Integrating Behavioral Aspects into Community Preparedness and Response Systems

Reissman, Dori B.; Spencer, Shauna; Tanielian, Terri; Stein, Bradley D.

doi:10.1300/j146v10n03_04

Cited by 18 publications

(14 citation statements)

References 6 publications

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“…Furthermore, first responders, health workers, and leaders -themselves often part of the affected community -may be impaired, as individuals' own distress may affect their decision-making and thus ability to function effectively (Comfort, 2005;Masten & Obradovic, 2008). Reissman et al (2005) also note that the retention of a capable emergency workforce is heavily dependent on the psychological impact of stressful, continual health threats.…”

Section: Psychological Health Overviewmentioning

confidence: 99%

“…The extent to which world views are influenced by traumatic events may differ by ethnic group (Walker & Chestnut, 2003). Some cultural backgrounds may stigmatize mental health problems, or have difficulty communicating psychological stress (Ng, 2005;Reissman et al, 2005). In times of need, these groups may turn to or trust varying sources (e.g., clergy rather than government; Ng, 2005).…”

Section: Knowledge Gapsmentioning

confidence: 99%

“…Four articles relied on case study methodology to describe the role of social relationships during disaster response and recovery (Aghabakhshi & Gregor, 2007;Baker & Refsgaard, 2007;Murphy, 2007;Schellong, 2007). And the final six articles presented critical analyses or theoretical models based on literature review and summary (Allenby & Fink, 2005;Dynes, 2006;Lahad, 2005;Magsino, 2009;Reissman et al, 2005;Varda et al, 2009). The remainder of this section discusses the relationship between social connectedness, community resilience, and health security.…”

Section: Social Connectedness Overviewmentioning

confidence: 99%

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Understanding Community Resilience in the Context of National Health Security: A Literature Review

Chandra¹,

Acosta²,

Meredith³

et al. 2010

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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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Section: Psychological Health Overviewmentioning

confidence: 99%

Section: Knowledge Gapsmentioning

confidence: 99%

Section: Social Connectedness Overviewmentioning

confidence: 99%

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Understanding Community Resilience in the Context of National Health Security: A Literature Review

Chandra¹,

Acosta²,

Meredith³

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Many articles have documented that mental health disaster planning and services need to be a high priority in the mental health and health fields [4,6,7,8,9,10,11,12,13,14]. Mental health must be linked with primary care, physical health, and the medical response.…”

Section: Mental Health Disaster Planningmentioning

confidence: 99%

“…Project Heartland, established after the 1995 Oklahoma city bombing, was the first community mental health program in the United States designed to intervene in the short and long term with survivors of a major terrorist event [15]. While much more attention was paid to behavioral health after Oklahoma city, the priority in health planning previous to September 11, 2001, was primarily focused on medical treatment and handling the surge capacity needed to provide medical and public health services [10]. In New York after September 11, Project Liberty was funded with over $50 million from the Federal crisis counseling Assistance and training Program that was jointly operated by FEMA (the Federal Emergency Management Agency) and cMHS (center for Mental Health Services).…”

Section: Mental Health Disaster Planningmentioning

confidence: 99%

Addressing the Mental Health Needs of Victims and Responders to the Boston Marathon Bombings

Beinecke

2014

International Journal of Mental Health

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The response to the Boston Marathon bombings demonstrated the value of networks and collaborative practices in many ways. Although three people died at the scene, all of the remaining injured survived due to the extraordinary care provided by primary care providers, hospitals, ambulance services, other first responders, and citizens. This was also a disaster in which effective mental health care was provided from the start by networks of local, state, and federal organizations and continued for the victims, responders, and the community. It demonstrated the value of integrated behavioral responses as a critical component of all disaster and terrorist attack planning and services. This case study highlights the roles of the agencies involved in the initial response to the attack. Mental Health Needs After DisastersPsychological trauma is the overwhelming demand placed upon the physiological system that results in profound, felt sense of loss of control, vulnerability, and immobilization. Mass casualty events inflict both physical and psychological damage. Managing acute stress should be a leading component of medical care and not be less important than physical injuries [1,2]. A disaster or terrorist attack affects one's cognitive, emotional, social/behavioral, physiological, and spiritual domains. Injured survivors, survivors with high exposure to the incident, bereaved family and friends, people who have lost Downloaded by [University of Saskatchewan Library] at 22:16 12 June 2016

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Demographic Variables as Antecedents of Israeli Community and National Resilience

Goroshit

Eshel

2013

Journal Community Psychology

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This study focuses on demographic antecedents of community and national resilience. We hypothesized that both kinds of public resilience would be predicted by 4 demographic variables, which have rarely been associated with community or national resilience in the past: community type, age, and levels of religiosity and preparedness. The final sample of 435 participants included 92 kibbutz members, 61 moshav members, 38 inhabitants of villages, and 244 town dwellers. Results indicated the following: (a) when demographic variables were accounted for, community and national resilience were positively correlated with each other; (b) the demographic variables in the path analysis model, controlling for each other, significantly predicted community and national resilience; (c) older age and higher level of religiosity positively predicted both community and national resilience; (d) higher preparedness positively predicted only community resilience; and (e) higher communality of the community was associated with higher community resilience and lower national resilience.

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Integrating Behavioral Aspects into Community Preparedness and Response Systems

Cited by 18 publications

References 6 publications

Understanding Community Resilience in the Context of National Health Security: A Literature Review

Understanding Community Resilience in the Context of National Health Security: A Literature Review

Addressing the Mental Health Needs of Victims and Responders to the Boston Marathon Bombings

Demographic Variables as Antecedents of Israeli Community and National Resilience

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