Bold type added for emphasis


NOTE:  An article concerned with change in culture regarding wellness:

J Emerg Trauma Shock. 2012 Jan;5(1):64-9.

Strategies for coping with stress in emergency medicine: Early education is vital.

Schmitz GR, Clark M, Heron S, Sanson T, Kuhn G, Bourne C, Guth T, Cordover M, Coomes J.


Department of Emergency Medicine, University of California, San Diego.



Physician burnout has received considerable attention in the literature and impacts a large number of emergency medicine physicians, but there is no standardized curriculum for wellness in resident education. A culture change is needed to educate about wellness, adopt a preventative and proactive approach, and focus on resiliency.


We describe a novel approach to wellness education by focusing on resiliency rather than the unintended endpoint of physician burnout. One barrier to adoption of wellness education has been establishing legitimacy among emergency medicine (EM) residents and educators. We discuss a change in the language of wellness education and provide several specific topics to facilitate the incorporation of these topics in resident education.


Wellness education and a culture of training that promotes well-being will benefit EM residents. Demonstrating the impact of several factors that positively affect emergency physicians may help to facilitate alert residents to the importance of practicing activities that will result in wellness. A change in culture and focus on resiliency is needed to adequately address and optimize physician self-care.


NOTE:  Article uses relevant language about concerns that DO exist for early abuse/trauma/insecurely attached people – problem being these survivors do not KNOW they are living under conditions of stress from an ‘illness’ that in itself was created through consequences of extreme stress/distress while their body formed in the first place.

Soc Work Health Care. 2012 Feb;51(2):149-72.

Life disruption, life continuation: contrasting themes in the lives of african-american elders with advanced heart failure.

Hopp FP, Thornton N, Martin L, Zalenski R.


a School of Social Work , Wayne State University , Detroit , Michigan , USA.


This study addresses the need for more information about how urban African-American elders experience advanced heart failure. Participants included 35 African Americans aged 60 and over with advanced heart failure, identified through records from a community hospital in Detroit, Michigan. Four focus groups (n = 13) and 22 individual interviews were conducted. We used thematic analysis to examine qualitative focus groups and interviews. Themes identified included life disruption, which encompassed the sub-themes of living scared, making sense of heart failure, and limiting activities. Resuming life was a contrasting theme involving culturally relevant coping strategies, and included the sub-themes of resiliency, spirituality, and self-care that helped patients regain and maintain a sense of self amid serious illness. Participants faced numerous challenges and invoked a variety of strategies to cope with their illness, and their stories of struggles, hardship, and resilience can serve as a model for others struggling with advanced illness.


Ethn Dis. 2011 Summer;21(3 Suppl 1):S1-100-6.

Project overview of the Restoration Center Los Angeles: steps to wholeness–mind, body, and spirit.

Chung B, Wong E, Litt P, Reverend Ronald Wright, Hill DA, Jones F, Corbin D, Gray R, Patel K, Wells KB.


RAND Corporation, USA. bchung@mednet.ucla.edu

NOTE:  Example of community-based efforts to promote wellness – novel combination of interested parties to support broad-based ‘inter-collective’ efforts



Unmet needs for depression and substance abuse services are a concern in urban communities. This article summarizes the design and recommendations of the Restoration Center Planning Project to better address depression and substance abuse while promoting resiliency and wellness for persons of African descent in South Los Angeles.


A partnered participatory planning process during 18 months involving community members, faith-based and service agency leaders, and investigators from academic organizations was implemented. Leaders formulated a set of principles to address diversity of the group, hosted community conferences and working groups, while developing recommendations.


The community-academic partnership recommended the establishment of restoration centers in Los Angeles (RCLAs) that would serve as a one-stop shop for holistic services addressing depression, substance abuse, related social and spiritual needs, and coordinated care with a network of existing community-based services. Specific recommendations included that the RCs would aim to: 1) support community resilience and improve outcomes for depression and substance abuse; 2) be one-stop shops; 3) promote cultural competency; 4) facilitate ongoing community input and quality review; 5) assure standards of quality within centers and across the broader network; and 6) support the enterprise through a multi-stakeholder community-based board dedicated to RCLA goals.


A community-academic partnered planning process acknowledged the importance of respect for diversity and formulated plans for the Restoration Center network including the integration of health, social, cultural, and faith-based approaches to services with a multi-agency network and community leadership board. The feasibility of the plan will depend on the subsequent implementation phase.



How a community-based organization and an academic health center are creating an effective partnership for training and service.

Meyer D, Armstrong-Coben A, Batista M.

Acad Med. 2005 Apr;80(4):327-33. Review.



[PubMed – indexed for MEDLINE]

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Community health outreach program of the Chad-Cameroon petroleum development and pipeline project.

Utzinger J, Wyss K, Moto DD, Tanner M, Singer BH.

Clin Occup Environ Med. 2004 Feb;4(1):9-26. Review.



[PubMed – indexed for MEDLINE]

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Listening, sharing understanding and facilitating consumer, family and community empowerment through a priority driven partnership in Far North Queensland.

Haswell-Elkins M, Reilly L, Fagan R, Ypinazar V, Hunter E, Tsey K, Gibson V, Connolly B, Laliberte A, Wargent R, Gibson T, Saunders V, McCalman J, Kavanagh D.

Australas Psychiatry. 2009 Aug;17 Suppl 1:S54-8. Review.



[PubMed – indexed for MEDLINE]

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Holistic Native network: integrated HIV/AIDS, substance abuse, and mental health services for Native Americans in San Francisco.

Nebelkopf E, Penagos M.

J Psychoactive Drugs. 2005 Sep;37(3):257-64. Review.



[PubMed – indexed for MEDLINE]

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