Related Experiment Video

Updated: Aug 29, 2025

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

7.2K

Physicians' perspectives on Extreme Risk Protection Orders (ERPOs) in the clinical setting: Challenges and

Ashley Hollo1, Amy VanderStoep1, Shannon Frattaroli2

  • 1Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.

Plos One
|September 13, 2022
PubMed

Insights

Physicians in Maryland support Extreme Risk Protection Orders (ERPO) as a tool to prevent gun violence. Key barriers include time and awareness, with education and specialist support proposed as solutions.

Area of Science:

  • Public Health
  • Clinical Medicine
  • Legal Policy

Background:

  • Firearm-related injuries represent a significant public health and clinical challenge in the U.S.
  • Extreme Risk Protection Order (ERPO) laws offer a civil court pathway to temporarily remove firearms from individuals posing a risk to themselves or others.
  • Maryland pioneered authorizing clinicians to initiate ERPO petitions.

Purpose of the Study:

  • To explore Maryland physicians' views on the effectiveness of clinicians as ERPO petitioners.
  • To identify barriers encountered by clinicians in utilizing ERPO laws.
  • To gather insights on potential improvements for ERPO implementation in clinical settings.

Main Methods:

  • Semi-structured interviews were conducted with physicians in Maryland.
  • Purposive and snowball sampling methods were used for participant recruitment.
  • Deductive content analysis was applied to coded interview transcripts.

Main Results:

  • Physicians generally viewed ERPO as a valuable gun violence prevention tool in clinical practice.
  • Identified barriers included administrative burdens (paperwork, court time), limited clinician awareness of ERPO, potential impact on therapeutic alliances, and perceived futility.
  • Suggested solutions involved clinician education, virtual court testimony options, and dedicated ERPO specialist consult services.

Conclusions:

  • Physicians expressed a need for increased knowledge regarding ERPO laws, highlighting education as crucial for effective implementation.
  • Addressing physicians' concerns is vital to enhance their efficiency and effectiveness as ERPO petitioners.
  • Improving ERPO implementation can strengthen its role in clinical gun violence prevention strategies.
Abstract

More Related Videos

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

12.0K
The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress09:12

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

Published on: July 4, 2013

71.2K

Related Concept Videos

Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
97
Ethics and Bioethics01:22

Ethics and Bioethics

Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.5K
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
1.1K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches01:23

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
162
Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
33.0K
Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.3K