Health 2020 priority area four: creating supportive environments and resilient communities A compendium of inspirational examples Health 2020 priority area four: creating supportive environments and resilient communities A compendium of inspirational examples Editor: Erio Ziglio Abstract This Compendium provides inspirational examples of building resilience at individual, community and system levels. It describes the innovative, on-the-ground actions taken by 13 countries to create supportive environments for strengthening resilience and its link to health and well-being outcomes. The examples, primarily gathered from community initiatives, are linked to the four types of resilience capacities: adaptive, absorptive, anticipatory and transformative. The Compendium covers a wide range of topics such as the role of resilience building in addressing human rights, health inequities, and environmental hazards and threats; and health-related topics such as communicable and noncommunicable diseases. Creating resilient communities and supportive environments for population health and well-being is one of the priority areas of Health 2020. Resilience is also a key element in achieving the Sustainable Development Goals. The Compendium follows and expands on two WHO publications released in 2017: Building resilience: a key pillar of Health 2020 and the Sustainable Development Goals and Strengthening resilience: a priority shared by Health 2020 and the Sustainable Development Goals. Keywords: COMMUNITY PARTICIPATION RESILIENCE, PSYCHOLOGICAL SOCIAL SUPPORT EUROPE Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe UN City, Marmorvej 51 DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Office web site (http://www.euro.who.int/pubrequest). ISBN 978 92 890 5323 5 © World Health Organization 2018 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. 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Text editing by Nancy Gravesen Book design by Marta Pasqualato Printed in Italy by AREAGRAPHICA SNC DI TREVISAN GIANCARLO & FIGLI CONTENTS Foreword ......................................................................................................................viii Acknowledgements ...................................................................................................... ix Background .................................................................................................................... 1 The relevance of resilience for advancing practice in public health ....................................... 1 Focus of the Compendium ......................................................................................................... 3 Format of the narratives .............................................................................................................. 3 Classifying and presenting the examples in the Compendium ............................................... 4 References .................................................................................................................................... 4 Part 1. A testimony from a public health professional .......................................... 6 United Kingdom (Scotland). The journey to a healthy and resilient population ...... 7 Abstract ........................................................................................................................................ 7 The issue: Glasgow’s decline in wealth and well-being ........................................................... 7 The need to refocus thinking and practice ............................................................................... 9 Political and economic determinants ...................................................................................... 10 Lessons learnt and way forward ............................................................................................... 13 References .................................................................................................................................. 16 Part 2. Building resilience by developing and sustaining partnerships between institutions and communities ................................................................ 17 Austria. Innovative practices in strengthening patient and community resilience and building a people-centred health system: the Lienz experience .................... 18 Abstract ...................................................................................................................................... 18 Issue ............................................................................................................................................ 18 Action ........................................................................................................................................ 19 Impact ......................................................................................................................................... 23 Lessons learnt ............................................................................................................................ 25 Acknowledgments ..................................................................................................................... 26 References .................................................................................................................................. 26 Finland. New therapeutic approach for schizophrenia that strengthens resilience and saves one million euros per year ....................................................... 29 Abstract ...................................................................................................................................... 29 Issue ............................................................................................................................................ 29 Action ......................................................................................................................................... 30 Impact ......................................................................................................................................... 31 Lessons learnt ............................................................................................................................ 32 References .................................................................................................................................. 32 iii Italy. Strengthening resilience in hospitalized children: the approach of Meyer Children’s Hospital ....................................................................................................... 34 Abstract ...................................................................................................................................... 34 Issue ........................................................................................................................................... 34 Action ......................................................................................................................................... 35 Impact ......................................................................................................................................... 39 Lessons learnt ............................................................................................................................ 41 Acknowledgments ..................................................................................................................... 41 References .................................................................................................................................. 41 Kyrgyzstan. Strengthening resilience in rural communities ..................................... 44 Abstract ...................................................................................................................................... 44 Issue ...........................................................................................................................................