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WASHINGTON – Chicago-area medical experts and community health advocates brought their advocacy to Washington on Tuesday at a Senate panel on gun violence led by Sen. Dick Durbin (D-Ill.).

To local community leaders, gun violence is personal. Illinois has the 12th-highest rate of gun homicides and gun assaults in the U.S., and it had an above-average increase in gun suicide and homicide rates from 2012 to 2021. Chicago community advocates and physicians are also some of those who have taken the most action. 

“There are proactive ways we can respond to get in front of the problem,” said Franklin Cosey-Gay, director of the University of Chicago Violence Recovery Program and public health professional.

Cosey-Gay shared with lawmakers his experience in treating a 12-year-old patient with a gunshot wound. The response did not merely involve the medical care involved with taking out the bullet and sending him home to heal. Rather, his team included child life specialists, social workers and mental health counselors.

The team members identified the patient as being at high risk for potentially being shot again. So, they worked on transferring the patient and his family to a transitional housing shelter and offering continued assistance such as visits from trauma intervention specialists, emergency transportation and referrals to community-based activities, he explained. 

The Violence Recovery Program has worked with over 9,000 patients since 2018, 85% of whom were Black and 70% of whom were gunshot wound victims. Witnesses also said it was important to recognize that gun homicides in Chicago and across the country disproportionately harm Black Americans, therefore requiring community-based organizations to supplement medical care and work on preventing future violence.

“When it comes to addressing issues connected to trauma, you have to really understand the role of trust,” Cosey-Gay said. “Having individuals that understand that life is an important first step.”

Experts described other innovative approaches to gun violence that can serve as a model for broader congressional action. 

Vaughn Bryant serves as the executive director of the Metropolitan Peace Initiatives, a network of community-based organizations in Chicago neighborhoods hardest hit by gun violence. He explained to lawmakers the positive ripple effect trauma-informed care can have on communities.

“If we can get to those people and help heal those people, then they’re going to be not only better for their communities but better for their families,” said Bryant. Metropolitan Peace Initiatives offers victim services such as mental health support, transitional employment and safety planning. It also targets at-risk individuals through community-based interventions such as negotiating non-aggression agreements to combat street violence and hosting recreational events in parks.

Many doctors and medical students donned their white coats and attended Tuesday’s hearing to demonstrate how they are working on the front lines.

“The white coats that are represented in the audience here are men and women who have given their life to medicine and have to face the products of these violent actions and try to keep these poor people alive for another day,” Durbin said. 

Physicians in Illinois also tuned in, including Dr. Deanna Behrens, a pediatric critical care physician at Advocate Children’s Hospital in Park Ridge. 

“I have seen kids who have been injured by guns in every way possible. Kids who were accidentally shot by siblings, a three-year-old child who shot himself in the head – because we know that kids two to three and up have the strength to pull a trigger – kids or adolescents who tried to harm themselves,” she said. 

Firearms are the leading cause of death among children and teens in Illinois, and Behrens herself has witnessed the toll gun violence has taken on young people.

In-hospital interventions are crucial, she said, as is the work of community partners. But further legislative action – both at the state and national level – is needed, Behrens said. 

“Normalizing the fact that gun violence is a public health epidemic and destigmatizing talking about guns is a way for us as a society to invest in decreasing the burden of gun violence on children,” said Behrens, who serves as the chair of the Gun Violence Prevention legislative committee for the Illinois chapter of the American Academy of Pediatrics.

She called on lawmakers to implement similar approaches Washington has taken to address other public health problems in the past, such as automobile accidents and deaths from smoking. This involves greater data-sharing efforts across hospitals, such as those implemented by Durbin’s Chicago Hospital Engagement, Action and Leadership, or HEAL, initiative, she said. 

“It is not unusual for my colleagues on the other side of the table to talk in negative terms about that city,” said Durbin. “I’m honored to represent it.”

Behrens said that while her group’s advocacy efforts have been successful at passing an assault weapons ban and safe storage rules within Illinois, other states must follow suit. Over half of the guns used in Illinois crime are from other states that have looser restrictions.

“This is not something that has happened overnight, it is something that’s been going on for decades,” she said.

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WASHINGTON – Doctors and medical experts on Tuesday called on lawmakers to take a public health approach to the gun violence epidemic they say is plaguing the United States. 

Since 2020, guns have become the number one cause of death for children and teenagers, according to a study released earlier this year. In 2022, about 132 people died from a firearm-related injury each day. That’s more than the deaths for children caused by cancer or vehicle accidents.

A public health approach to the crisis would create multiple solutions to simultaneously attack the problem, said Dr. Megan L. Ranney, who is a practicing emergency physician and dean for the Yale School of Public Health. The approach involves gathering data on the problem to see who is most affected; defining risk and protective factors; and creating programs that would change existing patterns to avert injury, hospitalization or death.

“I have had a front row seat to our nation’s growing firearm injury epidemic, [and] I have worked to define and implement the public health approach to this crisis,” Ranney said at a Senate Judiciary Committee hearing. “We have example after example of how this four-step approach, when applied systematically, can improve human health without abrogating rights.”

Ranney said that community violence intervention (CVI) programs should be considered an important part of the solution. CVI programs use approaches like putting in place “violence interrupters” and case managers to prevent gun violence. 

Vaughn Bryant, executive director of the Metropolitan Peace Initiatives, a CVI program based in Chicago, said his program has produced real results. Metropolitan Peace Initiatives coordinates a cross-agency effort among community outreach and engagement organizations with the goal of reducing gun violence in the city’s highest-risk neighborhoods.

Bryant called on Congress to provide federal support and funding to CVI programs like his own.  

“It has a national impact,” Bryant said. “Giving a resource allocation can create standards of practice across the country that are important for this work.”

Other organizations working to prevent gun violence agreed. 

“Community violence intervention programs in general are a great proactive approach, in a lot of places across the country and in a lot of different communities, to address the crisis,” Zeenat Yahya, policy director at March for Our Lives said in an interview with the Medill News Service. 

Both sides of the aisle were divided on whether or not gun violence should be considered a public health crisis. 

Sen. Dick Durbin (D-Ill.) said CVI programs are important in interrupting acts of violence before they happen. He said creating more of these programs could help build on the Bipartisan Safer Communities Act, an initiative passed last year that invests in mental health funding and violence prevention initiatives. 

“Surely we can find some common ground between parties to create real change for the American people when it comes to this public health crisis of gun violence,” the chairman said.

But Amy Swearer, senior legal fellow at the conservative Heritage Foundation, was critical of the framing of the gun violence crisis as an epidemic. She argued that “using the public health lens hasn’t changed the discussion.”

Swearer, along with Republican lawmakers, continued to emphasize the constitutional right to bear arms. 

“The Second Amendment in the Bill of Rights is not a public health crisis,” Sen. Ted Cruz (R-Texas) said. 

The sharply divided Congress is unlikely to take up new legislation, especially in an election year, but both parties agreed that mental health initiatives and reducing homicides should be priorities. 

“I hope we look at the entire picture of gun violence, which includes focusing on repetitive acts of violence by a small percentage of our communities, focusing on mental health diagnosis and treatment, and finding ways that we can address gun violence like we did in the Bipartisan Safer Communities Act,” said Sen. John Cornyn (R-Texas). 

Medical experts emphasized that bipartisan efforts are crucial to effectively combating the gun violence crisis. 

“Help our country have hope by demonstrating collaborative action as we have done before,”  Ranney said. “We have shown we can reduce the risk of a shooting long before semantics of the gun with intent to harm. Through your bipartisan commitment to this public health approach. Our country can reduce firearm injury and death.”