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Narcan cops: Officer perceptions of opioid use and willingness to carry naloxone
Journal of Criminal Justice ( IF 5.009 ) Pub Date : 2021-01-05 , DOI: 10.1016/j.jcrimjus.2020.101778
Michael D. White , Dina Perrone , Aili Malm , Seth Watts

Background

Opioid use has emerged as a significant public health crisis in cities across the United States. In Arizona, opioid overdose deaths increased by 65% from 2016 to 2018, leading the Governor of Arizona to declare a State of Emergency. Because police are often the first to arrive at the scene of an overdose, officers are central to an effective response to the opioid crisis in Arizona and elsewhere. However, many police officers do not carry naloxone, which can immediately reverse the life-threatening effects of an opioid overdose. Few studies examine officer perceptions of opioid use or their willingness to carry and administer naloxone. The degree to which officers accept this public health responsibility remains unclear.

Methods

The authors administered two waves of a survey to patrol officers in the Tempe (AZ) Police Department. The officers completed wave 1 approximately three months before the start of a program that trained and outfitted patrol officers with naloxone. Officers completed wave 2 of the survey several months after the program started. Relying on the Opioid Overdose Knowledge (OOKS), Competence, Concerns, and Attitudes (OOAS) of People who Overdose, and Naloxone-Related Risk Compensation Beliefs (NaRRC-B) scales, the survey captures officer attitudes regarding opioid use, willingness to carry and administer naloxone, and perceptions of their role in responding to the opioid crisis.

Results

At wave 1, officers conveyed moderate levels of confidence in recognizing an overdose and providing life-saving care. Officers indicated strong support for carrying naloxone and responding to opioid overdoses, and they recognized the value of treatment for users. At wave 2, officers reported significantly greater confidence and competence in responding to overdoses, and their support for carrying naloxone also increased. Both before and after program start, there was little variation in attitudes across gender, race/ethnicity, education, and length of service.

Conclusion

Officers accept this public health responsibility as part of their mission. Given that officers are frequently first on scene at overdoses and a matter of seconds can determine life or death, police-led naloxone programs will save lives in Tempe and elsewhere.



中文翻译:

Narcan警察:警官对阿片类药物的使用以及携带纳洛酮的意愿的看法

背景

在美国各地的城市中,使用阿片类药物已成为严重的公共卫生危机。在亚利桑那州,从2016年到2018年,阿片类药物过量死亡的人数增加了65%,导致亚利桑那州州长宣布进入紧急状态。由于警察通常是第一个到达药物过量现场的人,因此对于有效应对亚利桑那州和其他地方的阿片类药物危机,警察至关重要。但是,许多警察不携带纳洛酮,纳洛酮可以立即逆转阿片类药物过量的威胁生命的作用。很少有研究检查官员对阿片类药物使用的看法或其对纳洛酮的携带和管理意愿。官员接受这种公共卫生责任的程度尚不清楚。

方法

作者对坦佩(亚利桑那州)警察局的巡逻人员进行了两次调查。警员在一个计划开始前大约三个月,完成了第一波训练,该训练为巡逻警官配备了纳洛酮。程序开始几个月后,官员们完成了调查的第二波。依托阿片类药物过量的知识(OOKS),能力,关注和态度(OOAS)以及纳洛酮相关的风险补偿信念(NaRRC-B)量表,该调查记录了有关阿片类药物使用,携带意愿的官员态度。并管理纳洛酮,并了解其在应对阿片类药物危机中的作用。

结果

在第1浪中,军官对发现服药过量并提供救生服务的信心中等。官员表示强烈支持携带纳洛酮和应对阿片类药物过量,并认识到治疗对使用者的价值。在第2浪中,军官报告了对服药过量的信心和能力明显增强,他们对携带纳洛酮的支持也增加了。在计划开始之前和之后,性别,种族/民族,教育程度和服务年限方面的态度几乎没有差异。

结论

军官将这项公共卫生责任作为其使命的一部分。鉴于警务人员经常首先在服药过量时出现在现场,几秒钟之内就可以确定生死,因此由警察领导的纳洛酮计划将挽救坦佩和其他地方的生命。

更新日期:2021-01-05
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