Health Systems Interventions to Prevent Firearm Injuries and Death Proceedings of a Workshop (2019) / Chapter Skim
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6 Key Issues from the Workshop's First Day
6 Key Issues from the Workshop's First Day
Pages 47-54
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From page 47... ...
Rocky Mountain Mental Illness, Research, Education, and Clinical Center for Suicide Prevention and an assistant professor at the University of Colorado School of Medicine; and Daniel Webster, a Bloomberg professor of American health in violence prevention and the director of the Johns Hopkins– altimore Collaborative for Violence Reduction at the Johns B Hopkins Bloomberg School of Public Health. James began the session by remarking that the day's discussions represented a paradigm shift in that they focused on looking at firearm violence and injuries in much the same way that other diseases are approached.
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From page 48... ...
Carter replied that health care systems have to focus on the value of the services they provide for their consumers, which requires knowing the community; the prevalence of disease, including firearm violence, in the community; and how to address that most successfully within the context of the community. At the same time, he said, it will be essential to help the clinical staff understand that efficacious programs to prevent violence can have a positive effect for their patients, similar to the success of other programs and prevention efforts for commonly treated diseases such as stroke, diabetes, and heart attack.
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From page 49... ...
Simonetti said he believes that research has a huge role to play in incentivizing how health care systems adopt firearm prevention as part of their mission, not just because research funding will attract academic institutions to become more involved and not just because research is critical for determining whom to screen and what to do once at-risk individuals are identified. "It could also be important in making this everybody's problem," he said, pointing to the diversity of expertise and areas of interest represented by the attendees at the workshop.
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From page 50... ...
When James asked Webster to comment on how he believes health care systems can engage with the community to reduce gun violence and death, Webster replied that the Cure Violence program, a public health intervention, is one approach that focuses on building relationships with credible messengers in the community who can help resolve conflicts and take other steps to reduce violence in the community. There have been some successes with this type of program, he said, adding that he believes they can be made even stronger, particularly with regard to providing better support for the staff of these programs.
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From page 51... ...
It is also important, he added, to provide health care systems with effective interventions and strategies to deal with the problem coming through their door, which is where the research community plays a critical role. For Webster, the key question that health system leaders need to ask is whether they want to "own" prevention of firearm violence and suicide and take responsibility for it.
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From page 52... ...
DISCUSSION George Isham said that when he was on the Community Guide Taskforce that looked at evidence for population-based interventions, one of his observations was that many of the successful programs for implementing change across populations were multicomponent interventions, and he said he suspects that the same will hold true for a topic as complex as firearm violence and death. Isham also reinforced the idea that there will be a role for both public and private institutions to get involved in addressing this issue, and he suggested thinking about the kind of conversations that could be carried out among the board members and senior management of a health system about responding to some of the community's needs.
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From page 53... ...
Carter agreed and pointed to the importance of involving the entire health care team in these efforts and employing technology so that the burden of screening and intervening does not fall totally on the backs of physicians. On a final note, Simonetti said that clinicians can be successful in promoting actions in this space, both in their health care systems and the larger
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From page 54... ...
54 INTERVENTIONS TO PREVENT FIREARM INJURIES AND DEATH community. "I think clinicians have a more powerful voice than they think they do, particularly when they group together," he said.
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