Funding Rural | Episode #5 | Season 3: Jessi LaRose “Local Context Matters”

Partnerships play an important role when it comes to tackling the complicated, uncomfortable and often taboo issue of firearms. Jessi LaRose is the Director of strategic initiatives at Missouri Foundation for Health and she runs the Missouri Foundation for Health’s Firearm Injury and Death Prevention program. Her organization works with grantees in more than 84 counties, and they have found that listening first, and understanding local context, is key to building local engagement and trust.

 “It’s really important to celebrate the small wins…it’s going to take years to see decreases in firearm suicide deaths or community violence, but there are all of these meaningful impacts along the way.” – Jessi LaRose

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About Jessi LaRose

Jessi LaRose

Jessi is the Director-Strategic Initiatives at Missouri Foundation for Health. Jessi has led MFH’s Firearm Violence Prevention initiative since its inception and serves on the Firearm Suicide Prevention and Community Care teams. She previously served on the St. Louis Cure Violence Steering Committee and the St. Louis Violence Prevention Commission evaluation committee. She is the Vice Chair of the Missouri Suicide Prevention Network. She also supports collaborative funder efforts addressing firearm violence prevention, such as serving on the Steering Committee for the Grantmakers in Health Firearm Violence Prevention Learning Community and the Fund for Safer Future Advisory Committee and Firearm Suicide Prevention Committee.

 “It was figuring out, ‘where do they enter into the conversation from a place of trust…?’’ And how do they talk about firearm suicide prevention in that context?” – Jessi LaRose

Discussion Questions

  • Which funder collaboratives could your organization join in the next 6-12 months? These are opportunities to learn together and meet people passionate about their work.
  • Why are planning grants rare? What would your organization need to do to start supporting these kinds of efforts?
  • In complicated and layered work such as firearm-suicide prevention, how can you celebrate and recognize the little wins along the way?

Resources

 “What they found is they they couldn’t start [the conversations] with firearm suicide prevention. They had to take it step-by-step: What is the relationship with the community? And where does the community currently trust them with their mental health…?”” – Jessi LaRose

Transcript: Episode #5 | Season 3: Jessi LaRose “Local Context Matters”

Erin Borla 0:10
Hi. I’m Erin Borla with the sisters Oregon based Roundhouse Foundation.

Erin Borla 0:15
In our previous episode, you met John Cornelius. If you haven’t listened to that one yet I suggest you check it out. John is a powerful and inspiring human who brings hope to the communities where he works. His lived experience as a native veteran who struggled with addiction and survived two suicide attempts has shaped the work he does around firearm suicide prevention. It was a privilege to interview him today. I want to zoom out a bit and talk about the important role of partnerships when it comes to tackling the complicated, uncomfortable and sometimes taboo issue of firearms. Jesse Larose is the Director of Strategic Initiatives at Missouri foundation for health. The Foundation serves 84 counties in Missouri, including the city of St Louis. Jessie has been with mfh for 13 years, and before that, she was a grantee of theirs. Jesse runs Missouri foundation for Health’s firearm injury and death prevention program. So I started out by asking her about it.

Jessi LaRose 1:15
Yeah, it’s been a pretty interesting progression into our work on firearm injury and death prevention. We actually started in this work around 2016 and started kind of in response to the death of Michael Brown. There was a lot of work happening in Ferguson, and the foundation had was responsive to several efforts that were starting to take root, including some food justice work, some community violence work. And so we’re really trying to figure out kind of how we have the foundation could support and engage in those efforts happening locally. What we quickly discovered when we got involved with some of the community violence work here in St Louis, as the major urban area that we that the foundation serves that one. Our Foundation has a much larger reach and span than just St Louis, and start to look at all of the data around firearm injury and death prevention, recognizing that, yes, historically, traditionally, people think about community violence in St Louis, but if you look across the numbers, firearm suicide actually accounts for about 60% of death and injury by firearm in Missouri. So quickly, kind of had to kind of pivot and think about our initiative at a larger level, and being inclusive of what’s happening and what’s impacting all Missouri communities that we serve, and so really being inclusive of that community violence and firearm suicide prevention. And so early on, we also did a lot of kind of thinking about like, how do we even talk about the issue in in Missouri and and did some work with a group called FrameWorks Institute to do some research in Missouri, did a did a variety of different kind of methods of talking to Missourians and doing focus groups and some kind of narrative testing. And really found that if we initially started talking about this as firearm violence prevention, with our intention of this include, including all kinds of firearm injury and death, accidental suicide and community violence. But really found that that didn’t resonate with the general public when you said firearm violence, they thought immediately of community violence in St Louis, and weren’t thinking of those other types of of injury and death. So we expanded to, kind of how we talk about it. We talk about it as firearm injury and death prevention, to try to be a little bit more inclusive of firearm suicide or domestic violence that involves firearms and accidental so really, being that, kind of having that spectrum of different things included under that umbrella, and so kind of concurrently as we’re working around some of the work in St Louis, we were we also, you know, we expanded across the state to be a much more inclusive initiative. And a couple years into our work, we launched a separate firearm suicide prevention initiative, all under the umbrella of firearm injury and death prevention, but really focusing on firearm suicide. And really key to kind of underlying all of this work is a focus on community driven efforts. So we made an early decision as we entered into this work, that it was all new. Not a lot of people in Missouri were were doing community violence. Was limited to St Louis, some work in Kansas City, not anywhere else in the state. Firearm suicide prevention was very limited. Suicide Prevention stakeholders in the state weren’t really talking explicitly about lethal means. We’re not talking explicitly about firearms, and so recognizing that the field was kind of emerged. Merging, or was not kind of in that place that was really highlighting that, that component, and made the early decision that we weren’t directly focusing on advocacy or state level policy work, because that didn’t seem like the right approach, or that was going to be the most effective in the state of Missouri. So we really have focused tightly on community driven, community led, community informed efforts around both our community violence portfolio and our firearm suicide prevention

Erin Borla 5:29
efforts. You and I got connected because both our organization and yours are connected through a funder collaborative called fund for a safer future, who’s also working on gun violence prevention and firearm suicide prevention. So it’s been really great to get to know you through that effort. We hosted that group here in sisters in 2023 and you hosted the group in St Louis just earlier in here in 2025 and we got to hear from some of those partners of the work that you’re doing and how you led that work. You as Missouri foundation for health and your partners, collectively, and one in particular, we had a really great conversation on the podcast with John Cornelius, who was formerly with FCC behavioral health and really appreciated his take as a stakeholder on the ground, learning from him, I know that you’d worked with him in the past and FCC behavioral health. I’d love to hear a little bit about that relationship, and then I want to step back and and hear more about the larger scale work that you’re doing with those partners.

Jessi LaRose 6:35
Yeah, John is great, and we’ve been working with FCC, I think, as a foundation, probably in various ways, there are history in particular, I think since inception, have worked on behavioral health, mental health in some form or fashion, since the since day one, and that’s really evolved in different ways. So there’s a lot of partners that we’ve had with the firearm suicide and community violence that we’ve made have worked on different capacities over the years, because a lot of our partners in the space are not most of them are not sole focus on on that those issues, they work in a lot of different ways in community. And so yeah, we’ve worked with FCC. They’re also that particular work is partnering with safer homes collaborative in St Louis under the Missouri Institute for mental health. And so have really been, you know, working with those, those two organizations and that FCC in particular, bringing that really rural perspective and in Southeast Missouri, for those who who don’t know Southeast Missouri, we call it affectionately call it the Boot Hill, because it looks like a boot if you look at the map of Missouri. Not, not everyone is familiar with that, but very rural area, high rates of firearm injury and death, both on community violence and firearm suicide. You know, high rates of poverty, economic distress, and so a lot of just high need, but a lot of great community assets there as well, and a lot of great organizations doing hard work and important work in that space,

Erin Borla 8:13
yeah, and it’s such an interesting component of this larger project that you all pulled together that all presented when we were in St Louis, but I think the way that you structured that program, I’d love to dig in on the funders perspective, because it started with, of course, there’s community driven effort, but this planning grant and identifying partners in a variety of different regions that You serve. So talk about how you structured that program, yeah,

Jessi LaRose 8:43
and I can talk about both our firearm violence community violence work and our firearm suicide prevention work, because they’re both. They were structured slightly differently, but kind of led us to the same way to engage with with partners with our firearm suicide prevention efforts. As I mentioned earlier, like in Missouri, there are groups working in suicide prevention. There wasn’t a lot working explicitly in firearm suicide prevention. So recognizing that we needed to help, like, build the field, give people space to kind of figure out what they needed to do, how they wanted to work. And so way we structured that particular opportunity is we provided two year planning grants, and our cohort, we have seven grantees spanning eight organizations, and these organizations represent, some of them are behavioral health organizations. Some of them are more community driven organ community service social service organizations as well, and none of them, as I mentioned, had, you know, a lot of experience directly in firearm suicide, while some might have been working in suicide prevention in some ways, but were interested and had a passion to be engaged, and so really spent the better part of two. Years just kind of figuring out what needs to happen in community, listening to community, figuring out what populations they really wanted to engage and target, building relationships and trust, and just learning how to like, talk about the issue and engage in conversation. I think coming into this, most of our grantees in that in our firearm suicide prevention cohort, are in rural areas, or at least outside of St Louis. So some of that, the rurality kind of varies when some very, very rural areas to those that are not St Louis, but they are still large, you know, decent sized populations. And a lot of them, you know, firearms is, is, is an important part of their local context and local culture on the local community. And so really, just trying to figure out, how do we even talk about this issue? And I think what they found is they they couldn’t start with firearm suicide prevention, it they had to take it kind of step by step, like, what is the relationship with the community, and where does the community like currently trust them with their mental health provider? It’s starting to talk about mental health which, which is hard in itself, but starting to talk about that and and mental health in a variety of ways, not just mental illness, but mental well being and the whole spectrum, and that could that’s that would lead them sometimes to talk about suicide prevention. And once they talked about suicide prevention and built some trust and engagement there, then they could talk about lethal means and firearms. So it really was kind of figuring out, where did they enter into the conversation from a place of trust in their local community and and how do they talk about firearm suicide prevention in that context? And we have our rural grantees are serving a variety of different communities, and that really kind of spent the first two years planning, just figuring out, yeah, who, are the partners in here, who are credible messengers, who do we need to engage with? Gun owners are around the table for all of our grantees. Many of our grantees staff are our gun owners or gun enthusiasts. So that’s been an important identity to have included some of our rural areas are working with the farming community, agriculture youth working through 4h and kind of those youth organizations, so working with a variety of different, you know, communities within in their their geographic reach. And so after those two year planning grants, there are grantees. Are currently, we have provided five year implementation grants, so kind of building off what, what they learned, kind of refining their approach. They are in the midst of, kind of about halfway through their five year implementation grants. And important to this is, is baking in a lot of like flexibility and time for kind of learning and iteration and adaptability, because the field of firearm suicide prevention, while there’s some trainings out there, there’s some things happening in clinical settings, there’s not a lot of evidence base in terms of what works in these kinds of community driven efforts and that local context. And we’ve really found like that local context is important and allowing people to really, you know, start from a place of trust, to build relationships, be responsive to their own local communities and those needs. And so that’s been a very important part. And a part of this work too, is bringing all of our grantees together on a regular basis. So we do in person convenings several times a year. We do monthly virtual lunch and learns on various topics. But really, they have built this kind of support system around the topic and around each other of I think, I think it’s been really powerful in terms of like during the planning phase of like this worked in our community, and them being kind of those advocates saying what works in their local context, rather than us as the funder saying, oh, you should be able to do this, like, hearing from each other, being that support system of like this worked and This didn’t work, and has really been helpful. And really have seen this kind of them build community over the past several years, and they’re referring other partners to each other, and like really have have built almost a family, like atmosphere. So that’s been an important part of that that work is that learning, learning community.

Erin Borla 14:42
You’re one of the few organizations that I’ve heard of that pays for planning time. Talk about how you all came to that decision, why that’s important. What do those grants look like? Are they like, five grand? Are they, you know, what? How do you implement something like that? Yeah.

Jessi LaRose 15:00
And I think so with our firearm suicide ones that were two years we didn’t have a set amount that they applied for, but I think they were kind of generally in probably the $300,000 range. And one piece of feedback we got from those grantees in the planning stage, though, is we tried to leave it flexible, but they’re like, What do we do in planning like? And maybe kind of pointed to like, there’s some frameworks that like different funders use to like, help you go through a planning process. And so we left it very open while we provided support through our other contractor open fields, who has brought the learning cohort together and has provided technical assistance. They liked having the planning time, but they’re like, we could have maybe used a little more structure in the planning of like, but we felt that was really important, because dealing with firearm suicide, there wasn’t set interventions that they could just, you know, plug and play. They they needed to kind of build relationships and competent confidence in talking about firearm suicide for really felt that was important for them to have that time to do before jumping into kind of a full blown project, and also understanding who they wanted to kind of engage with in community. On our firearm violence side of things, these grants, the pre planning grants, are much smaller, around 75,000 for one year, and really just intended to kind of have those those community conversations and engage and kind of understand the issue, and our planning grants are two to three years, kind of leaving those flexible to meet the needs of the organization and The pace that they can and want to go at, and are typically more in the 400,000 range.

Erin Borla 16:48
Yeah, and it seems like it’s been a huge benefit to actually then implementing the work on the ground, because there is a plan, and they’ve built those relationships, and they’re really able to then just push forward with the really heavy, hard work,

Jessi LaRose 17:04
yeah, I would say with our firearm suicide, those were all kind of limited to that two year time period. But we’ve noticed, I think, with our their community violence, ones, that we’ve been a little more flexible. While the pre planning was intended to be a year, they might have needed a little bit more time to kind of figure out everything, or the planning grants, they might need a little more time. So really, I think building in that flexibility too, then recognizing we put out a year as pre planning, but that that might not be enough. So being flexible of doing, you know, no cost extensions or and being flexible within they may have a have submitted a budget to us a year ago, but like needs change, and so allowing that kind of flexibility as they dive in learn more about their community and what the needs are

Erin Borla 17:53
well, and I love that you allowed that pre planning opportunity, and that if people went, Hey, this isn’t for us, that they Could, they could step away because that maybe their community isn’t ready, or their organization isn’t ready, I think that’s such a such an opportunity for folks to go, Hey, let’s try it, and if it doesn’t work, that’s okay too. Yes, yes, that was,

Jessi LaRose 18:13
that was important for us to and that’s also, I think, why we sort of designed this as as as multi step processes, because understanding that you don’t want to get tied into a multi year, you know, implementation project when you weren’t ready for it, or your community decided that was not the the best, the best way to go.

Erin Borla 18:32
Yeah. So we recently had a conversation with John Cornelius, who, through FCC behavioral health, was a recipient of one of your planning grants and larger grants as it relates to firearm suicide, talk about how you connected, not only with FCC behavioral health, but with John, and he has a tremendous amount of lived experience. Why is that critical to the work that happens on the ground?

Jessi LaRose 18:59
Yeah, just to provide a little bit of context on FCC, they’re actually a partner with another grantee, the safer homes collaborative, so we’d actually developed our first relationship with safer homes collaborative, based in St Louis, and had been working with them at the beginning of our work. They were the first kind of organization we started, even working on firearm suicide before we had an initiative, and they had built relationships with FCC. So they kind of that’s how our relationship directly with firearm suicide kind of came through safer homes, collaborative, wanting to partner, looking at the suicide prevention, our suicide rates in the southeast, and building that partnership and relationship with FCC. So those organizations together, kind of were, were our grantee. And I think early on, they thought that their main focus, our primary focus, and I think it’s still partially is, is around kind of construction, those, those populations. Had high rates of suicide, and so they initially really started working, I think, outreaching to local employers in the southeast who had kind of construction related professions. But as they built the team in FCC and they started to kind of hire different staff members, I think they began to really think about what lived experience is on the team, what relationships are naturally there. How do we kind of mobilize our staff’s expertise and interest and making and building relationships in different ways in the in the community? And so I think again, this is kind of where the the planning time really was, was was helpful, too, in allowing people, allowing our grantees, to just kind of like where we have inroads and different relationships and so so people like John, who have experience in the faith community and is over that is a large part of their their lived experience and their identity, As long as well as John is also a veteran as well, and so I think providing that flexibility for staff and our grantee teams to kind of figure out what’s what’s the best way to use their time, capacity and resources and building partnerships and relationships other members of the FCC team, I think worked more with the construction industry, but John really had that, that faith based relationship, and saw a need and an opportunity to expand on kind of where he he he knew people, he understood those, those partners, and saw a need. And so I think he really also, like was able to navigate and integrate teachings and things like that that really, like resonated with the faith community and was and came in in a very genuine way. And so I think that was really allowed him to build upon his his skills, his expertise, his experience in relationships,

Erin Borla 22:01
yeah, and again, the opportunity to be of community and be a part have have your experience sort of lean into how to make impact and make change in the community that you serve.

Jessi LaRose 22:15
And I think John, I don’t know if he told you this story when you when you talk to him, but his car is wrapped with like with 988 and one of the one of the last times I saw him in person, he was getting oil change at the local Ford dealer, and the mechanic came out wanted to know more about his vehicle, and he just had a conversation right there about suicide prevention. Turns out one of the other mechanics had just lost a family member to suicide. And next thing you know, John is scheduled to do suicide education, suicide prevention education with the service department at the Ford dealership. So I think John and many of our grantees are that are advocates true and true, and are always looking for opportunities to connect and talk about what they’re passionate about. Many of them are suicide survivors, or have different relationships with suicide survivors, and are just so passionate about this and are ready to talk and engage. They’re frequently never off. They’re in community and outside of work hours, still being that advocate for the work.

Erin Borla 23:31
Yes, I love the hope mobile. We talk a lot about the hope mobile. It’s pretty great. One partner that we heard from when we were in St Louis, was working on direct relationship with firearms, with veterans and law enforcement officers, and the stress that those folks are under, and then the connected access to lethal means. And just really appreciated the highlight of that, that group of folks that I don’t think we talk about enough. I know we do talk about veteran suicide very frequently, and the unfortunate statistic that we see as it’s tied to that particular group of folks, but I think we forget to talk about law enforcement and first responders and the stress that they manage seeing whether it’s first on scene for a suicide or community violence act and then having to manage that stress, or just the effects of the job on a regular basis. So have appreciated that that’s also been part of your work.

Jessi LaRose 24:32
Yeah, I think it’s been thinking about first responders from a variety of ways. What role did they play in the intervention and and solutions, as well as being the recipient of those services and needing that assistance as well. And I think what we’ve also really learned more about too, is from the agricultural community, the stress that farmers experience for a variety of reasons and and how that’s driving. And some of the suicide deaths and and the need in those communities. One of our other grantees, when I mentioned earlier, that works in northeast Missouri, I think lost in a very small community, lost several men over the course of several years to firearm suicide, and it’s just greatly impacted their community that’s very small as it is, and just really are feeling, feeling those impacts.

Erin Borla 25:25
Yeah, I mean, and it’s one of those, no matter the size of the community, that core group of folks that are are around, those those those folks, it’s really, it’s just such an impact, and so being able to have the support and the cultural understanding of where, where communities are coming from. It’s, it’s really critical. And this is me being naive, I’m sure, but I the more that we’re in this space, it feels like there is enough movement that this is an issue that America can come together on. And I know it feels very Pollyanna, but I’m like, This is it? There is this space where, if we have just the kind of cultural conversations around how firearms are a cultural construct in places and what they mean to people, but really talk about the suicide prevention and the violence prevention work in a way that resonates, because it’s coming from nobody wants their their child or their parent to die by suicide, and we know that firearms are so lethal in comparison to other means, it’s such a critical conversation. And I gives me a lot of hope in this space. What’s giving you hope in this work?

Jessi LaRose 26:41
I every day, I am just I am so amazed and impressed by the work that our partners do on the day to day. It’s been such a an honor to be able to work with this group of of grantees across both of our initiatives, but also the relationships we’ve built outside of our grantees in the fields, both in Missouri and across the nation, with groups like fun first day for future. But it gives me hope, like the work people do on the day to day basis and the success that they have they’ve heard it’s, it’s also really important to, like, celebrate the small wins. It’s, it’s funny to me, and it when I have a grantee, they’re like, oh, this, this thing happened. We didn’t think it was a big deal. And I’m like, No, that was huge. You you’ve been trying to get, you know, a partner, to be to come to these meetings for five months. And then they showed up and they brought all these resources like, that’s huge. Celebrate these wins like this is long, hard, difficult work, and we it’s going to take years to see decreases in firearm suicide deaths or community violence, but there are all of these meaningful impacts along the way, and the hard work that people have been doing and are have become just the go to people in their community and are championing, championing this work and making connections that that’s what gives me hope, and getting the honor to work with these organizations and these individuals over the past number of years has just really brought me a lot of joy and hope in this work

Erin Borla 28:17
and being connected to folks on the ground are always It’s always such a treat, because I do feel like as philanthropists, like we get to work with really incredible people who are doing really incredible work, and it is an extension of our work, but it’s not our work, and that’s just such a such a treat to be close and get to know folks so and it’s been great to get to know you through our work with fun for a safer future. And I really just have appreciated everything y’all are doing and the leadership role you’ve taken in Missouri and bringing that voice to the national stage. So really appreciate everything that you’ve done.

Jessi LaRose 28:50
Yeah, I think the other thing that I would just mention too is something that I think we’ve been trying to elevate to to the funding community, is one this is addressing firearm violence, firearm injury and death is important for health, health philanthropy, but philanthropy across the board, this is a health issue. It impacts the communities that we serve and also getting the funding community who is frequently kind of skewed towards community violence, is thinking about this in more abroad, and thinking about it within the firearm suicide prevention context, thinking about how this impacts not just our urban areas, but our rural areas too. And so I’ve really been just trying to elevate that message that we need to be thinking about this across the spectrum in the different contexts, and also just elevating like local context matters and working deeply in community, and resourcing those communities to be responsive and and response to the needs of their communities. And what works at the local level is is really an. Important.

Erin Borla 30:01
Yeah, you’re exactly right that the local context matters. It’s different, you know, as you’ve mentioned, working in northeast Missouri farming communities than it is in the boot heel in Southeast Missouri, working with faith based organizations. And how that shows up in community is similar, but not the same. And big, sweeping grants to big organizations, while they can have an impact, that top down approach doesn’t always find the communities doing the right work.

Jessi LaRose 30:31
Yeah, if we have, if you come to Missouri, you’ll probably hear at least once that we’re the show me state and so frequently people want to be, want to know how it’s going to work in Missouri, and what’s the Missouri context. And, you know, maybe we’re not so different sometimes, but it’s, it is important to those working here of really like, what, what’s in, what’s in it for my community, how is this responsive to those who live here?

Erin Borla 30:57
Yeah, well, thank you for sharing what you’re working on. I just appreciate there’s so many valuable lessons to other funders and other opportunities to dig into this work. We just appreciate all the work that you’re doing.

Erin Borla 31:22
You I can’t say enough about joining funder collaboratives or pooled funds as an opportunity to get to learn together, where philanthropic institutions and foundations can come together and go I am interested in this topic, but I don’t know where to start, or I don’t know how to do this work collectively. Let’s talk about it. The Fund for a safer future has been that place for roundhouse, and I got a chance to meet great people like Jesse and learn from Missouri foundation for health their planning grants that they implemented for this program is something I haven’t seen before, and frankly, something that roundhouse doesn’t do at this point, I’m really interested in seeing how we can build off of those programs that Jesse and her team have put together, being able to see and hear from folks that Missouri foundation for health had funded to get a chance to meet those folks face to face and hear all about the impact that their programs are having on the ground that local context. It gave me the chance to meet with John and learn from him. It’s such a wonderful part of this ability to be in the role of philanthropy, to be a funder, we can see things and connect people that maybe haven’t been connected before. Let’s celebrate that work and amplify it. Find ways that we can share best practices, share opportunities and things that have worked in other places, and maybe they’ll work for the communities that we work with. You can find more information on Missouri foundation for Health’s firearm injury and death prevention program, as well as fund for a safer future@fundingboro.com you

Unknown Speaker 33:01
you.

Transcribed by A.I. Please forgive any mistakes.

Published On: September 30th, 2025 / Categories: Season 3 /