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Using extreme risk protection orders to prevent violence among people experiencing homelessness in California and Colorado: a case series.

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From Policy to Practice: How Site Visits Support Effective Implementation of Extreme Risk Protection Orders.

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Applying an Implementation Science Framework to Extreme Risk Protection Orders.

Lisa B Geller1, Spencer M Cantrell1

  • 1Johns Hopkins Bloomberg School of Public Health, Washington, DC, USA.

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Summary
This summary is machine-generated.

Extreme Risk Protection Orders (ERPOs) are a crucial tool for reducing gun violence. Evaluating their implementation using Proctor's framework reveals successes and areas for improvement to save lives.

Keywords:
extreme risk protection ordergun violencehealth policypublic healthred flag lawviolence prevention

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Area of Science:

  • Public Health
  • Criminology
  • Policy Implementation Science

Background:

  • Gun violence remains a significant public health crisis in the U.S.
  • Extreme Risk Protection Orders (ERPOs) are evidence-informed policies enacted in 21 states and D.C. post-2018 to address gun violence.
  • ERPOs provide a legal framework to temporarily restrict firearm access for individuals exhibiting dangerous behaviors.

Purpose of the Study:

  • To evaluate the implementation outcomes of Extreme Risk Protection Orders (ERPOs) using Proctor et al.'s implementation science framework.
  • To identify successes and gaps in ERPO implementation across various states.
  • To provide recommendations for improving ERPO implementation for greater effectiveness.

Main Methods:

  • Utilized Proctor et al.'s 8-component implementation science framework (adoption, acceptability, appropriateness, cost, feasibility, fidelity, penetration, sustainability).
  • Examined ERPO implementation through the lens of each framework component.
  • Analyzed promising practices from states with existing ERPO laws.

Main Results:

  • ERPO adoption is critical for implementation; laws are typically passed when deemed acceptable by lawmakers and the public.
  • ERPOs are an appropriate policy tool for gun violence prevention.
  • Feasibility can be enhanced by mitigating costs; most ERPOs demonstrate fidelity to their mission and have penetrated state infrastructure.
  • Promising practices highlight pathways for sustaining ERPO laws through dedicated funding and support.

Conclusions:

  • Robust implementation of ERPOs, guided by promising practices and a comprehensive framework, is essential for success.
  • Addressing implementation gaps can increase the effectiveness of ERPOs in curbing gun violence.
  • Successful ERPO implementation has the potential to save lives by reducing firearm-related harm.