The Building Community Resilience (BCR) initiative is promoting resilience through cross-sector partnerships that foster community collaboration to address, prevent, and reduce the effects of Adverse Childhood Experiences (ACEs) and Adverse Community Environments (ACEs)—or the Pair of ACEs- on child health and wellbeing. This presentation will outline the approach which is bringing together organizations that impact children’s health, such as health departments, city leaders, health systems, social services, and community-based organizations to develop and strengthen community resilience in Cincinnati (OH), Portland (OR), Dallas (TX), Washington (DC) and Wilmington (DE). In these sites, the BCR tools and framework paired with the use of the National Association of City and County Health Officials (NACCHO) have led to partnerships between health care, public health, education, community developers and government offices to improve community conditions and coordinate services across multiple community providers. This presentation will demonstrate the communications tools and strategic planning process that have helped the sites create networks that total more than 200 cross-sector partners across five cities serving more than two million children and families. Analysis of these efforts found that the tools are most effective in helping BCR partners identify redundancies and gaps in services (asset mapping), identify key partners to join the BCR effort, create strategic plans for action and develop strategies to effectively communicate the public health implications of the Pair of ACEs and practice and policy changes necessary for prevention.

This session will, review the Mobilizing for Action through Planning and Partnerships (MAPP) framework; describe how MAPP helps communities be safer, healthier, and more resilient; and share stories from MAPP communities across the country. Developing a healthy community involves planning and collective action to assure the necessary social, economic, and environmental conditions to support the public’s health and well-being. Strategic planning and collective action can consolidate and strengthen efforts to assure the necessary social, economic, and environmental conditions to support public health and wellbeing that contribute to a healthy community. The RAND Community Resilience Model defines community resilience as “the ongoing and developing capacity of the community to account for its vulnerabilities and develop capabilities that aid the community in (1) preventing, withstanding, and mitigating the stress of a health incident; (2) recovering in a way that restores the community to a state of self-sufficiency and at least the same level of health and social functioning after a health incident; and (3) using knowledge from a past response to strengthen the community’s ability to withstand the next health incident.” (Chandra et al. (2011). Building Community Resilience to Disasters: A Way Forward to Enhance National Health Security. RAND Corporation. Mobilizing for Action through Planning and Partnerships (MAPP) is a community-wide strategic planning process that provides a framework, guidance, and structure for developing healthy and equitable communities. The framework helps communities prioritize their public health issues, identify resources for addressing them, and implement and evaluate strategies relevant to their unique community contexts. This iterative process involves six phases: 1)Organizing for Success and Partnership Development, 2)Visioning, 3)Conducting Four Assessments, 4)Identifying Strategic Issues 5)Formulating Goals and Strategies, 6)Implementing, Planning, and Evaluating in the Action Cycle. MAPP provides a framework for consolidating different agencies’ assessment and planning efforts into a single effective public health improvement effort. Additionally, MAPP communities that conduct activities related to levers of resilience (ex. partnership and engagement) experience positive effects related to core components of community resilience.

This presentation will describe how Cincinnati is engaging pediatricians to recognize and incorporate the importance of reducing ACEs and building resilience into their practices, clinical care and physician training programs. Examples of new programs will be provided along with plans to improve and measure patient outcomes

This presentation will provide a description for building community resilience in the school setting from a public health perspective to inform strategies for population health interventions in partnership with school communities. The model includes school based assessments and interventions to mitigate the impact of social determinants (homelessness, food insecurity, poverty) and trauma (exposure to violence, parental loss, abuse).

The Building Community Resilience (BCR) initiative is promoting resilience through cross-sector partnerships that foster community collaboration to address, prevent, and reduce the effects of Adverse Childhood Experiences (ACEs) and Adverse Community Environments (ACEs)—or the Pair of ACEs- on child health and wellbeing. This presentation will outline the approach which is bringing together organizations that impact children’s health, such as health departments, city leaders, health systems, social services, and community-based organizations to develop and strengthen community resilience in Cincinnati (OH), Portland (OR), Dallas (TX), Washington (DC) and Wilmington (DE). In these sites, the BCR tools and framework paired with the use of the National Association of City and County Health Officials (NACCHO) have led to partnerships between health care, public health, education, community developers and government offices to improve community conditions and coordinate services across multiple community providers. This presentation will demonstrate the communications tools and strategic planning process that have helped the sites create networks that total more than 200 cross-sector partners across five cities serving more than two million children and families. Analysis of these efforts found that the tools are most effective in helping BCR partners identify redundancies and gaps in services (asset mapping), identify key partners to join the BCR effort, create strategic plans for action and develop strategies to effectively communicate the public health implications of the Pair of ACEs and practice and policy changes necessary for prevention.