38 research outputs found
Strengthening the response to disasters and trauma
No full textChapter 10 opens with the Gulf Research Program’s Lauren Alexander Augustine presenting four pilot programs from around the country that illustrate the cornerstones of community resilience. Next, Benjamin Springgate examines resilience as a reflection of individual communities and describes a research network that promotes research on resilience-strengthening practices. Lourdes J. Rodríguez and Sheila B. Savannah then explain how neighborhoods that are striving for resilience should be involved like patients in the process of healing. Finally, three contributors offer unique perspectives on resilient communities: Traci L. Birch looks at why resilience efforts should also focus on inland communities that are no longer immune to the impacts of climate change and extreme weather. And Joie B. Acosta and Elka Gotfryd encourage us to think broadly about resilience as they explore opportunities to build responsive social infrastructure through engaged citizen participation
Community Resilience Learning Collaborative and Research Network (C-LEARN)
No full textThe Community Resilience Learning Collaborative and Research Network (C-LEARN) is a study to learn how best to enhance preparedness and resilience in disaster-prone communities in Southeast Louisiana. In Phase 1 of the study, we conducted qualitative interviews with community leaders, agency and organization heads, and other community stakeholders throughout Orleans Parish, East Baton Rouge Parish, and Coastal Louisiana. Interviews were meant to capture community needs, assets, partnerships, priorities, and previous experiences related to disaster exposure. In Phase 3 of the study, we conducted a second round of qualitative interviews with community leaders and stakeholders to rapidly assess evolving community needs, priorities, and assets as COVID became a growing global public health threat
Psychiatr Clin North Am
Get PDFAwareness of the impact of disasters globally on mental health is increasing. Known difficulties in preparing communities for disasters and a lack of focus on relationship building and organizational capacity in preparedness and response have led to a greater policy focus on community resiliency as a key public health approach to disaster response. In this article, the authors describe how an approach to community engagement for improving mental health services, disaster recovery, and preparedness from a community resiliency perspective emerged from their work in applying a partnered, participatory research framework, iteratively, in Los Angeles County and the City of New Orleans.U90 TP917012/TP/OPHPR CDC HHSUnited States/2U90TP917012-11/TP/OPHPR CDC HHSUnited States/R01 MH078853/MH/NIMH NIH HHSUnited States/P30MH082760/MH/NIMH NIH HHSUnited States/P30 MH082760/MH/NIMH NIH HHSUnited States/R01MH078853/MH/NIMH NIH HHSUnited States
Foreword. Partnered participatory research to build community capacity and address mental health disparities and disaster.
No full textNo abstract available
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Methods for community-engaged data collection and analysis in implementation research
Get PDFBACKGROUND: Community engagement is widely recognized as critical to successful and equitable implementation of evidence-based practices, programs, and policies. However, there are no clear guidelines for community involvement in data collection and analysis in implementation research. METHODS: We describe three specific methods for engaging community members in data collection and analysis: concept mapping, rapid ethnographic assessment, and Photovoice. Common elements are identified from a case study of each method: 1) selection and adaptation of evidence-based strategies for improving adolescent HPV vaccine initiation rates in disadvantaged communities, 2) strategies for implementing medication for opioid use disorders among low-income Medicaid enrollees during natural disasters, and 3) interventions to improve the physical health of adults with severe mental illness living in supportive housing. RESULTS: In all three cases, community members assisted in participant recruitment, provided data, and validated preliminary findings created by researchers. In the Photovoice case study, community members participated in both data collection and analysis, while in the concept mapping, community members also participated in the initial phase of organizing and prioritizing evidence-based strategies during the data analysis. CONCLUSIONS: Community involvement in implementation research data collection and analysis contributes to greater engagement and empowerment of community members and validation of study findings. Use of methods that exhibit both scientific rigor and community relevance of implementation research also contributes to greater community investment in successful implementation outcomes. Nevertheless, the case studies point to the importance and efficiency of the division of labor embedded in community-engaged implementation research. Building capacity for community members to assume greater roles in obtaining and organizing data for preliminary analysis prior to interpretation is recommended
Interventions for incarcerated adults with opioid use disorder in the United States: A systematic review with a focus on social determinants of health
No full textIncarceration poses significant health risks for people involved in the criminal justice system. As the world’s leader in incarceration, the United States incarcerated population is at higher risk for infectious diseases, mental illness, and substance use disorder. Previous studies indicate that the mortality rate for people coming out of prison is almost 13 times higher than that of the general population; opioids contribute to nearly 1 in 8 post-release fatalities overall, and almost half of all overdose deaths. Given the hazardous intersection of incarceration, opioid use disorder, and social determinants of health, we systematically reviewed recent evidence on interventions for opioid use disorder (OUD) implemented as part of United States criminal justice system involvement, with an emphasis on social determinants of health (SDOH). We searched academic literature to identify eligible studies of an intervention for OUD that was implemented in the context of criminal justice system involvement (e.g., incarceration or parole/probation) for adults ages 19 and older. From 6,604 citations, 13 publications were included in final synthesis. Most interventions were implemented in prisons (n = 6 interventions), used medication interventions (n = 10), and did not include SDOH as part of the study design (n = 8). Interventions that initiated medication treatment early and throughout incarceration had significant, positive effects on opioid use outcomes. Evidence supports medication treatment administered throughout the period of criminal justice involvement as an effective method of improving post-release outcomes in individuals with criminal justice involvement. While few studies included SDOH components, many investigators recognized SDOH needs as competing priorities among justice-involved individuals. This review suggests an evidence gap; evidence-based interventions that address OUD and SDOH in the context of criminal justice involvement are urgently needed.</div
Categorical matrix of systematic review findings.
No full textCategorical matrix of systematic review findings.</p
PRISMA Systematic Review Diagram.
No full textAdapted from:Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 6(7): e1000097. doi:10.1371/journal.pmed1000097.</p
Tabulated results of systematic review categorical matrix, by number of publications and interventions.
No full textTabulated results of systematic review categorical matrix, by number of publications and interventions.</p
