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Gun violence intentional, self-directed or accidental is a profoundly traumatic experience. From physical injuries to unseen psychological scars and permanent impairments, it irrevocably changes people's lives. Gun violence does not just the individual shot or threatened. Secondary victimisation also includes relatives, friends, colleagues, caregivers, and, perhaps controversially, perpetrators themselves. Gun Violence, Disability and Recovery provides the first overview of the rights and needs of survivors of gun violence. The collection contains contributions from gun violence survivors, trauma surgeons, disability rights activists, rehabilitation specialists, violence prevention and reduction experts, development practitioners, and gender justice advocates. From countries with low resource levels to those already equipped with state-of-the-art rehabilitation centres, this innovative publication provides policymakers, practitioners, government officials, and donors with timely analysis on what could be done differently to meet the needs and rights of survivors of gun violence. "This volume speaks to me both as a government official and as a survivor of gun violence. I know first-hand how painful the aftermath of such a life-changing event can be. But I also know it is possible to recover and make a positive difference in society. I hope this book will inspire other survivors to follow this path." Lenín Moreno Garcés, Vice President, Ecuador "Little attention has been paid to the fact that for every person killed by gun violence, as many as six victims will survive, often with severe disabilities. The long-term physical and psychological damage, social and economic impacts, can no longer be overlooked. Bringing together voices of survivors, as well as health, medical, rehabilitation and legal concerns, this book represents a significant step forward, outlining key issues for policy, practice and intervention. It is a must read for anyone concerned about human rights and violence and that should mean all of us." Nora Ellen Groce, Director, Leonard Cheshire Disability & Inclusive Development Centre, University College London, UK "Every year, hundreds of thousands of victims of gun violence, together with their families, experience the real costs of the availability and misuse of arms in our communities. For these victims to attain their basic human rights, so often denied them, we need a better understanding of their predicament, challenges and needs. Gun Violence, Disability and Recovery, with its comprehensive overview and analysis, will critically inform our efforts to develop and implement better policies and practices to enhance the realisation of the rights of survivors of armed violence, including implementation of the Arms Trade Treaty." Espen Barth Eide, former Minister of Foreign Affairs, Norway "The reality of survivors of gun violence my reality is so often lost in narrow political and economic interests. This volume gives me hope that attention to life after gun violence will begin to receive long overdue attention, and contribute to the long haul effort of improving services for survivors as well as working towards accountability about the arms trade." Shelley Barry, filmmaker, South Africa "International development goals, including the Millennium Development Goals, will not be achieved if the rights of people with disabilities are not met. Through a broad range of case studies and examples from low and middle income countries, this book shows us how States could do better. Let us hope that its message is heard. As a survivor of gun violence myself, I take a keen interest in any effort to effect gun control, particularly across Africa. This is the
Gun violence—intentional, self-directed or accidental—is a profoundly traumatic experience. From physical injuries to unseen psychological scars and permanent impairments, it irrevocably changes people’s lives. Gun violence does not just the individual shot or threatened. Secondary victimisation also includes relatives, friends, colleagues, caregivers, and, perhaps controversially, perpetrators themselves. Gun Violence, Disability and Recovery provides the first overview of the rights and needs of survivors of gun violence. The collection contains contributions from gun violence survivors, trauma surgeons, disability rights activists, rehabilitation specialists, violence prevention and reduction experts, development practitioners, and gender justice advocates. From countries with low resource levels to those already equipped with state-of-the-art rehabilitation centres, this innovative publication provides policymakers, practitioners, government officials, and donors with timely analysis on what could be done differently to meet the needs and rights of survivors of gun violence. “This volume speaks to me both as a government official and as a survivor of gun violence. I know first-hand how painful the aftermath of such a life-changing event can be. But I also know it is possible to recover and make a positive difference in society. I hope this book will inspire other survivors to follow this path.” Lenín Moreno Garcés, Vice President, Ecuador “Little attention has been paid to the fact that for every person killed by gun violence, as many as six victims will survive, often with severe disabilities. The long-term physical and psychological damage, social and economic impacts, can no longer be overlooked. Bringing together voices of survivors, as well as health, medical, rehabilitation and legal concerns, this book represents a significant step forward, outlining key issues for policy, practice and intervention. It is a must read for anyone concerned about human rights and violence—and that should mean all of us.” Nora Ellen Groce, Director, Leonard Cheshire Disability & Inclusive Development Centre, University College London, UK “Every year, hundreds of thousands of victims of gun violence, together with their families, experience the real costs of the availability and misuse of arms in our communities. For these victims to attain their basic human rights, so often denied them, we need a better understanding of their predicament, challenges and needs. Gun Violence, Disability and Recovery, with its comprehensive overview and analysis, will critically inform our efforts to develop and implement better policies and practices to enhance the realisation of the rights of survivors of armed violence, including implementation of the Arms Trade Treaty.” Espen Barth Eide, former Minister of Foreign Affairs, Norway “The reality of survivors of gun violence—my reality—is so often lost in narrow political and economic interests. This volume gives me hope that attention to life after gun violence will begin to receive long overdue attention, and contribute to the long haul effort of improving services for survivors as well as working towards accountability about the arms trade.” Shelley Barry, filmmaker, South Africa “International development goals, including the Millennium Development Goals, will not be achieved if the rights of people with disabilities are not met. Through a broad range of case studies and examples from low and middle income countries, this book shows us how States could do better. Let us hope that its message is heard. As a
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.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
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.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
The book includes an analysis of the constitutionality of many recommended policies and data from a national public opinion poll that reflects support among the majority of Americans—including gun owners—for stronger gun policies.
Taylor Schumann survived a school shooting, yet she was left with permanent wounds, both visible and invisible. Weaving her own incredible story into a larger conversation about gun violence in America, Taylor shares another painful truth: Christians have largely been silent on this issue. With compassion and honesty, she encourages readers to join her in taking action for a safer future.
This handbook is the definitive resource for understanding current mental health policy controversies, options, and implementation strategies. It offers a thorough review of major issues in mental health policy to inform the policy-making process, presenting the pros and cons of controversial, significant issues through close analyses of data. Some of the topics covered are the effectiveness of various biomedical and psychosocial interventions, the role of mental illness in violence, and the effectiveness of coercive strategies. The handbook presents cases for conditions in which specialized mental health services are needed and those in which it might be better to deliver mental health treatment in mainstream health and social services settings. It also examines the balance between federal, state, and local authority, and the financing models for delivery of efficient and effective mental health services. It is aimed for an audience of policy-makers, researchers, and informed citizens that can contribute to future policy deliberations.