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 including the city of St. Louis, and they have found that listening first, and understanding local context, is key to building local engagement and trust.