Harm Reduction Policing? A Qualitative Study of Police Culture and Enforcement Practices Toward People Who Use Drugs Amidst Efforts to Align Public Health and Public Safety Systems

减少伤害警务？

• 批准号: 10722936
• 负责人: Bradley Silberzahn
• 金额: $ 5.11万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10722936
• 关键词: Acceleration; Attitude; Authorization documentation; Baltimore; Belief; Cities; Criminal Justice; Diversion Program; Drug usage; Drug user; Environment; Epidemic; Evaluation; Event; Faculty; Harm Reduction; Health; Health system; Institution; Interview; Law Enforcement; Lead; Leadership; Maryland; Measures; Mediation; Naloxone; New York; Organizational Change; Outcome; Overdose; Pharmaceutical Preparations; Police; Police officer; Policies; Procedures; Program Evaluation; Public Health; Public Health Schools; Race; Research; Risk; Role; Safety; Schools; Sociology; Substance abuse problem; System; Texas; Transcript; Translating; Universities; Violence; austin; authority; evidence base; experience; first responder; health care service; marginalized population; racial disparity; response; service providers; structural health determinants; substance use; theories

Project Summary The recent convergence of the overdose epidemic and continued racialized police violence has accelerated efforts to mitigate the racially disparate harms of policing toward people who use drugs (PWUD) by aligning law enforcement’s role as first responders with evidence-based public health approaches to drug use rooted in harm reduction. Police departments now commonly equip officers with naloxone, participate in partnerships with healthcare service providers, and have a lead role in celebrated diversion programs targeting PWUD and other marginalized populations. Despite initial evaluations of these approaches showing promise in isolation, widespread and enduring reform across the institution of policing has not materialized. Punitive enforcement of drug offenses remains central to the institution of policing. True harmonization of criminal justice and public health systems requires broad changes to well-established cultural and institutional norms. The proposed R36 application builds on pilot program evaluations and studies examining changes in isolated measures of police enforcement by examining how police officers in Baltimore City, Maryland, negotiate, contest, and make sense of drug policy reforms and guidance from public health authorities in order to understand how the broader cultural shift toward evidence-based approaches to substance use is being translated into policing practices that are ultimately experienced by PWUD. Through in-depth interviews with Baltimore Police Department (BPD) leadership (n=20), observations of BPD public-facing events (n=15), and observational ride-alongs with street-level officers (n=60), this research aims to qualitatively explore, 1) how police leadership integrate harm reduction approaches to drug enforcement into the department’s organizational approach to PWUD, and 2) street-level officers’ beliefs, attitudes, and enforcement practices towards PWUD. Analysis of interview transcripts and observation fieldnotes will be conducted using an abductive approach, drawing on theories and concepts from studies of organizations and organizational change, police culture, risk environments and structural determinants of health. The PI of the proposed R36 application, Bradley Silberzahn, is a doctoral candidate in the Department of Sociology at the University of Texas at Austin (UT Austin). Brad will lead all study procedures, as well as a broader expert panel comprised of faculty from UT Austin, Johns Hopkins Bloomberg School of Public Health, and New York University’s School of Global Public Health. This research will inform ongoing debates over drug policy and the role of law enforcement in harm reduction, as well as identify barriers and avenues for widespread and enduring police reform that facilitates police enforcement practices that are in alignment with, not antithetical to, public health.

项目摘要 过量的流行病和持续种族化的警察暴力的最近融合已经加速 通过结盟来减轻对使用毒品（PWUD）的人们对政策的大致危害的努力 执法部门作为急救人员的作用，采用基于证据的公共卫生毒品使用方法 减少伤害。警察部门现在通常为警官提供纳洛酮，参与伙伴关系 与医疗保健服务提供商一起，并在针对PWUD和的著名转移计划中发挥主导作用 其他边缘化人群。尽管对这些方法的初步评估显示出孤立的希望，但 整个政策制度的宽度和持久的改革尚未实现。惩罚性执行 毒品犯罪仍然是政策制度的核心。刑事司法和公众的真正协调 卫生系统需要广泛的改变文化和机构规范。拟议的R36 申请基于试点计划的评估和研究，研究了警察孤立措施的变化 通过检查马里兰州巴尔的摩市的警察如何进行谈判，谈判，竞争，并有意义 公共卫生当局的药物政策改革和指导，以了解更广泛的 文化向基于证据的物质使用方法的转变正在转化为政策实践 Pwud最终经历了。通过对巴尔的摩警察局的深入访谈 （BPD）领导力（n = 20），对BPD公共事件的观察（n = 15）以及与观察骑行的观察 街头官员（n = 60），这项研究旨在定性探索，1）警察领导人如何融合伤害 将毒品执行的方法减少到该部门的组织方法中，而2） 街头官员的信念，吸引力和执法措施。访谈分析 笔录和观察字段说明将使用绑架方法进行，并利用理论和 来自组织和组织变革，警察文化，风险环境以及的概念 健康的结构决定者。拟议的R36应用程序的PI Bradley Silberzahn是博士 德克萨斯大学奥斯汀分校（UT奥斯汀）的社会学系候选人。布拉德将领导所有 研究程序以及更广泛的专家小组包括UT奥斯汀的教职员工Johns Hopkins 彭博公共卫生学院和纽约大学的全球公共卫生学院。这项研究 将告知有关毒品政策的持续辩论以及执法部门在减少伤害中的作用，以及 识别障碍和途径，以实现宽泛和持久的警察改革，以促进警察执法 与公共卫生不一致的实践。