Cover -- Title Page -- Copyright -- Preface -- Contents -- Figures -- Tables -- Summary -- Acknowledgments -- Abbreviations -- Chapter One -- Introduction -- Focus of This Report -- Approach -- Literature Review -- Stakeholder Focus Groups -- Other Meetings with Subject Matter Experts -- Integration of Information -- Key Limitations to Consider -- Using This Report -- Chapter Two -- Definition and Application of Community Resilience -- Definition of Community Resilience in the Context of National Health Security -- Process for Developing the Definition -- Definition of Community Resilience -- Application of the Definition: Levers -- Process for Identifying Levers -- Levers for Building Community Resilience -- Chapter Three -- Wellness: Promote Population Health Before and After an Incident, Including Behavioral Health -- Activities Related to Community Wellness -- Element 1: Activities to Promote Public Understanding of Health and Wellness -- Element 2: Activities to Ensure Sufficient Community Health Resources, Along with the Capability to Leverage Those Resources to Achieve Desired Outcomes -- Chapter Four -- Access: Ensure Access to High-Quality Health, Behavioral Health, and Social Resources and Services -- Activities Related to High-Quality Health, Behavioral Health, and Social Resources and Services -- Element 1: Activities to Ensure Continuity of Healthcare and Related Social Services -- Element 2: Activities to Facilitate Transition to Recovery Planning -- Element 3: Activities to Provide Health Services and Remove Barriers to Accessing Them -- Chapter Five -- Education: Ensure Ongoing Information to the Public About Preparedness, Risks, and Resources Before, During, and After a Disaster -- Activities Related to Community Education.

Element 1: Activities to Bolster Community Resilience by Providing Accurate Information About Health Threats -- Element 2: Activities to Train and Educate Partner Agencies and to Develop an Effective and Coordinated Communication System or Network -- Element 3: Activities to Build Basic Health Literacy and Awareness of Health Issues -- Chapter Six -- Engagement: Promote Participatory Decisionmaking in Planning, Response, and Recovery Activities -- Activities Related to Community Engagement -- Element 1: Activities to Involve Community Members in Planning and Decisionmaking on Issues Relating to Response and Recovery -- Element 2: Activities to Include Community Members in Planning Exercises for Health Incidents -- Element 3: Activities to Build Connections Among Social Networks and Community Organizations -- Chapter Seven -- Self-Sufficiency: Enable and Support Individuals and Communities to Assume Responsibility for Their Preparedness -- Activities Related to Self-Sufficiency -- Element 1: Activities to Encourage Personal and Community Preparedness -- Element 2: Activities to Encourage Civic Responsibility -- Element 3: Activities to Promote Effective Bystander Responses -- Element 4: Activities to Foster Self- and Community Reliance -- Chapter Eight -- Partnership: Develop Strong Partnerships Within and Between Government and Other Organizations -- Activities Related to Effective Community Partnerships -- Element 1: Activities to Establish Pre-Event Memorandums of Understanding That Delineate Clear Roles and Responsibilities Among Partners -- Element 2: Activities to Support Partnership Agreements with a Dedicated Workforce to Implement Agreed-Upon Activities -- Element 3: Activities to Assess the Extent of Existing Networks and Social Routines Among Community Members and Organizations -- Chapter Nine.

Quality: Collect, Analyze, and Utilize Data to Monitor and Evaluate Progress on Building Community Resilience -- Activities Related to Quality -- Element 1: Activities to Monitor Continuity/Quality of Care and Long-Term Health Effects After a Health Incident -- Element 2: Activities to Conduct Research and Evaluation -- Element 3: Activities to Use Monitoring, Research, and Evaluation Data for Continuous Quality Improvement -- Chapter Ten -- Efficiency: Leverage Existing Community Resources for Maximum Use and Effectiveness -- Activities Related to Efficiency -- Element 1: Activities to Support Clear Delineation of Transition and Funding Processes for Response and Recovery -- Element 2: Activities to Develop Monitoring Systems to Determine Where Assets Are Needed -- Chapter Eleven -- Future Directions: Implementation, Measurement, and Next Steps -- Implementation of Community Resilience-Building Activities -- How Will We Know If Community Resilience-Building Activities Are Working? -- What Capacities Are Needed for Communities to Implement Community Resilience-Building Activities? -- How Long Will It Take for Communities to Achieve Full Implementation of Community Resilience-Building Activities? -- Future Research Directions -- Conclusion -- Appendix A -- Appendix B -- Appendix C -- Appendix D -- Bibliography.