The Six Wellness Skills of the Community Resiliency Model (CRM) and the Trauma Resiliency Model (TRM)

Miller-Karas, Elaine

doi:10.4324/9781003140887-4

Cited by 8 publications

(38 citation statements)

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“…The Community Resiliency Model (CRM) is a promising, research-informed intervention for front-line, public safety and essential workers 17 18. Prior to the pandemic, the model was tested using a randomised controlled design against a nutrition intervention with 77 nurses at a large urban hospital.…”

Section: Introductionmentioning

confidence: 99%

“…CRM is a novel approach to mental wellness self-care. The six easy-to-learn skills bring attention to body sensations in the present moment, which interrupts autonomic responses to stress 17. CRM’s cultivation of body awareness as a means of developing resilience and coping is supported by neuroscience and a burgeoning evidence base 20–22…”

Section: Introductionmentioning

confidence: 99%

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Practical resiliency training for healthcare workers during COVID-19: results from a randomised controlled trial testing the Community Resiliency Model for well-being support

et al. 2022

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ObjectiveTo introduce the Community Resiliency Model (CRM) as mental well-being support for healthcare workers working through the height of the COVID-19 pandemic.DesignRandomised controlled trial with a no treatment control group.SettingTwo large urban health systems in the Southern United States between October 2020 and June 2021.ParticipantsEligible participants were currently employed as healthcare workers within the participating healthcare systems. 275 employees registered and consented electronically in response to email invitations. 253 participants completed the baseline survey necessary to be randomised and included in analyses.InterventionParticipants were assigned 1:1 to the control or intervention group at the time of registration. Intervention participants were then invited to 1-hour virtual CRM class teaching skills to increase somatic awareness in the context of self and other care.Main outcome measuresSelf-reported data were collected rating somatic awareness, well-being, symptoms of stress, work engagement and interprofessional teamwork.ResultsBaseline data on the total sample of 275 (53% nurses) revealed higher symptoms of stress and lower well-being than the general population. The intervention participants who attended a CRM class (56) provided follow-up survey data at 1 week (44) and 3 months (36). Significant improvement for the intervention group at 3 months was reported for the well-being measures (WHO-5, p<0.0087, d=0.66; Warwick-Edinburgh Mental Well-Being Scale, p<0.0004, d=0.66), teamwork measure (p≤0.0002, d=0.41) and stress (Secondary Traumatic Stress Scale, p=0.0058, d=46).ConclusionBaseline results indicate mental health is a concern for healthcare workers. Post intervention findings suggest that CRM is a practical approach to support well-being for healthcare workers during a crisis such as this pandemic. The simple tools that comprise the model can serve as a starting point for or complement self-care strategies to enhance individual resilience and buffer the effects of working in an increasingly stressful work environment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Practical resiliency training for healthcare workers during COVID-19: results from a randomised controlled trial testing the Community Resiliency Model for well-being support

et al. 2022

View full text Add to dashboard Cite

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“…Additionally, the Rest Now! skill can bring immediate relief through more interactive cognitive, physical, and soothing grounding strategies (Miller-Karas, 2021). Culturally relevant language to talk about bodily awareness of sensations that are calming (e.g., pleasant, or neutral) when learning and practicing grounding skills is important for a person to feel safe and connect with what safety means in their recovery.…”

Section: Discussion and Implications For Policymentioning

confidence: 99%

“…Community Resiliency Model (CRM) understands resilience to be, “[A]n individual’s and community’s ability to identify and use individual and collective strengths in living fully with compassion in the present moment, and to thrive while managing the activities of daily living” (Miller-Karas, 2020). CRM understands resilience in the context of restoring balance and widening the resilient zone (RZ) for individuals and communities.…”

Section: A Comprehensive Safety Strategymentioning

confidence: 99%

“…CRM understands resilience in the context of restoring balance and widening the resilient zone (RZ) for individuals and communities. “When you are in your Resilient Zone, there is a natural rhythm or flow within your nervous system, just like the seasons, the rising and setting of the sun, and the cycles of the moon and the ocean” (Miller-Karas, 2021, p. 7). When we are in our RZ, we can learn to manage activated body sensations, negative or overwhelming emotions, think with more clarity, and safely co-regulate with members of our MHT.…”

Section: A Comprehensive Safety Strategymentioning

confidence: 99%

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A relational ecology for crisis prevention among unhoused indigenous peoples in Albuquerque.

Stanley

2023

Journal of Psychotherapy Integration

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The purpose of this study was to inform the development of a crisis prevention process model focusing on the qualities present in relationships among unhoused Indigenous peoples and integrated healthcare providers when crisis is prevented. The scope of the study is on multidisciplinary healthcare teams (MHT) and removing barriers for clients to access the resources they need. This key-informant study conducted 24 semistructured interviews including (14) unhoused Indigenous people and (10) members of their MHT in 2021. The study consisted of two phases beginning with identifying study and interview questions through a participatory evaluation process. During the second phase, interviews were conducted and recorded by researcher. Coding assistance by the research team supported heuristic content analysis. An integrated healthcare provider's cultural understanding of a client emerged as a fundamental tenant for a client to experience a sense of belonging on their MHT. Seventy-two significant statements were identified, two themes were acquired, structured into three categories, and synthesized into eight codes: cultural understanding, sense of belonging, focusing, strengths, listen, communication, informed, and intraorganizational systems. Ethical distress contributed to escalated crises and prevention barriers while MHT cohesion enhanced the capacity to support a client's success. Participant experiences shaped theoretical integration of the relational-cultural theory, motivational interviewing, and the Community Resiliency Model prevention process model to improve MHT safety planning. The implications for integrated healthcare and housing policy are to increase multilevel support for organizations to sustain MHT cohesion and maintain intraorganizational systems. Public Health Significance StatementThis study addresses the problem of health disparities among unhoused Indigenous peoples with focus on reducing safety incidents in community behavioral health settings. The integration of relational and somatic clinical models expands on trauma-informed care to further the paradigm shift from a deficit model to an emphasis on resilience and healing in recovery. Public health implications are identified on the interpersonal, multidisciplinary, organizational, and structural policy and practice levels.

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

Grabbe¹,

Duva²,

Nicholson³

2023

Camb. prisms Glob. ment. health

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The objective of this article is to describe the Community Resiliency Model (CRM)®, a sensory-focused, self-care modality for mental well-being in diverse communities, and CRM’s emerging evidence base and neurobiological underpinnings as a task-sharing intervention. Frieden’s Health Impact Pyramid (HIP) is used as a lens for mental healthcare interventions and their public health impact, with CRM examples. CRM, a sensory awareness model for self-care and mental well-being in acute and chronic stress states, is supported by neurobiological theory and a growing evidence base. CRM can address mental wellness needs at multiple levels of the HIP and matches the task-sharing concept to increase access to mental health resources globally. CRM has the potential for making a significant population mental health impact as an easily disseminated, mental health, self-care modality; it may be taught by trained professionals, lay persons, and community members. CRM carries task-sharing to a new level: scalable and sustainable, those who learn CRM can share the wellness skills informally with persons in their social networks. CRM may alleviate mental distress and reduce stigma, as well as serve a preventive function for populations facing environmental, political, and social threats.

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The Six Wellness Skills of the Community Resiliency Model (CRM) and the Trauma Resiliency Model (TRM)

Cited by 8 publications

References 0 publications

Practical resiliency training for healthcare workers during COVID-19: results from a randomised controlled trial testing the Community Resiliency Model for well-being support

Practical resiliency training for healthcare workers during COVID-19: results from a randomised controlled trial testing the Community Resiliency Model for well-being support

A relational ecology for crisis prevention among unhoused indigenous peoples in Albuquerque.

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

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