Physicians’ perspectives on Extreme Risk Protection Orders (ERPOs) in the clinical setting: Challenges and opportunities for gun violence prevention
Background Firearm-related injuries remain a heavy public health and clinical burden in the United States. Extreme Risk Protection Order (ERPO) laws, which create a path through a civil court process to temporarily remove firearms from individuals deemed to be at risk of harming themselves or others...
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description | Background Firearm-related injuries remain a heavy public health and clinical burden in the United States. Extreme Risk Protection Order (ERPO) laws, which create a path through a civil court process to temporarily remove firearms from individuals deemed to be at risk of harming themselves or others and are one strategy designed to reduce firearm violence. Maryland was the first state to authorize clinicians as ERPO petitioners. Objective We aim to document a sample of Maryland physicians' perspectives about the utility of, any barriers to, and other thoughts on clinicians as ERPO petitioners. Design A series of semi-structured interviews with Maryland physicians identified through a combination of purposive and snowball sampling. We coded the transcribed interviews and analyzed the coded transcripts for themes using deductive content analysis. Setting/Participants 13 Maryland-based physicians interviewed over Zoom in and around Baltimore City, Maryland. Results The interviewees had overall positive feedback about ERPO as a gun violence prevention tool in the clinical setting. They identified several barriers to effective implementation such as time spent on paperwork and in court, a lack of awareness among clinicians about ERPO, threats to therapeutic alliance, and a sense of futility in a culture where firearms are easy to obtain. Solutions such as providing clinician education about ERPO laws, allowing for virtual court testimony, and creating a consult service with ERPO specialists to manage ERPO petitions were discussed. Limitations This study includes a small sample of Maryland-based physicians. Conclusions The physicians we interviewed expressed interest in knowing more about ERPO laws and emphasized education as an important tool for improving implementation. Addressing physicians' concerns about ERPO implementation will improve their ability to be effective and efficient petitioners. |
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Extreme Risk Protection Order (ERPO) laws, which create a path through a civil court process to temporarily remove firearms from individuals deemed to be at risk of harming themselves or others and are one strategy designed to reduce firearm violence. Maryland was the first state to authorize clinicians as ERPO petitioners. Objective We aim to document a sample of Maryland physicians' perspectives about the utility of, any barriers to, and other thoughts on clinicians as ERPO petitioners. Design A series of semi-structured interviews with Maryland physicians identified through a combination of purposive and snowball sampling. We coded the transcribed interviews and analyzed the coded transcripts for themes using deductive content analysis. Setting/Participants 13 Maryland-based physicians interviewed over Zoom in and around Baltimore City, Maryland. Results The interviewees had overall positive feedback about ERPO as a gun violence prevention tool in the clinical setting. They identified several barriers to effective implementation such as time spent on paperwork and in court, a lack of awareness among clinicians about ERPO, threats to therapeutic alliance, and a sense of futility in a culture where firearms are easy to obtain. Solutions such as providing clinician education about ERPO laws, allowing for virtual court testimony, and creating a consult service with ERPO specialists to manage ERPO petitions were discussed. Limitations This study includes a small sample of Maryland-based physicians. Conclusions The physicians we interviewed expressed interest in knowing more about ERPO laws and emphasized education as an important tool for improving implementation. Addressing physicians' concerns about ERPO implementation will improve their ability to be effective and efficient petitioners.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0274489</identifier><identifier>PMID: 36099263</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Aggression ; Causes of ; Content analysis ; Court hearings & proceedings ; Data collection ; Domestic violence ; Education ; Emergency medical care ; Engineering and Technology ; Firearm laws & regulations ; Firearms ; Gun violence ; Health risks ; Implementation ; Influence ; Injuries ; Injury prevention ; Interviews ; Medicine and Health Sciences ; Pediatrics ; People and Places ; Physicians ; Positive feedback ; Prevention ; Protection ; Public health ; Qualitative research ; Risk ; Small arms ; Snowball sampling ; Social Sciences ; Specialists ; Suicidal behavior ; Testimony ; Violence ; Wounds and injuries</subject><ispartof>PloS one, 2022-09, Vol.17 (9), p.e0274489-e0274489</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Hollo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Hollo et al 2022 Hollo et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-de0a6d2adc22f6b536b23ca23099068a002aaf746a7de18095522899d3c410b03</citedby><cites>FETCH-LOGICAL-c500t-de0a6d2adc22f6b536b23ca23099068a002aaf746a7de18095522899d3c410b03</cites><orcidid>0000-0002-0975-9713</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9469965/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9469965/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23865,27343,27923,27924,33773,53790,53792,79371,79372</link.rule.ids></links><search><contributor>West, James Curtis</contributor><creatorcontrib>Hollo, Ashley</creatorcontrib><creatorcontrib>VanderStoep, Amy</creatorcontrib><creatorcontrib>Frattaroli, Shannon</creatorcontrib><title>Physicians’ perspectives on Extreme Risk Protection Orders (ERPOs) in the clinical setting: Challenges and opportunities for gun violence prevention</title><title>PloS one</title><description>Background Firearm-related injuries remain a heavy public health and clinical burden in the United States. Extreme Risk Protection Order (ERPO) laws, which create a path through a civil court process to temporarily remove firearms from individuals deemed to be at risk of harming themselves or others and are one strategy designed to reduce firearm violence. Maryland was the first state to authorize clinicians as ERPO petitioners. Objective We aim to document a sample of Maryland physicians' perspectives about the utility of, any barriers to, and other thoughts on clinicians as ERPO petitioners. Design A series of semi-structured interviews with Maryland physicians identified through a combination of purposive and snowball sampling. We coded the transcribed interviews and analyzed the coded transcripts for themes using deductive content analysis. Setting/Participants 13 Maryland-based physicians interviewed over Zoom in and around Baltimore City, Maryland. Results The interviewees had overall positive feedback about ERPO as a gun violence prevention tool in the clinical setting. They identified several barriers to effective implementation such as time spent on paperwork and in court, a lack of awareness among clinicians about ERPO, threats to therapeutic alliance, and a sense of futility in a culture where firearms are easy to obtain. Solutions such as providing clinician education about ERPO laws, allowing for virtual court testimony, and creating a consult service with ERPO specialists to manage ERPO petitions were discussed. Limitations This study includes a small sample of Maryland-based physicians. Conclusions The physicians we interviewed expressed interest in knowing more about ERPO laws and emphasized education as an important tool for improving implementation. Addressing physicians' concerns about ERPO implementation will improve their ability to be effective and efficient petitioners.</description><subject>Aggression</subject><subject>Causes of</subject><subject>Content analysis</subject><subject>Court hearings & proceedings</subject><subject>Data collection</subject><subject>Domestic violence</subject><subject>Education</subject><subject>Emergency medical care</subject><subject>Engineering and Technology</subject><subject>Firearm laws & regulations</subject><subject>Firearms</subject><subject>Gun violence</subject><subject>Health risks</subject><subject>Implementation</subject><subject>Influence</subject><subject>Injuries</subject><subject>Injury prevention</subject><subject>Interviews</subject><subject>Medicine and Health Sciences</subject><subject>Pediatrics</subject><subject>People and Places</subject><subject>Physicians</subject><subject>Positive 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perspectives on Extreme Risk Protection Orders (ERPOs) in the clinical setting: Challenges and opportunities for gun violence prevention</title><author>Hollo, Ashley ; VanderStoep, Amy ; Frattaroli, Shannon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-de0a6d2adc22f6b536b23ca23099068a002aaf746a7de18095522899d3c410b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aggression</topic><topic>Causes of</topic><topic>Content analysis</topic><topic>Court hearings & proceedings</topic><topic>Data collection</topic><topic>Domestic violence</topic><topic>Education</topic><topic>Emergency medical care</topic><topic>Engineering and Technology</topic><topic>Firearm laws & regulations</topic><topic>Firearms</topic><topic>Gun violence</topic><topic>Health risks</topic><topic>Implementation</topic><topic>Influence</topic><topic>Injuries</topic><topic>Injury prevention</topic><topic>Interviews</topic><topic>Medicine and Health Sciences</topic><topic>Pediatrics</topic><topic>People and Places</topic><topic>Physicians</topic><topic>Positive feedback</topic><topic>Prevention</topic><topic>Protection</topic><topic>Public health</topic><topic>Qualitative research</topic><topic>Risk</topic><topic>Small arms</topic><topic>Snowball sampling</topic><topic>Social Sciences</topic><topic>Specialists</topic><topic>Suicidal behavior</topic><topic>Testimony</topic><topic>Violence</topic><topic>Wounds and injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hollo, Ashley</creatorcontrib><creatorcontrib>VanderStoep, Amy</creatorcontrib><creatorcontrib>Frattaroli, Shannon</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology 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one</jtitle><date>2022-09-13</date><risdate>2022</risdate><volume>17</volume><issue>9</issue><spage>e0274489</spage><epage>e0274489</epage><pages>e0274489-e0274489</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Background Firearm-related injuries remain a heavy public health and clinical burden in the United States. Extreme Risk Protection Order (ERPO) laws, which create a path through a civil court process to temporarily remove firearms from individuals deemed to be at risk of harming themselves or others and are one strategy designed to reduce firearm violence. Maryland was the first state to authorize clinicians as ERPO petitioners. Objective We aim to document a sample of Maryland physicians' perspectives about the utility of, any barriers to, and other thoughts on clinicians as ERPO petitioners. Design A series of semi-structured interviews with Maryland physicians identified through a combination of purposive and snowball sampling. We coded the transcribed interviews and analyzed the coded transcripts for themes using deductive content analysis. Setting/Participants 13 Maryland-based physicians interviewed over Zoom in and around Baltimore City, Maryland. Results The interviewees had overall positive feedback about ERPO as a gun violence prevention tool in the clinical setting. They identified several barriers to effective implementation such as time spent on paperwork and in court, a lack of awareness among clinicians about ERPO, threats to therapeutic alliance, and a sense of futility in a culture where firearms are easy to obtain. Solutions such as providing clinician education about ERPO laws, allowing for virtual court testimony, and creating a consult service with ERPO specialists to manage ERPO petitions were discussed. Limitations This study includes a small sample of Maryland-based physicians. Conclusions The physicians we interviewed expressed interest in knowing more about ERPO laws and emphasized education as an important tool for improving implementation. Addressing physicians' concerns about ERPO implementation will improve their ability to be effective and efficient petitioners.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>36099263</pmid><doi>10.1371/journal.pone.0274489</doi><orcidid>https://orcid.org/0000-0002-0975-9713</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Aggression Causes of Content analysis Court hearings & proceedings Data collection Domestic violence Education Emergency medical care Engineering and Technology Firearm laws & regulations Firearms Gun violence Health risks Implementation Influence Injuries Injury prevention Interviews Medicine and Health Sciences Pediatrics People and Places Physicians Positive feedback Prevention Protection Public health Qualitative research Risk Small arms Snowball sampling Social Sciences Specialists Suicidal behavior Testimony Violence Wounds and injuries |
title | Physicians’ perspectives on Extreme Risk Protection Orders (ERPOs) in the clinical setting: Challenges and opportunities for gun violence prevention |
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