Firearm Access and Safe Storage
What are Social Workers’ Training and Assessment Practices with Clients?
DOI:
https://doi.org/10.18060/27395Keywords:
Firearm access, firearm safety, social workers’ training, assessment of firearm risk, firearm violenceAbstract
Social workers often work with clients who are at elevated risk for firearm victimization or perpetration due to their personal risk factors. But are they talking to their clients about firearms? Research on social workers’ firearm assessment or discussions with clients about safe storage is scarce. This study sought to better understand social workers and students’ firearms training, beliefs, general knowledge, and application to practice. An anonymous, online, quantitative survey was completed by 139 social workers and students. Most social work practitioners and students had zero hours of training regarding firearms in their social work programs, their internship, and/or from continuing education units (CEUs). Those that had training asked clients about firearms. Besides asking suicidal and aggressive clients, most social workers were not routinely asking other high- risk clients about their access to firearms or their storage practices. Over half of the participants said they would be interested in future training. Social workers have unique skills and key connections with high-risk clients who are vulnerable to firearm-related risks. They have the potential to prevent gun violence, but only if they receive thorough, effective training on firearms assessment and safe storage practices.
References
American Association of Suicidology. (2023). Facts and Statistics.. https://suicidology.org/facts-and-statistics/
Azrael, D., Cohen, J., Salhi, C., Miller, M. (2018). Firearm storage in gun-owning households with children: Results of a 2015 national survey. Journal of Urban Health. 95(3), 295-304. https://doi.org/10.1007/s11524-018-0261-7
Bandealy, A., Herrera, N., Weissman, M., & Scheidt, P. (2020). Use of lethal means restriction counseling for suicide prevention in pediatric primary care. Preventive Medicine, 130, 1-7. https://doi.org/10.1016/j.ypmed.2019.105855
Berrigan, J., Azrael, D., Hemenway, D., & Miller, M. (2019). Firearms training and storage practices among US gun owners: A nationally representative study. Injury Prevention, 25(Suppl 1), i31-i38. https://doi.org/10.1136/injuryprev-2018-043126
Betz, M. E., Azrael, D., Barber, C., & Miller, M. (2016). Public opinion regarding whether speaking with patients about firearms is appropriate: Results of a national survey. Annals of Internal Medicine, 165(8), 543-550. https://doi.org/10.7326/M16-0739
Betz, M. E., Azrael, D., Johnson, R. L., Knoepke, C. E., Ranney, M. L., Wintemute, G. J., Matlock, D., Suresh, K., & Miller, M. (2020). Views on firearm safety among caregivers of people with Alzheimer disease and related dementias. JAMA Network Open, 3(7), e207756-e207756. https://doi.org/10.1001/jamanetworkopen.2020.7756
Betz, M. E., McCourt, A. D., Vernick, J. S., Ranney, M. L., Maust, D. T., & Wintemute, G. J. (2018). Firearms and dementia: Clinical considerations. Annals of Internal Medicine, 169(1), 47-49. https://doi.org/10.7326/M18-0140
Bryan, J. L., Chen, R. L., Moon, A., & Asghar‐Ali, A. A. (2021). A high‐need, high‐impact educational session on firearms and death by suicide. Suicide and Life‐Threatening Behavior, 51(5), 955-960. https://doi.org/10.1111/sltb.12779
Bureau of Justice Statistics [BJS]. (2022). Just the stats: Female murder victims and victim-offender relationship, 2021. Author. https://bjs.ojp.gov/sites/g/files/xyckuh236/files/media/document/fmvvor21.pdf
Caine, E. D. (2022). Guns, depression, and suicide prevention: Is it time for universal home safety screening? JAMA Network Open, 5(3), 1-3. https://doi.org/10.1001/jamanetworkopen.2022.3252
Centers for Disease Control and Prevention [CDC]. (2020a). WISQARS injury data. https://www.cdc.gov/injury/wisqars/index.html
CDC. (2020b). Community violence prevention. https://www.cdc.gov/violenceprevention/communityviolence/index.html
CDC. (2020c). Suicide Prevention. https://www.cdc.gov/suicide/index.html
CDC. (2022). The public health approach to violence prevention. https://www.cdc.gov/violenceprevention/about/publichealthapproach.html
Conner, A., Azrael, D., & Miller, M. (2019). Suicide case-fatality rates in the United States, 2007 to 2014: A nationwide population-based study. Annals of Internal Medicine, 171(12), 885-895. https://doi.org/10.7326/M19-1324
https://doi.org/10.2105/AJPH.2017.304262
Department of Veterans Affairs. (2023). 2023 National Veteran Suicide Prevention Annual Report. https://www.mentalhealth.va.gov/docs/data-sheets/2023/2023-National-Veteran-Suicide-Prevention-Annual-Report-FINAL-508.pdf
Dowd, M. D., Sege, R. D., Gardner, H. G., Quinlan, K. P., Ewald, M. B., Ebel, B. E., Lichenstein, R., Melzer-Lange, M. D., O’Neil, J., Pomerantz, W. J., Powell, E. C., Scholer, S. J., & Smith, G. A. (2012). Firearm-related injuries affecting the pediatric population. Pediatrics, 130(5), e1416-e1423. https://doi.org/10.1542/peds.2012-2481
Fix, G. M., & Linsky, A. M. (2021). Leveraging patient-centered approaches to discuss firearm storage safety. Journal of General Internal Medicine, 36(6), 1487-1489. https://doi.org/10.1007/s11606-021-06716-6
Fox, B. H., Perez, N., Cass, E., Baglivio, M. T., & Epps, N. (2015). Trauma changes everything: Examining the relationship between adverse childhood experiences and serious, violent and chronic juvenile offenders. Child Abuse & Neglect, 46, 163-173. https://doi.org/10.1016/j.chiabu.2015.01.011
Fox, J., & Fridel, E. (2017). Gender differences in patterns and trends in US homicide, 1976–2015. Violence and Gender, 4(2), 37-43. https://doi.org/10.1089/vio.2017.0016
Graham, L., Kafka, J., AbiNader, M., Lawler, S., Gover-Chamlou, A., Messing, J., & Moracco, K. (2022). Intimate partner violence–related fatalities among US youth aged 0–24 years, 2014–2018. American Journal of Preventive Medicine, 62(4), 529-537. https://doi.org/10.1016/j.amepre.2021.09.018
Ingraham, C. (2018, June 19). There are more guns than people in United States, according to a new study of global firearm ownership. The Washington Post. https://www.washingtonpost.com/news/wonk/wp/2018/06/19/there-are-more-guns-than-people-in-the-united-states-according-to-a-new-study-of-global-firearm-ownership/
Johnson, R. M., Frank, E. M., Ciocca, M., & Barber, C. W. (2011). Training mental healthcare providers to reduce at-risk patients' access to lethal means of suicide: Evaluation of the CALM Project. Archives of Suicide Research, 15(3), 259-264. https://doi.org/10.1080/13811118.2011.589727
Kim, J. (2018). Beyond the trigger: The mental health consequences of in-home firearm access among children of gun owners. Social Science & Medicine, 203, 51-59. https://doi.org/10.1016/j.socscimed.2017.11.044
Lee, L., Douglas, K., & Hemenway, D. (2022). Crossing lines—a change in the leading cause of death among US children. New England Journal of Medicine, 386(16), 1485-1487. https://doi.org/10.1056/NEJMp2200169
Lynch, K. R., & Logan, T. K. (2018). “You better say your prayers and get ready”: Guns within the context of partner abuse. Journal of Interpersonal Violence, 33(4), 686-711. https://doi.org/10.1177/0886260515613344
McGinty, E. E., Choksy, S., Wintemute, G. J. (2016). The relationship between controlled substances and violence. Epidemiology Review, 38(1), 5-31. https://doi.org/10.1093/epirev/mxv008
Meeker, E. C., O'Connor, B. C., Kelly, L. M., Hodgeman, D. D., Scheel-Jones, A. H., & Berbary, C. (2021). The impact of adverse childhood experiences on adolescent health risk indicators in a community sample. Psychological Trauma: Theory, Research, Practice, and Policy, 13(3), 302-312. https://doi.org/10.1037/tra0001004
Mertens, B., & Sorenson, S. B. (2012). Current considerations about the elderly and firearms. American Journal of Public Health, 102(3), 396-400. https://doi.org/10.2105/AJPH.2011.300404
Miller, M., Swanson S., & Azrael, D. (2016). Are we missing something pertinent? A bias analysis of unmeasured confounding in the firearm-suicide literature. Epidemiologic Reviews, 38(1), 62-69. https://doi.org/10.1093/epirev/mxv011
National Association of Social Workers. (2019). Tools for social workers to prevent gun violence: Safe storage of guns in the home, extreme risk protection orders, and other methods of gun violence prevention. https://www.socialworkers.org/LinkClick.aspx?fileticket=YvR20CC6ORU%3d&portalid=0
National Safety Council, Injury Facts. (2022). Safety topics: Guns. Author. https://injuryfacts.nsc.org/home-and-community/safety-topics/guns/data-details/
Pallin, R., & Barnhorst, A. (2021). Clinical strategies for reducing firearm suicide. Injury Epidemiology, 8(1), 1-10. https://doi.org/10.1186/s40621-021-00352-8
Parker, K., Horowitz, J. M., Igielnik, R., Oliphant, J. B., & Brown, A. (2017). America’s complex relationship with guns. Pew Research Center. https://www.pewresearch.org/social-trends/2017/06/22/americas-complex-relationship-with-guns/
Perlis, R. H, Simonson, M. D, Green, J, Lin, J, Safarpour, A, Trujillo, K. L, Quintana, A, Chwe, H, Volpe, J. D, Ognyanova, K, Santillana, M, Druckman, J, Lazer, D., & Baum, M. A. (2022). Prevalence of firearm ownership among individuals with major depressive symptoms. JAMA Network Open, 5(3), 1-13. https://doi.org/10.1001/jamanetworkopen.2022.3245
Peterson, J., & Densley, J. (2021). The violence project: How to stop a mass shooting epidemic. Abrams.
Rapp-McCall, L. (2022). Violence and social work. In L. Rapp-McCall, K. Corcoran, & A. R. Roberts (Eds.), Social workers’ desk reference (4th ed., pp. 91-99). Oxford University Press.
Roszko, P. J., Ameli, J., Carter, P. M., Cunningham, R. M., & Ranney, M. L. (2016). Clinician attitudes, screening practices, and interventions to reduce firearm-related injury. Epidemiologic Reviews, 38(1), 87-110. https://doi.org/10.1093/epirev/mxv005
Rozel, J. S., Soliman, L., & Jain, A. (2021). The gun talk: How to have effective conversations with patients and families about firearm injury prevention. Behavioral Emergencies for Healthcare Providers, 465-473. https://doi.org/10.1007/978-3-030-52520-0_46
Saad, L. (2020). What percentage of Americans own guns. Gallup. https://news.gallup.com/poll/264932/percentage-americans-own-guns.aspx
Sale, E., Hendricks, M., Weil, V., Miller, C., Perkins, S., & McCudden, S. (2018). Counseling on Access to Lethal Means (CALM): An evaluation of a suicide prevention means restriction training program for mental health providers. Community Mental Health Journal, 54, 293-301. https://doi.org/10.1007/s10597-017-0190-z
Salhi, C., Azrael, D., & Miller, M. (2021). Parent and adolescent reports of adolescent access to household firearms in the United States. JAMA Network Open, 4(3), 1-9. https://doi.org/10.1001/jamanetworkopen.2021.0989
Sanchez, C., Jaguan, D., Shaikh, S., McKenney, M., & Elkbuli, A. (2020). A systematic review of the causes and prevention strategies in reducing gun violence in the United States. The American Journal of Emergency Medicine, 38(10), 2169-2178. https://doi.org/10.1016/j.ajem.2020.06.062
Schleimer, J. P., McCort, C. D., Shev, A. B., Pear, V. A., Tomsich, E., De Biasi, A., Buggs, S., Laquer, H. S., & Wintemute, G. J. (2021). Firearm purchasing and firearm violence during the Coronavirus pandemic in the United States: A cross-sectional study. Injury Epidemiology, 8, 1-10. https://doi.org/10.1186/s40621-021-00339-5
Slovak, K., Brewer, T. W., & Carlson, K. (2008). Client firearm assessment and safety counseling: The role of social workers. Social Work, 53(4), 358-366. https://doi.org/10.1093/sw/53.4.358
Solnick, S. J., & Hemenway, D. (2019). Unintentional firearm deaths in the United States 2005–2015. Injury Epidemiology, 6(42), 1-7. https://doi.org/10.1186/s40621-019-0220-0
Sorenson, S. B., & Schut, R. A. (2018). Nonfatal gun use in intimate partner violence: A systematic review of the literature. Trauma, Violence, & Abuse, 19(4), 431-442. https://doi.org/10.1177/1524838016668589
Spencer, C. M., & Stith, S. M. (2020). Risk factors for male perpetration and female victimization of intimate partner homicide: A meta-analysis. Trauma, Violence, & Abuse, 21(3), 527-540. https://doi.org/10.1177/1524838018781101
Sperlich, M., Logan-Greene, P., & Finucane, A. (2022). “If Not Us, Then Who?”: Frontline Social Workers’ Perspectives on Gun Violence. Journal of Evidence-Based Social Work, 19(1), 77-97. https://doi.org/10.1080/26408066.2021.1980478
Stanley, I. H., Hom, M. A., Rogers, M. L., Anestis, M. D., & Joiner, T. E. (2017). Discussing firearm ownership and access as part of suicide risk assessment and prevention: “Means safety” versus “means restriction”. Archives of Suicide Research, 21(2), 237-253. https://doi.org/10.1080/13811118.2016.1175395
Stansfield, R., Semenza, D., & Steidley, T. (2021). Public guns, private violence: The association of city-level firearm availability and intimate partner homicide in the United States. Preventive Medicine, 148, 106599, 1-8. https://doi.org/10.1016/j.ypmed.2021.106599
Studdert, D. M., Zhang, Y., Swanson, S. A., Prince, L., Rodden, J. A., Holsinger, E. E., Spittal, M. J., Wintemute, G. J., & Miller, M. (2020). Handgun ownership and suicide in California. New England Journal of Medicine, 382(23), 2220-2229. https://doi.org/10.1056/NEJMsa1916744
Theis, J., Hoops, K., Booty, M., Nestadt, P., & Crifasi, C. (2021). Firearm suicide among veterans of the US military: A systematic review. Military Medicine, 186(5-6), e525-e536. https://doi.org/10.1093/milmed/usaa495
Thomas, J., Chappell-Deckert, J., & Thomas, S. (2019). The Be SMART initiative: Educating communities on safe gun practices. Journal of public health issues and practices, 3(2), 1-7. https://doi.org/10.33790/jphip1100150
Tsai, J., Snitkin, M., Trevisan, L., Kraus, S. W., & Pietrzak, R. H. (2020). Awareness of suicide prevention programs among US military veterans. Administration and Policy in Mental and Health and Mental Health Services Research, 47, 115-125. https://doi.org/10.1007/s10488-019-00975-6
Wamser-Nanney, R., Nanney, J. T., Conrad, E., & Constans, J. I. (2019). Childhood trauma exposure and gun violence risk factors among victims of gun violence. Psychological Trauma: Theory, Research, Practice, and Policy, 11(1), 99-106. https://doi.org/10.1037/tra0000410
Wintemute, G. (2015). Alcohol misuse, firearm violence perpetration, and public policy in the United States. Prevention Medicine, 79, 15-21. https://doi.org/10.1016/j.ypmed.2015.04.015
Wolf, L. A., Delao, A. M., Perhats, C., Clark, P. R., Moon, M. D., Zavotsky, K. E., & Martinovich, Z. (2019). Emergency nurses’ perceptions of risk for firearm injury and its effect on assessment practices: A mixed methods study. Journal of Emergency Nursing, 45(1), 54-66. https://doi.org/10.1016/j.jen.2018.09.010
Zeoli, A. M., Malinski, R., & Turchan, B. (2016). Risks and targeted interventions: Firearms in intimate partner violence. Epidemiologic Reviews, 38(1), 125-139. https://doi.org/10.1093/epirev/mxv007
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