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Firearms and Clinical Practice

Author: Gianni Pirelli

Publisher: Oxford University Press

Published: 2023

Total Pages: 289

ISBN-13: 0190923210

"Given that many of us (clinicians) have had relatively little or no exposure to guns on personal or professional levels, this chapter is devoted to providing a general overview of firearms and firearm-related concepts. First, we briefly review the history of guns, including their use by military and law enforcement personnel, as well as civilians. We then address the prevalence of guns in pop-culture and public sentiment associated with firearm-related issues. In the second section of this chapter, we discuss the importance of developing professional and cultural competence, including but not limited to being able to identify firearm-related subcultures and related factors that may be relevant to our patients. Lastly, we provide an overview of guns as a matter of hardware; namely, how they work, various types of guns and ammunition, and gun safety principles. Throughout the chapter, we stress the benefits of becoming familiar with gun-specific concepts, such as to facilitate rapport with certain clients and to improve clinical decision-making across the board. Indeed, this entire book has been designed with these ideals in mind. We also weave in case examples throughout the book to illustrate how various considerations may play out and to demonstrate the applicability of various firearm-related principles in our clinical practices"--

Firearms and Clinical Practice

Author: Gianni Pirelli Ph.D., ABPP

Publisher: Oxford University Press

Published: 2023-01-06

Total Pages: 289

ISBN-13: 0190923237

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The essential guide for medical and mental health professionals who need to understand what to Know, Ask, Do (KAD) when firearm-related issues arise in their practices. In Firearms and Clinical Practice, Gianni Pirelli and Sarah DeMarco provide medical and mental health professionals with a practical guide on the intersection between mental health and firearms. Utilizing a best-practices model that encourages empirically-supported practice and decision-making, the authors present case examples, vignettes, and useful tips for medical and mental health professionals to navigate gun-related issues that may arise in practice. They further outline and review formal frameworks and models for clinicians to incorporate when firearm-related issues arise in therapeutic contexts, especially when the assessment of suicide and violence risk is necessary. In addition, they assess newly developed forensic mental health assessment (FMHA) models and applications for evaluating civilians seeking initial firearms permits, gun rights restoration, and reinstatement of firearms subsequent to revocation and forfeiture matters. Firearms and Clinical Practice is a must-have resource for a wide range of medical and mental health practitioners, designed to help readers apply firearm-related information, concepts grounded in the empirical literature, and best practices in the clinical and forensic treatment and evaluation arenas.

The Behavioral Science of Firearms

Author: Gianni Pirelli

Publisher: Oxford University Press, USA

Published: 2018

Total Pages: 649

ISBN-13: 0190630434

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"This book focuses on how the principles and empirical knowledge within behavioral science can inform and improve firearm-related policy, practice, and research. It features a formal framework for the assessment of civilians seeking firearms permits, reinstatement of their firearms subsequent to revocation, and considerations for relevant others"--

Health Systems Interventions to Prevent Firearm Injuries and Death

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2019-05-17

Total Pages: 143

ISBN-13: 0309488397

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Firearm injuries and death are a serious public health concern in the United States. Firearm-related injuries account for tens of thousands of premature deaths of adults and children each year and significantly increase the burden of injury and disability. Firearm injuries are also costly to the health system, accounting for nearly $3 billion in emergency department and inpatient care each year. The National Academies of Sciences, Engineering, and Medicine convened a workshop to examine the roles that health systems can play in addressing the epidemic of firearm violence in the United States. This publication summarizes the presentations and discussions from the workshop.

Gun Violence and Mental Illness

Author: Liza H. Gold, M.D.

Publisher: American Psychiatric Pub

Published: 2015-11-17

Total Pages: 482

ISBN-13: 1585624985

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Perhaps never before has an objective, evidence-based review of the intersection between gun violence and mental illness been more sorely needed or more timely. Gun Violence and Mental Illness, written by a multidisciplinary roster of authors who are leaders in the fields of mental health, public health, and public policy, is a practical guide to the issues surrounding the relation between firearms deaths and mental illness. Tragic mass shootings that capture headlines reinforce the mistaken beliefs that people with mental illness are violent and responsible for much of the gun violence in the United States. This misconception stigmatizes individuals with mental illness and distracts us from the awareness that approximately 65% of all firearm deaths each year are suicides. This book is an apolitical exploration of the misperceptions and realities that attend gun violence and mental illness. The authors frame both pressing social issues as public health problems subject to a variety of interventions on individual and collective levels, including utilization of a novel perspective: evidence-based interventions focusing on assessments and indicators of dangerousness, with or without indications of mental illness. Reader-friendly, well-structured, and accessible to professional and lay audiences, the book: * Reviews the epidemiology of gun violence and its relationship to mental illness, exploring what we know about those who perpetrate mass shootings and school shootings. * Examines the current legal provisions for prohibiting access to firearms for those with mental illness and whether these provisions and new mandated reporting interventions are effective or whether they reinforce negative stereotypes associated with mental illness. * Discusses the issues raised in accessing mental health treatment in regard to diminished treatment resources, barriers to access, and involuntary commitment.* Explores novel interventions for addressing these issues from a multilevel and multidisciplinary public health perspective that does not stigmatize people with mental illness. This includes reviews of suicide risk assessment; increasing treatment engagement; legal, social, and psychiatric means of restricting access to firearms when people are in crisis; and, when appropriate, restoration of firearm rights. Mental health clinicians and trainees will especially appreciate the risk assessment strategies presented here, and mental health, public health, and public policy researchers will find Gun Violence and Mental Illness a thoughtful and thought-provoking volume that eschews sensationalism and embraces serious scholarship.

Weapon-Involved Violence and Mental Illness

Author: Heath J. Hodges

Publisher:

Published: 2017

Total Pages: 0

ISBN-13: 9780355161328

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High-profile incidents of weapon-involved violence have galvanized public outrage, legislative proposals, and executive orders concerning individuals with mental illness and weapon access, particularly firearms. A review of public surveys and policy polls reveals multiple assumptions about the relationship between mental illness and violence, which have informed firearm prohibitions aimed at the mentally ill. However, few of these assumptions have been empirically investigated. With community (n = 154) and forensic psychiatric samples (n = 80), this study utilized a series of questionnaires to assess policy opinions, psychopathic traits, experiences with firearms, and perpetration rates for weapon-involved violence. Mental health files were also reviewed for psychiatric patients. Results indicated the prevalence of firearm violence was low among both samples but relatively higher among psychiatric patients. When looking at experiences with firearms more generally between the samples, psychiatric patients reported significantly more exposure to firearms in youth, were more likely to have acquired firearms from illegal means in the past, and were disproportionately more often victims of violence and violence with a weapon. By contrast, community participants endorsed greater knowledge of firearm safety practices, ammunition, and federal firearm regulations. Weapon-involved violence that did not entail a firearm was also examined. All firearm perpetrators also identified as "other weapon perpetrators." Similar to firearm violence, psychiatric patients were significantly more likely than community participants to report using other types of weapons to threaten or harm another person. Approximately half of the psychiatric sample endorsed weapon violence with some other type of weapon. Correlates of other weapon violence included features of childhood disruption, criminal history, and substance abuse. Among the psychiatric sample, a classification model using these covariates successfully distinguished between other weapon perpetrators and non-perpetrators. Notably, severe mental illness did not differentiate between groups. Overall, the majority of psychiatric patients did not report engaging in weapon-involved violence, either with a firearm or another weapon. Features of weapon-involved violence were comparable to those of violence generally. Findings did not support the underlying assumptions about weapon-involved violence and mental illness. Results of this study have implications for policy, clinical practice, and research in this area.

Priorities for Research to Reduce the Threat of Firearm-Related Violence

Author: National Research Council

Publisher: National Academies Press

Published: 2013-10-03

Total Pages: 121

ISBN-13: 0309284414

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In 2010, more than 105,000 people were injured or killed in the United States as the result of a firearm-related incident. Recent, highly publicized, tragic mass shootings in Newtown, CT; Aurora, CO; Oak Creek, WI; and Tucson, AZ, have sharpened the American public's interest in protecting our children and communities from the harmful effects of firearm violence. While many Americans legally use firearms for a variety of activities, fatal and nonfatal firearm violence poses a serious threat to public safety and welfare. In January 2013, President Barack Obama issued 23 executive orders directing federal agencies to improve knowledge of the causes of firearm violence, what might help prevent it, and how to minimize its burden on public health. One of these orders directed the Centers for Disease Control and Prevention (CDC) to, along with other federal agencies, immediately begin identifying the most pressing problems in firearm violence research. The CDC and the CDC Foundation asked the IOM, in collaboration with the National Research Council, to convene a committee tasked with developing a potential research agenda that focuses on the causes of, possible interventions to, and strategies to minimize the burden of firearm-related violence. Priorities for Research to Reduce the Threat of Firearm-Related Violence focuses on the characteristics of firearm violence, risk and protective factors, interventions and strategies, the impact of gun safety technology, and the influence of video games and other media.

Rosen's Emergency Medicine - Concepts and Clinical Practice, 2-Volume Set,Expert Consult Premium Edition - Enhanced Online Features and Print,7

Author: James Adams

Publisher: Elsevier Health Sciences

Published: 2010-01-01

Total Pages: 3163

ISBN-13: 0323054722

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This reference places the latest information at users' fingertips, and a more streamlined format makes it easy to find the exact information quickly and conveniently. Includes access to a companion Web site for additional resources.

Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book

Author: John Marx

Publisher: Elsevier Health Sciences

Published: 2013-08-01

Total Pages: 3266

ISBN-13: 1455749877

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Rely on Rosen's Emergency Medicine for the latest answers on every facet of emergency medicine practice. For decades, this medical reference book has set the standard in emergency medicine, offering unparalleled comprehensiveness, clarity, and authority - to help you put the latest and best knowledge to work for your patients in the ER. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Practice confidently with easily actionable, dependable guidance on the entire breadth of emergency medicine topics. Get expert guidance on how to approach specific clinical presentations in the ER. The "Cardinal Presentations Section" provides quick and easy reference to differential diagnosis and directed testing for fever in the adult patient; dizziness and vertigo; chest pain; and over 20 other frequently seen presentations in the emergency department. Effectively apply the newest emergency medicine techniques and approaches, including evidence-based therapies for shock; high-cost imaging; evaluation and resuscitation of the trauma patient; cardiovascular emergencies; evaluation and risk stratification for transient ischemic attack (TIA) patients; and much more. Locate the answers you need quickly thanks to a user-friendly, full-color design, complete with more illustrations than ever before. Access the complete contents on the go from your laptop or mobile device at Expert Consult, fully searchable, with links to PubMed.

Firearm-Related Injuries and Preventions

Author: American Academy of Pediatrics

Publisher:

Published: 2017-09-29

Total Pages: 0

ISBN-13: 9781610021708

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This collection gives pediatricians the high-impact research and analysis of the prevention of firearms-related injuries to children that they need to best protect their patients. Articles outline the scope of the problem, the details of safety counseling, population characteristics of the children who are most likely to be affected by gun violence, and how mental illness relates to firearm injuries.