Utilizing the Social-Ecological Model in addressing bullying, by describing the application of SEM to the four buckets (Truth, Wisdom, Courage, and Renewal) of the Civility Tool-kit, serving as a comprehensive, cohesive, and integrated solution to support, create, and sustain cultures of civility and respect in the healthcare organization/environment. Educating individuals to be civil when environments are not supportive can be ineffective, making sustainable behavioral change elusive. Emerging evidence and anecdotal reports suggest leaders’ conscientiousness in implementing comprehensive, cohesive, and integrated bullying prevention and intervention programs is critical to promote environments of respect, and enhance sustainability of cultures of civility (Cleary, Hunt, & Horsfall, 2010; McNamara, 2012). With a grounded understanding of the scientific etiologies of bullying and the potential solutions to the issues, the civility tool-kit employs the social ecological model (SEM) as a framework to mitigate the complex, and multiple influence etiologies of bullying. This is for workplace bullying, not for K-12 schools.