Research on CRM is expanding rapidly. CRM was derived from body-based psychotherapy and developed by Elaine Miller-Karas and colleagues after survivors of natural disasters (tsunami, earthquake, and hurricanes) received brief, somatically-based interventions and subsequently demonstrated high rates of PTSD resolution. Persons who have endured chronic or cumulative trauma, have also demonstrated significant improvement in mental health accompanied by continued daily use of CRM’s emotional stabilization skills. In CRM’s first randomized controlled trial (RCT) of 77 hospital nurses, the CRM group demonstrated reduced secondary traumatic stress and physical complaints and improved emotional well-being and resiliency after a single 3-hour CRM class; nurses used the simple CRM techniques of tracking body sensations and grounding during tense or chaotic clinical situations, codes, and with dying patients. Research has also been conducted at Loma Linda University in international settings.
Background: Rising rates of secondary traumatic stress and burnout among nurses signal a crisis in healthcare. There is a lack of evidence regarding effective interventions to improve nurse well-being and resiliency.
Purpose: This study used a randomized controlled trial parallel design to test the effectiveness of a 3-hour Community Resiliency Model (CRM) training, a novel set of sensory awareness techniques to improve emotional balance.
Methods: Registered nurses in two urban tertiary-care hospitals were invited to participate, which entailed attending a single 3-hour “Nurse Wellness and Wellbeing” class; 196 nurses consented and were randomized into the CRM intervention or nutrition education control group to determine if the CRM group would demonstrate improvement in well-being and resiliency, secondary traumatic stress, burnout, and physical symptoms.
Findings: Pre/post data were analyzed for 40 CRM and 37 nutrition group members. Moderate-to-large effect sizes were demonstrated in the CRM group for improved well-being, resiliency, secondary traumatic stress, and physical symptoms. Participants reported using CRM techniques for self-stabilization during stressful work events.
Conclusion: CRM shows promise as a brief resiliency training for hospital-based nurses.
Addiction is associated with trauma, and a body-based approach may help attenuate the long-term impacts of trauma, including addiction and mental disorders. The Community Resiliency Model® (CRM) is a novel, simple, body-based set of sensory awareness skills, which focus on “felt-sense” or interoception. We provided a single 5-h Community Resiliency Model® class in an urban drug treatment center for impoverished women in the Southeastern US. Using a pre-post mixed methods design, we collected data from 20 women on well-being, physical symptoms, anger, depression, anxiety, and spirituality. The post-test revealed that participant somatic complaints, anger, and anxiety symptoms had declined significantly, with a moderate to large effect size; well-being increased significantly, with a small effect size. Participants found the skills and concepts of CRM helpful and shared them with others. CRM is a feasible, inexpensive, and acceptable training that may be valuable for persons with addictions.
Background: Front-line workers (FLW) are at risk for secondary traumatic stress, burnout, and related psychiatric sequelae: depression, anxiety, suicidality, posttraumatic stress disorder, and sleep and substance use disorders. FLW are in need of self-care programs to support their mental health.
Methods: Quasi-experimental study to assess the impact of a simple mental well-being and emotional regulation training, the Community Resiliency Model (CRM), using a convenience sample of FLW. Baseline scores of mental well-being and stress measures were compared with follow-up scores at 3 time points. Outcomes were psychological wellness (World Health Organization-5 Well-being Index); resilience (Connor-Davidson Resilience Scale-10); traumatic stress (Secondary Traumatic Stress Scale); physical symptoms (Somatic Symptom Scale-8).
Results: Of the 104 participants who enrolled and attended the CRM training, 73 (70.2%) completed at least 1 posttest. Well-being scores increased at 1 year with a small-moderate effect size (Cohen d=0.32). Resilience scores increased with a small-moderate effect size by 1 year (Cohen d=0.36). Secondary traumatic stress scores declined, with the largest effect at 1 week (Cohen d=0.49). Somatic symptoms decreased at each posttest, with the largest change occurring from baseline to 1 week (d=0.39). Participants reported an awareness of body sensations helped them when overwhelmed as a means of calming themselves.
Conclusions: After a 3-hour CRM training, participants reported improved mental well-being and decreased secondary traumatic stress and somatic symptoms. This simple body awareness intervention may be a good resource during the COVID-19 pandemic.