This notion that building resiliency into communities can have dual benefits was the spark for the first ever large-scale demonstration project to build and measure resilience. In 2013, we led this project in Los Angeles County. The county, which spans 4,000 square miles from coast to desert, is home to an economically, ethnically, and racially diverse population of 10 million people. Roughly 80,000 of its residents are homeless and approximately one in six live below the poverty level. LA County is at risk for earthquakes, fires or other natural disasters, but many of its communities also face chronic stressors such as violence, segregation, poverty, and homelessness. We took lessons learned from the impact of Katrina and applied them to a framework for building resiliency in 16 LA county communities. The hope was that a focus on strengthening social networks and multi-sectorial engagement in public health broadly would not only bolster emergency preparedness but also help these communities address the chronic stressors they face.
The community resilience framework we developed for the Los Angeles County Department of Public Health was designed to both augment public health preparedness and reinforce longer standing public health approaches to improving community health and wellbeing (including social, emotional, physical, and economic factors). The emphasis was on neighborhood connectedness: Residents were encouraged to meet other local residents and to prepare both individual and community disaster plans; they were provided online resources to improve appropriate responses to emergencies. We developed a resilience tool kit for community organizations to build coalitions and coordinate neighborhood strategies to increase community preparedness and specific mitigation and adaptation skills. Finally, we identified metrics to help measure and evaluate how well certain interventions promote resiliency.
This work in Los Angeles continues with support from RWJF. It also contributes to the Foundation’s larger commitment to building a Culture of Health in communities throughout the nation. All of the assets, systems, and dynamic partnerships that help make a community resilient to a range of challenges—natural disasters, infectious disease outbreaks, terrorism, and chronic stressors—are essential elements in our long-term strategy for ensuring that all people have the chance to live long, healthy lives. These include such key action dareas as making health a shared value and fostering cross-sector collaborations to improve well-being.
There is much work to be done in figuring out the specific actions that can make communities more resilient. As we’ve seen in New Orleans, in Joplin, MO (the scene of 2011’s powerful and deadly tornado), and in the communities that make up Los Angeles County, one size does not fit all when it comes to strengthening the social connections and multisector engagement efforts that build resiliency and emergency preparedness. RWJF will continue to fund research and design programs in these areas. If you are working to make your community stronger and more resilient, we invite you to learn more about what RWJF funds, and subscribe to our funding opportunity alerts.
The Foundation is taking the commitment to resiliency even further. Last year, we assumed support and operation of the National Health Security Preparedness Index in a transition from the Centers for Disease Control and Prevention. The Index ranks each state on six different parameters, including health security surveillance, community planning and engagement and healthcare delivery. Several of the NHSPI parameters deal specifically with community resilience. We expect that the index will be a catalyst for broader cross-sector collaboration and community engagement in preparedness.
Hurricane Katrina left a path of destruction, death, and suffering in its wake. Its recovery, halting and incomplete as it has been, has taught us valuable lessons about resiliency. It would be a tragedy if all this happened and we had learned nothing.
