Conceptual and Practice Tensions in LEPH: Public Health Approaches to Policing and Police and Public Health Collaborations

Bartkowiak-Théron, Isabelle; Clover, James; Martin, Denise; Southby, Richard F.; Crofts, Nick

doi:10.1007/978-3-030-83913-0_1

Cited by 3 publications

(9 citation statements)

References 16 publications

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“…13 cross-sectoral approaches are often poorly recognized and understood. 2 Given the nascency of this strategy, the documentation provided in this article improves our understanding of activities included under this strategy and where they intervene along the overdose risk framework to inform PH/PS partnerships in the future. Support for PH/PS partnerships as an overdose prevention strategy is demonstrated by commitment across federal agencies.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Improving Partnerships Between Public Health and Public Safety to Reduce Overdose Deaths: An Inventory From the CDC Overdose Data to Action Funding Initiative

Mital

Wisdom

Wolff

2022

Journal of Public Health Management and Practice

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Rates of drug overdose deaths are high and growing. Innovative strategies, such as partnerships between public health and public safety (PH/PS) agencies, are needed to curb these trends. Support for PH/PS partnerships as an overdose prevention strategy is growing; however, little information exists on the makeup of activities within this strategy. The US Centers for Disease Control and Prevention's (CDC's) Overdose Data to Action (OD2A) cooperative agreement supports innovative and comprehensive overdose surveillance and prevention activities across the United States. Within OD2A, funded states, counties/cities, and territories may implement PH/PS partnerships to reduce overdose deaths. An inventory of PH/PS activities described in OD2A recipients' year 2 annual progress reports was conducted. These activities were abstracted for PH/PS partners' roles, intended audience, deliverables, objectives, stage of overdose risk addressed, and type of strategy implemented. The inventory revealed that 49 of the 66 funded jurisdictions planned 109 PH/PS activities. Most aimed to bridge knowledge, data, and service gaps and intervened at higher levels of overdose risk. This analysis highlights opportunities to adapt and expand cross-sector overdose prevention efforts across the overdose risk continuum.

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Section: Discussionmentioning

confidence: 99%

“…1 Substance use is a societal issue that sits squarely at the intersection of public health (PH) and public safety (PS). 2 Therefore, multisector partnerships that include PH/PS agencies are one such strategy. PS agencies include law enforcement, first responders including fire and emergency medical services, and the criminal justice system.…”

mentioning

confidence: 99%

Improving Partnerships Between Public Health and Public Safety to Reduce Overdose Deaths: An Inventory From the CDC Overdose Data to Action Funding Initiative

Mital

Wisdom

Wolff

2022

Journal of Public Health Management and Practice

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“…The connections between policing and public health are “indelible and complex” (Wood, 2020, p. 1), even if “the essential role of brokerage played by police has only recently started to be formally acknowledged by other stakeholders” (Bartkowiak-Théron et al ., 2022, p. 4). Recent work examining calls-for-service data from Philadelphia, PA has revealed this complexity by showing 20% of calls from the public at the intersection of policing and public health result in a substantially different outcome than the original call indicated (Ratcliffe, 2021).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The tension between order maintenance in the community and the delivery of harm mitigation at the police/public health interface has myriad challenges, including agreement of shared measures related to outcomes, referrals, evaluations, budgets, and policies (Bartkowiak-Th eron et al, 2022). Previous work in the area has explored the delivery of harm reduction measures through law enforcement (Davis et al, 2014;Lowder et al, 2020), though less attention has been paid to the perspectives of the officers collaborating in this work.…”

Section: Introductionmentioning

confidence: 99%

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Policing the largest drug market on the eastern seaboard: officer perspectives on enforcement and community safety

Ratcliffe

Wight

2022

PIJPSM

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PurposeThe Kensington transit corridor runs between Huntingdon and Allegheny stations in the Kensington area of Philadelphia, Pennsylvania, and is one of the largest illicit drug areas in the country. The authors report qualitative findings from ride-alongs with transit police officers assigned to a vehicle patrol dedicated to reducing the response time to opioid overdoses in and around the transit system (trains and buses) in this large open-air drug market. This study's focus was on management and mitigation of the criminogenic harms associated with the illicit drug environment.Design/methodology/approachFor ten months, transit officers patrolled the Kensington transit corridor in a dedicated vehicle (callsign “Oscar One”). Oscar One operated during either an early (8 a.m. to 4 p.m.) or late (4 p.m. to midnight) shift, between September 2020 and June 2021. 269 shifts were randomly selected for Oscar One from 574 possible shifts. Researchers accompanied Oscar One for 51 observations (19%), 45 of which were completed by the authors. Semi-structured interviews occurred during these shifts, as well as ethnographic field observations.FindingsFour main themes emerged from the study. These centered on the role of law enforcement in a large drug market, the politics of enforcement within the city of Philadelphia, the policing world around risk and proactive engagement post–George Floyd, and the sense of police being overwhelmed on the front-line of community safety.Originality/valuePolice officers have a community safety as well as a law enforcement mandate, and this study explores the community safety and harm mitigation role from their perspective. The article draws on their words, based on approximately 400 h of field observation.

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Co-response and homelessness: the SEPTA transit police SAVE experiment

Ratcliffe,

Wight

2024

J Exp Criminol

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Objectives We test the benefit of adding an outreach specialist to a dedicated police team tasked with helping the vulnerable community in the transit system move to treatment or shelter. Methods For a year, officer shifts were randomized to determine when they were accompanied by an outreach specialist. One hundred and fifty-eight in-depth treatment conversations regarding treatment or shelter with 165 vulnerable people were assessed for whether they were subsequently transported to a suitable facility. Results Likelihood of an individual in a treatment conversation with a specialist and a police officer being transported to a facility was 29% greater than the likelihood for an individual talking with only a police officer; however, this finding was not statistically significant. Conclusions With the outcome of getting vulnerable people (mainly people experiencing homelessness) to accept transportation to a shelter or treatment facility, the co-responder model did not significantly outperform the effect of specially trained police officers working independently of the outreach specialist.

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Conceptual and Practice Tensions in LEPH: Public Health Approaches to Policing and Police and Public Health Collaborations

Cited by 3 publications

References 16 publications

Improving Partnerships Between Public Health and Public Safety to Reduce Overdose Deaths: An Inventory From the CDC Overdose Data to Action Funding Initiative

Improving Partnerships Between Public Health and Public Safety to Reduce Overdose Deaths: An Inventory From the CDC Overdose Data to Action Funding Initiative

Policing the largest drug market on the eastern seaboard: officer perspectives on enforcement and community safety

Co-response and homelessness: the SEPTA transit police SAVE experiment

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