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Community Resilience - Rural Health/Services. Community Resilience Rural Health/Services Dr Sarah-Anne Munoz Research Fellow Centre for Rural Health. Community Resilience – Rural Health/ Services. Presentation Structure The concept of community resilience
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Community Resilience - Rural Health/Services Community Resilience Rural Health/ServicesDr Sarah-Anne MunozResearch FellowCentre for Rural Health
Community Resilience – Rural Health/ Services Presentation Structure The concept of community resilience (social resilience and sustainability) 2. Community resilience + rurality 3. Community resilience + rurality + health 4. Community resilience + rurality + health + (social) enterprise 5. Capabilities and characteristics…? 6. Considerations for the future…
Community Resilience – Rural Health/ Services • Community Resilience • Defining ‘community resilience’…starts with ‘community’…? • “community resilience is the existence, development, and engagement of community resources by community members to thrive in an environment characterised by change, uncertainty, unpredictability and surprise.” (Magis, 2010) • Resilience… trait, process, outcome • “…are capable of bouncing back from adverse situations…by actively influencing and preparing for economic, social and environmental change…”(University of Queensland)
Community Resilience – Rural Health/ Services • Community Resilience • Social Resilience (Adger, 2000) • “…social resilience is the ability of groups or communities to cope with external stresses and disturbances as a result of social, political and environmental change.” • Socially resilient community: facilitates positive physical and mental health; services that ensure an acceptable quality of life; community activities • Two levels of resource: individual skills and community capacity
Community Resilience – Rural Health/ Services to have strong, resilient and supportive communities where people take responsibility for their own actions and how they affect others
Community Resilience – Rural Health/ Services • Community Resilience + Rurality • Challenges faced by rural areas: demographic aging, low population densities, negative population change, proportions on low incomes, rates of unemployment, and counter-urbanisation. • Highland’s Fragile Communities: population loss; low incomes; limited employment opportunities; poor infrastructure; remoteness
Community Resilience – Rural Health/ Services • Community Resilience + Rurality • Rural citizens are seen as key actors within the generation of community resilience • Rural community resilience has been described as a set of characteristics: • Strong social networks and support • Inclusive community planning • Adequate services and facilities • Support services for small businesses • Reducing inequalities • Rural-urban linkages • Rural community resilience and citizens within policy
Community Resilience – Rural Health/ Services • Community Resilience + Rurality+ Health • Socially resilient communities are health promoting • Resilience in rural health: services, systems and access • Resiliency is bound up with changes/threats to services, systems and accessibility • Co-production as an element of rural community resilience in the health context
Community Resilience – Rural Health/ Services Community Resilience + Rurality+ Health Community resilience is ‘…a collective and collaborative response within communities to promote independence. Communities are facilitated to look after themselves, utilizing all resources available to them, encouraging self care and using volunteers and informal carers within the local community’ (Scottish Government 2007). Scottish Ambulance Service (April, 2011) Draft Community Resilience Strategy
Community Resilience – Rural Health/ Services • Community Resilience + Rurality+ Health + (Social) Enterprise • General links between enterprise and community resilience • Social enterprise suggested as important for rural areas and their resilience • Social enterprises as health services providers • Social enterprises generating individual and community health and wellbeing
Community Resilience – Rural Health/ Services • Characteristics and Capabilities for Developing Rural Community Social Enterprises • Community engagement • Identifying need • Recognising socially entrepreneurial opportunity • Catalyse transference of need into action • Sourcing of start-up finance and other resources • Development of relationship with service users and commissioners • Business planning – balancing social and economic objectives • Business management
Community Resilience – Rural Health/ Services Participation brings individual wellbeing Rural citizens can be over burdened Reaches those ‘isolated’ from informal Can destabilise local volunteering cultures social networks/helping Links community effort with economic benefit Increases bureaucracy and challenges citizens’ commitment Creates/maintains local jobs Reinforces rural ‘types’ of employment Harnesses latent community skills Geographies of disadvantage Maintains/enhances public sector service provision Services are perceived as less ‘stable’ Community capacity and confidence increases Who are the actors? Collective needs recognition facilitates future Who is included/ excluded from the capacity to respond to needs/change ‘community’ and the dialogue?
Community Resilience – Rural Health/ Services • Questions for the Future • Can we understand more about the mechanisms and features of community resilience? • How will community resilience play out in the long-term? • Can we look more closely at health and wellbeing benefits? • Consideration of social, cultural, economic and political contexts that facilitate resilience? • Recognise the positives in unpredictability?
