing modality, local community members can be trained as certified teachers, reaching far greater numbers of people, and adapting the model to suit local needs (Miller-Karas, 2015 , 2023 ).…”