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Developing a Tabletop Exercise to Test Community Resilience: Lessons from the Los Angeles County Community Disaster Resilience Project

Published online by Cambridge University Press:  17 August 2015

Anita Chandra*
Affiliation:
Department of Justice, Infrastructure, and Environment, RAND Corporation, Arlington, Virginia
Malcolm V. Williams
Affiliation:
Department of Behavioral and Policy Sciences, RAND Corporation, Santa Monica, California
Christian Lopez
Affiliation:
Department of Behavioral and Policy Sciences, RAND Corporation, Santa Monica, California
Jennifer Tang
Affiliation:
Department of Public Health, University of California, Los Angeles, California
David Eisenman
Affiliation:
Los Angeles County Department of Public Health and the David Geffen School of Medicine and Fielding School of Public Health, University of California, Los Angeles, California
Aizita Magana
Affiliation:
Los Angeles County Department of Public Health, Los Angeles, California.
*
Correspondence and reprint requests to Anita Chandra, DrPH, RAND Corporation, Arlington, VA (e-mail: Chandra@rand.org).

Abstract

Objective

We aimed to develop and test a community resilience tabletop exercise to assess progress in community resilience and to provide an opportunity for quality improvement and capacity building.

Methods

A tabletop exercise was developed for the Los Angeles County Community Disaster Resilience (LACCDR) project by using an extended heat wave scenario with health and infrastructure consequences. The tabletop was administered to preparedness only (control) and resilience (intervention) coalitions during the summer of 2014. Each exercise lasted approximately 2 hours. The coalitions and LACCDR study team members independently rated each exercise to assess 4 resilience levers (partnership, engagement, self-sufficiency, and education). Resilience coalitions received more detailed feedback in the form of recommendations for improvement.

Results

The resilience coalitions performed the same or better than the preparedness coalitions on the partnership and self-sufficiency levers. Most coalitions did not have enough (both quantity and type) of the partner organizations needed for an escalating heat wave or changing conditions or enough engagement of organizations representing at-risk populations. Coalitions also lacked educational materials to cover topics as far ranging as heat to power outages to psychological impacts of disaster.

Conclusion

A tabletop exercise can be used to stress and test resilience-based capacities, with particular attention to a community’s ability to leverage a range of partnerships and other assets to confront a slowly evolving but multifactorial emergency. (Disaster Med Public Health Preparedness. 2015;9:484–488)

Type
Brief Reports
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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References

1. Chandra, A, Acosta, J, Stern, S, et al. Building Community Resilience to Disasters: A Way Forward to Enhance National Health Security. Santa Monica, CA: RAND Corporation; 2011.CrossRefGoogle ScholarPubMed
2. Federal Emergency Management Agency (FEMA). National Disaster Recovery Framework: Strengthening Disaster Recovery for the Nation. Washington, DC: FEMA; 2011; http://www.fema.gov/media-library-data/20130726-1820-25045-5325/508_ndrf.pdf. Accessed July 28, 2015.Google Scholar
3. Centers for Disease Control and Prevention. Public Health Preparedness Capabilities: National Standards for State and Local Planning. CDC website. http://www.cdc.gov/phpr/capabilities/. Accessed July 28, 2015.Google Scholar
4. Federal Emergency Management Agency (FEMA). A Whole Community Approach to Emergency Management: Principles, Themes, and Pathways for Action. FDOC 104-008-1. Washington, DC: FEMA; 2011; http://www.fema.gov/media-library-data/20130726-1813-25045-0649/whole_community_dec2011__2_.pdf. Accessed July 28, 2015.Google Scholar
5. Plough, A, Fielding, J, Chandra, A, et al. Building community disaster resilience: Perspectives from a large urban County Department of Public Health. Am J Public Health. 2013;103(7):1190-1197.Google Scholar
6. Mobula, LM, Jacquet, GA, Weinhauer, K, et al. Community health facility preparedness for a cholera surge in Haiti. Am J Disaster Med. 2013;8(4):235-241. doi: 10.5055/ajdm.2013.0129.CrossRefGoogle ScholarPubMed
7. Frahm, KA, Gardner, PJ, Brown, LM, et al. Community-based disaster coalition training. J Public Health Manag Pract. 2014;20(suppl 5):S111-S117. doi: 10.1097/phh.0000000000000058.CrossRefGoogle ScholarPubMed
8. Agboola, F, McCarthy, T, Biddinger, PD. Impact of emergency preparedness exercise on performance. J Public Health Manag Pract. 2013;19(suppl 2):S77-S83. doi: 10.1097/PHH.0b013e31828ecd84.CrossRefGoogle ScholarPubMed
9. Klima, DA, Seiler, SH, Peterson, JB, et al. Full-scale regional exercises: closing the gaps in disaster preparedness. J Trauma Acute Care Surg. 2012;73(3):592-597; discussion 597-598. doi: 10.1097/TA.0b013e318265cbb2.Google Scholar
10. Chandra, A, Williams, M, Plough, A, et al. Getting actionable about community resilience: The Los Angeles County Community Disaster Resilience Project. Am J Public Health. 2013;103(7):1181-1189.Google Scholar