View attached explanation and answer. Let me know if you have any questions.Please tell me if the formatting was correct, if you want changes or if the work was satisfactory. 😊Learning Goal: I’m working on a health & medical case study and need support to help me learn.Gun control has become an intense political topic within the state due to a recent mass shooting at amiddle school in the state’s capital. The governor has asked the secretary of the Department of HumanServices (DHS) – your boss – for her support on a proposed bill to regulate and restrict firearmownership. Under the bill, DHS would be responsible for maintaining a new registry. The secretary hassome reservations about supporting the bill and asks you, as the agency’s chief information officer, foryour advice. The facts are as follows.In the aftermath of the shooting, the governor partnered with state law enforcement agencies andseveral legislators representing the middle school’s district to draft a bill entitled the Firearm OwnerIdentification (FOID) Mental Health Reporting System, which would require qualified clinicians andhealthcare professionals to report patients whom they determine to be:1. A “clear and present danger” in that they communicate a serious threat against a reasonablyidentifiable third person or themselves or otherwise demonstrate threatening physical or verbalbehavior;2. “Intellectually disabled,” meaning that the individual’s intellectual functioning and adaptivebehavior are “significantly sub average” as a result of a disability that manifested before the ageof 18; or3. “Developmentally disabled,” meaning conditions that result in impairments similar to thosecaused by, and require services similar to those required by, intellectual disabilities, and whichmanifest before the age of 18 and are expected to continue indefinitely.Data in the FOID Mental Health Reporting System would be cross-referenced with state and local policedata and used to restrict people with a qualifying condition from obtaining a “Firearm OwnerIdentification Card” allowing them to legally possess firearms. The new reporting requirements wouldapply to clinical psychologists, clinical social workers, licensed clinical professional counselors,physicians, psychiatrists, registered nurses, and marriage and family therapists practicing at public orprivate mental health or developmental disability facilities. If an aforementioned provider determinesthat a person has a qualifying condition, then the provider is required to report that person’s name,address, date of birth, gender, race, physical description and the determination made through an onlinesystem to be administered by DHS within the time frame established in the law. No official diagnosis isrequired; all of the provider needs to do is click the box in the online reporting system to indicate whichof the three qualifying conditions the subject is determined to have according to his or her professionaljudgement.To encourage reporting and protect providers, the proposed bill has provisions that maintainconfidentiality of the reporting provider’s identity and protect providers and their employers fromcriminal, civil, or professional liability for reporting or failing to report, except for willful or wantonmisconduct. To guarantee proper use of the registry, the bill stipulates the registry’s use is restricted tothat necessary to determine a person’s eligibility to possess a firearm.The proposal has sparked public debate and divisions in the state capital. The Coalition for FirearmReporting, a coalition of concerned citizens from across the state, is lobbying forcefully in favor of thebill. The group’s media campaign has focused on reports of the deadly school shooting and other gunrelated tragedies involving people with mental disabilities that have occurred in other states. Theycontend that current events warrant the passage of the law, and that law enforcement needs all thehelp it can get in curbing gun violence; mandated reporting would allow officials to take preventivemeasures by denying lawful access to those whom they believe pose a threat to themselves and thepublic at large. Reporting would further allow law enforcement to investigate gun owners and revokeFOID cards as necessary. The Alliance to End Disability Discrimination, a disability advocacy group, hasargued equally vociferously (if not as publicly) against the bill. The group argues that the proposedrequirements not only deny disabled persons their constitutional rights but also unjustifiably stigmatizethem; the bill is remised on the notion that there is a correlation or casual relationship betweendisability and gun violence. They see the inclusion of the intellectually and developmentally disabled asan attempt to appease and shift attention away from the powerful pro-gun lobby and argue that the laweffectively scapegoats the disability community. Moreover, they argue that the disabled may have agreater need for self-defense and that law will frustrate the efforts of law-abiding citizens to protectthemselves.The governor and the State Attorney’s Office have supported the bill publicly. They see the newreporting requirements as a commonsense reform with proper oversight. The number of gun-relateddeaths has been rising in the state, and the governor would like to sign the bill into law before nextyear’s gubernatorial election. The director of the Department of Public Health has expressed strongopposition to the bill but has done so behind closed doors so as not to break ranks publicly. In hisopinion, the inclusion of the intellectually and developmentally disabled persons is arbitrary anddangerous. He believes that if passed, the law would have one or both of the following results: peoplewill be discouraged from seeking much-needed medical treatment, and/or otherwise law-abidingcitizens will obtain firearms through other means and imped law enforcement’s ability to track gunownership. As her chief of staff, the secretary has turned to you for counsel.Utilizing your decision matrix, answer the following questions supporting your reasoning:1. What do you tell her?I would tell her: “The advice I would give to you is to support the bill as it does prioritizethe general wellbeing of the citizens especially as stated in paragraph wherein school childrenwho have parents with FOID cards own guns, which in turn can be used by their children. Peoplewith irregular emotions or is disabled mentally can be especially dangerous as these individualsare prone to outbursts which can lead to situations like shootings, but I would add for themedical practitioners to carefully assess these individuals before reporting them as the bill couldbe easily abused if not thoroughly evaluated. And do factor in the way on how the threequalifying conditions would be enough evidence on how dangerous an individual can be as thereis a diversity in mental health issues wherein if the symptoms could be treated or not, and if theindividuals’ FOID card would be revoked indefinitely if they get treatment as firearms are alsoused for protection. So, I would like to advice the qualifications to be more of a case-by-casebasis, for medical professionals to be intricate in assessing just like in all other types of medicalassessments rather than the three qualifying conditions which seem vague. Lastly, I wouldadvice having or adding to the bill about mental health issues toward the citizens especially inschools where students themselves would be the perpetrator.”2. How do you go about determining the correct course of action in the emotionally chargeddebate?The correct course of action towards an emotionally charged debate would be inenlightening the population by disseminating information about how the bill would affect thepopulace in betterment with assurance that no discrimination would take place when reportingindividuals, that only people with mental disabilities, emotionally unstable, or those that wouldlikely cause harm should be liable, not the disability community in general.3. What tools or information is required to reach a decision?To reach a decision, we must discuss about the strengths and weaknesses of the bill,and to balance out whether it is for the betterment or would cause further harm to thecommunity or population.We can say that the strengths refer to the bill lessening gun-related deaths whenenacted, then the weaknesses where it was stated that “people will be discouraged fromseeking much-needed medical treatment, and/or otherwise law-abiding citizens will obtainfirearms through other means and impede law enforcement’s ability to track gun ownership”.Then to balance it out, some factors could be both strengths and weaknesses, the thoughts, andconcerns of the population it affects, etc., which then leads to a consensus of whether the bill isfor the betterment or would cause further harm to the community or population.4. Does the proposed rule create an ethical conflict between the DHS and the population it serves?Yes, it does create ethical conflicts between the DHS and the population it serves,depending on how the department utilizes its tools in assessing if an individual is dangerous ornot, especially those who are prone to be discriminated as it can harm the population withabuse, discrimination, safety, and health risks, especially to the disability community when thebill is not metic…


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