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Gun Safety Rough Draft

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Title: Gun Safety Rough Draft Author: Ashley Lucke Last modified by: Lisa Donato Created Date: 9/5/2013 2:28:14 AM Document presentation format: On-screen Show (4:3) – PowerPoint PPT presentation

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Title: Gun Safety Rough Draft


1
Section on Medical Students, Residents and
Fellowship Trainees (SOMSRFT) Advocacy Campaign
2013-2014
2
Annual AAP SOMSRFT Advocacy Campaign
  • AAP Section on Medical Students, Residents and
    Fellowship Trainees (SOMSRFT) annual campaign
    focused on advocacy
  • Provides a framework for YOU to get involved,
    learn about advocacy, and implement an advocacy
    project of your own
  • Successful campaigns in the past focused on
    smoking, vaccines, obesity, voting for kids, and
    childhood literacy (Read, Lead, Succeed!)

3
Why Firearm Injury Prevention?
  • Events in
  • Newtown, Connecticut
  • Aurora, Colorado
  • Virginia Tech, Virginia
  • Personal/patient stories
  • Injuries
  • Gun violence exposure
  • Suicide
  • Homicide
  • Public Health issue impacting
  • children and families

4
What We Know
  • Approximately 7.4 people per day are killed
    unintentionally by a gun1
  • A child is killed or injured by a firearm every
    30 minutes2
  • 33 of U.S. homes contain a gun half dont lock
    it up3
  • A firearm is 22x more likely to be used in the
    setting of suicide, criminal assault, homicide or
    accidental death than in self defense4
  • Risk of suicide is 5x greater if a gun is kept in
    the home4

5
What We Know
  • Number of kids killed in 1 year by gun related
    injuries could fill 134 classrooms1
  • In 2010 the of children and teens killed by
    guns was 5x the of soldiers killed in Iraq and
    Afghanistan1
  • Teens most _at_ risk
  • 86 of deaths and 89 of injuries from firearms
    happen in 15-19 year olds1

1. CDFs 2013 Gun Report." Protect Children Not
Guns 2013. Children's Defense Fund, 24 July 2013.
Web. Sept. 2013.
6
Firearm Injury Pyramid
31,672 Deaths1
41,363 Hospitalized Injuries2
42,656 Treated Released from EDs2
1 Centers for Disease Control National Vital
Statistics, 2010 2 Estimates from the CDC Firearm
Injury Surveillance Survey
7
State and Federal Laws and Statistics
  • Learn about your states current gun laws, gun
    death and injury statistics, and federal public
    health stats by visiting
  • AAP Division of State Government Affairs State
    Gun Safety Laws http//www.aap.org/en-us/my-aap/ad
    vocacy/state-government-affairs/Documents/GunSafet
    yLaws.pdf
  • Childrens Defense Fund Report Protect Children,
    Not Guns http//www.childrensdefense.org/child-r
    esearch-data-publications/data/protect-children-no
    t-guns-2013.html
  • Brady Center to Prevent Gun Violence State
    Scorecard http//www.bradycampaign.org/stategunla
    ws/
  • Law Center To Prevent Gun Violence
    http//smartgunlaws.org/
  • Centers for Disease Control and Prevention (CDC)
    Web-based Injuries Statistics and Reporting
    System (WIQARS) http//www.cdc.gov/injury/wisqars/
    index.html
  • CDCs National Violent Death Reporting System
    (NVDRS) http//www.cdc.gov/violenceprevention/nvdr
    s/

8
What is Firearm Injury Prevention?
  • A public health issue just like
  • Car seats
  • Drowning prevention
  • Bike helmets
  • Seat Belts
  • Child abuse prevention
  • NOT a political issue!
  • Not about gun control or gun rights
  • About keeping kids/teens safe

9
Three Main Advocacy Areas
Goal Keep Kids/Teens Safe
Expand mental health screening and access
Provide education and research about firearms
Support common sense firearm legislation that
protects kids
10
How can you get involved?
11
Firearm Injury Prevention Clinic
  • Education, research, anticipatory guidance
  • Physician firearm counseling
  • Discuss during well child checks
  • Use firearm injury prevention smart phrase
  • QI projects regarding parent education before vs.
    after the campaign interventions
  • Start the discussion, bring awareness to the
    issue!

12
Firearm Injury Prevention Clinic
  • Create/distribute parent handouts
  • i.e. AAP Connected Kids
  • Display the 2013 P.A.V.E. poster
  • Educational commercial/video
    in waiting
    rooms
  • Dispensing of gun safe locks
  • Discuss teen violence, how to
    to avoid it, and ways to
    have
    positive conflict resolution
  • How to talk to children after a
    firearm-related
    injury

13
Educate Parents and Patients
  • Safest way no firearms in the home 
  • Discuss the dangers of guns they are not toys
  • ASK Are guns in the homes where your children
    play?
  • Where is it stored?
  • How is it secured?
  • ASK Campaign

Source healthychildren.org
14
Advice to Parents
  • For parents who choose to keep firearms in the
    home
  • Always keep the gun unloaded
    and locked up 
  • Bullets locked and stored separately
  • Hide keys
  • Never tell child the lock/safes code
  • Discuss repercussions  

Source healthychildren.org
15
Firearms and Mental Health
  • Strong evidence suggests that the presence of
    firearms in the home increases the risk of
    suicide among adolescents1
  • Expand mental health screening and access
  • Screen for depression and mental illness
  • Recognize effects of toxic stress
  • Make appropriate and timely referrals
  • Give general and specific counseling!

1. Sege, Robert. AAP Policy and Strategies to
Protect Children from Firearms. PowerPoint
presentation. AAP Legislative Conference, Washingt
on, DC. April 2013.
16
Recognize the impact of firearm-related injuries
  • All children at risk of psychological injury
  • Anxiety
  • Posttraumatic stress reactions and disorder
  • Concern when prolonged emotional response or
    accompanied by functional impairment
  • Children are resilient given adequate support and
    counseling

D Markenson, S Reynolds. The Pediatrician and
Disaster Preparedness. Pediatrics
2006117e340. http//www.aap.org/en-us/my-aap/adv
ocacy/workingwiththemedia/Pages/Coping-with-theAft
ermath-of-a-Community-or-School-Shooting
17
Counseling after a firearm-related
injury Pediatricians
  • Guide parent to make necessary accommodations
  • Make appropriate and timely referrals
  • Childrens reaction based on developmental
    abilities
  • 6-year-old may react by refusing

    to separate from parents to attend

    school
  • Adolescent may attempt to hide

    concern, start to argue more with

    parents, decline in school

D Markenson, S Reynolds. The Pediatrician and
Disaster Preparedness. Pediatrics
2006117e340. http//www.aap.org/en-us/my-aap/adv
ocacy/workingwiththemedia/Pages/Coping-with-theAft
ermath-of-a-Community-or-School-Shooting
18
Counseling after a firearm-related
injury Parents and Teachers
  • Reassurance of safety, support, and love
  • Strengthen childs communication and coping
    skills
  • Allow child to express feelings
  • Mobilize resources around child
  • Returning to the routine can be helpful, kids
    thrive on structure

D Markenson, S Reynolds. The Pediatrician and
Disaster Preparedness. Pediatrics 2006117e340.
19
Firearm Injury Prevention Community
  • Speak to school groups about firearms
  • Incorporate guest speakers impacted by firearm
    injury
  • Parent education at after school programs
  • Collaborate with law enforcement, Boys Girls
    Club, community centers, etc.
  • Partner with ED/Trauma teams for high school
    education

20
Firearm Injury Prevention State/Federal Levels
  • Know your states laws
  • AAP Division of State Government Affairs State
    Gun Safety Laws http//www.aap.org/en-us/my-aap/a
    dvocacy/state-government-affairs/Documents/GunSafe
    tyLaws.pdf
  • Work with your AAP chapter to advocate for
    common sense firearm legislation that protects
    kids
  • Find your AAP chapter reps http//www2.aap.org/me
    mber/chapters/chaplist.cfm

21
Firearm Injury Prevention State/Federal Levels
  • Read AAPs federal policy positions
  • Contact your state and federal legislators?
    Support common sense firearm legislation that
    protects kids
  • P.A.V.E template letter http//federaladvocacy.
    aap.org
  • Organize or participate in a firearm injury
    prevention advocacy day
  • Write an op-ed or letter to the editor

22
Unified Part of the Campaign
  • 7th of every month
  • Engage in social media
  • Facebook SOMSRFT fan page
  • Twitter (PAVE, PutKids1st, KeepKidsSafe)
  • Change profile photos to PAVE logo
  • Email blasts
  • Video testimonials
  • Visit our website http//www2.aap.org/sections/yp
    n/r/advocacy/PAVE.html

23
How to get involved with the National P.A.V.E.
Campaign
  • Organize a project at your school/program, in
    your community, state, or AAP district
  • Join the SOMSRFT advocacy subcommittee
  • Advocate through social media
  • Participate on advocacy
    subcommittee conference calls

24
Helpful Resources
  • AAP Council on Injury, Violence and Poison
    Prevention (COIVPP) http//www2.aap.org/sections/
    ipp/
  • AAP Department of Federal Affairs
    www.aap.org/federaladvocacy
  • AAP Mental Health Initiatives http//www.aap.org/
    en-us/advocacy-and-policy/aap-health-initiatives/M
    ental-Health/Pages/default.aspx
  • AAP Division of State Government Affairs
    http//www.aap.org/en-us/advocacy-and-policy/state
    -advocacy/Documents/Firearms_SLR.pdf
  • Healthy Children.org http//www.healthychildren.o
    rg/English/safety-prevention/all-around/pages/Gun-
    Safety-Keeping-Children-Safe.aspx
  • Brady Campaign http//www.bradycampaign.org/state
    gunlaws/
  • Center to Prevent Youth Violence
    http//www.cpyv.org/
  • Children's Defense Fund http//www.childrensdefen
    se.org/programs-campaigns/protect-children-not-gun
    s/
  • Moms Demand Action for Gun Sense in America
    www.momsdemandaction.org

25
Acknowledgements/Thanks
  • AAP SOMSRFT 2013-2014 Advocacy Subcommittee
  • Toluwalase Ajayi, MD
  • Lisa Costello, MD
  • Shana Godfred-Cato, DO
  • Wesley Henricksen, MD
  • Erin Kelly, MD
  • Ashley Lucke, MD
  • Anita Shah, DO
  • Natalie Stuntz, MD
  • Lie Tjoeng, MD
  • Elizabeth Van Dyne, MD
  • Shannon Brockman, MS3
  • Neha Joshi, MS4
  • Christian Pulcini, MS4
  • Kristin Schwarz, MS4
  • Puja Umaretiya, MS3
  • Julie Raymond
  • Barbara Miller
  • Jamie Poslosky
  • Kimberly Rose Batti
  • Bonnie Kozial
  • Katie Crumley
  • Gina Steiner
  • AAP Council on Injury Violence and Poison
    Prevention
  • AAP Department Federal Affairs
  • AAP Division of State Government Affairs
  • Center to Prevent Youth Violence-ASK Campaign
  • Childrens Defense Fund
  • Brady Campaign

26
Thank you! Together we will P.A.V.E the way to
firearm injury prevention
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