Includes bibliographical references.

Definition and application of community resilience -- Wellness : promote population health before and after an incident, including behavioral health -- Access : ensure access to high-quality health, behavioral health, and social resources and services -- Education : ensure ongoing information to the public about preparedness, risks, and resources before, during, and after a disaster -- Engagement : promote participatory decisionmaking in planning, response, and recovery activities -- Self-sufficiency : enable and support individuals and communities to assume responsibility for their preparedness -- Partnership : develop strong partnerships within and between government and other organizations -- Quality : collect, analyze, and utilize data to monitor and evaluate progress on building community resilience -- Efficiency : leverage existing community resources for maximum use and effectiveness -- Future directions : implementation, measurement, and next steps.

Community resilience, or the sustained ability of a community to withstand and recover from adversity has become a key policy issue at federal, state, and local levels, including in the National Health Security Strategy. Because resources are limited in the wake of an emergency, it is increasingly recognized that resilience is critical to a community's ability to reduce long recovery periods after an emergency. This report provides a roadmap for federal, state, and local leaders who are developing plans to enhance community resilience for health security threats and describes options for building community resilience in key areas. Based on findings from a literature review and a series of community and regional focus groups, the authors provide a definition of community resilience in the context of national health security and a set of eight levers and five core components for building resilience. They then describe suggested activities that communities are pursuing and may want to strengthen for community resilience, and they identify challenges to implementation.

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