Law enforcement attitudes toward overdose prevention and response
Law enforcement attitudes toward overdose prevention and response
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DOI：
10.1016/j.drugalcdep.2013.08.018
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发表时间：
2013-12-01
影响因子：
4.2
通讯作者：
Case, Patricia
中科院分区：
文献类型：
--
作者：
Green, Traci C.;Zaller, Nickolas;Case, Patricia
背景：执法部门通常是第一个对社区医疗紧急情况（包括吸毒过量）做出反应的部门。由于他们的工作性质，官员们还亲眼目睹了吸毒者人口结构的变化，以及美国非医疗处方阿片类药物使用流行对其社区的破坏性影响。尽管这一开创性的作用，很少有数据存在对过量的预防和response.Methods执法的态度：我们进行了关键的线人访谈的一部分，为期12周的快速评估和响应（RAR）的过程，旨在更好地了解和防止非医疗处方阿片类药物的使用和过量死亡的地点在康涅狄格州和罗得岛经历过量“爆发。“对三个研究地点的13名执法官员进行了采访，分析了过量预防和纳洛酮的主题。结果：调查结果表明，执法部门参与过量预防的支持。外行人对纳洛酮给药犹豫不决是明显的。采访主题强调了官员对目前过量反应选择的徒劳和沮丧感，缺乏当地药物治疗，成瘾周期以及社区中容易获得的处方阿片类药物的普遍性。过量的预防和反应，其中一些人员包括执法管理纳洛酮，被视为社区警务和良好的警民关系的组成部分。结论：新出现的趋势，如现有的执法医疗干预措施和好撒玛利亚人的法律，建议需要更广泛的执法参与这一紧迫的公共卫生危机，即使在郊区和小城镇的位置，以促进公共安全。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Background: Law enforcement is often the first to respond to medical emergencies in the community, including overdose. Due to the nature of their job, officers have also witnessed first-hand the changing demographic of drug users and devastating effects on their community associated with the epidemic of nonmedical prescription opioid use in the United States. Despite this seminal role, little data exist on law enforcement attitudes toward overdose prevention and response.Methods: We conducted key informant interviews as part of a 12-week Rapid Assessment and Response (RAR) process that aimed to better understand and prevent nonmedical prescription opioid use and overdose deaths in locations in Connecticut and Rhode Island experiencing overdose "outbreaks." Interviews with 13 law enforcement officials across three study sites were analyzed to uncover themes on overdose prevention and naloxone.Results: Findings indicated support for law enforcement involvement in overdose prevention. Hesitancy around naloxone administration by laypersons was evident. Interview themes highlighted officers' feelings of futility and frustration with their current overdose response options, the lack of accessible local drug treatment, the cycle of addiction, and the pervasiveness of easily accessible prescription opioid medications in their communities. Overdose prevention and response, which for some officers included law enforcement-administered naloxone, were viewed as components of community policing and good police-community relations.Conclusion: Emerging trends, such as existing law enforcement medical interventions and Good Samaritan Laws, suggest the need for broader law enforcement engagement around this pressing public health crisis, even in suburban and small town locations, to promote public safety. (C) 2013 Elsevier Ireland Ltd. All rights reserved.