Police officer attitudes towards intranasal naloxone training

Ray, Bradley; O’Donnell, Daniel; Kahre, Kailyn

doi:10.1016/j.drugalcdep.2014.10.026

Cited by 65 publications

(68 citation statements)

References 15 publications

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“…To better operationalise harm reduction content into practical policing strategies, it was suggested that training programs should be integrated at multiple levels, beginning at the police academy and continuously provided through in‐service trainings . Regularly updated and refresher trainings were also noted to help police retain knowledge and skills , as well as to reflect evolving drug use and harm reduction contexts .…”

Section: Resultsmentioning

confidence: 99%

A scoping review of harm reduction training for police officers

Khorasheh

Naraine

Watson

et al. 2019

Drug and Alcohol Review

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Issues Preventable overdose deaths, especially due to opioids, have increasingly been reported worldwide. Expansion of life‐saving harm reduction services is underway with increasing public support in some jurisdictions. However, such services often fall short of reaching people who use drugs (PWUD), in part, due to law enforcement practices that are aligned with punitive drug laws and incongruent with harm reduction principles. One suggested strategy to facilitate police understanding and uptake of practices that are more congruent with harm reduction is to provide police with relevant training. Approach This scoping review synthesises English‐language peer‐reviewed and grey literature on harm reduction training programs for police. Key Findings We reviewed 31 sources and found that most trainings covered topics related to harm reduction objectives, overdose recognition and response, occupational safety and policing practices. Information was often presented via single‐session, 1‐hour long, slide‐assisted presentations that were integrated into in‐service trainings. Inconsistent throughout the literature was the career stage or position/rank of training audience (e.g. cadets, senior officers, street‐level officers), when and how much training should be provided, and the occupational background of the training facilitator. Implications The available literature contains significant gaps pertaining to descriptions of training development, design and content specific to facilitating positive police‐PWUD interactions, and formal evaluations. These gaps limit our understanding of what well‐designed trainings may look like, if and how training alters policing practices, and to what extent training completion may lead to improved outcomes. Conclusion Greater research and formal evaluations of harm reduction training for police is recommended.

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Section: Resultsmentioning

confidence: 99%

A scoping review of harm reduction training for police officers

Khorasheh

Naraine

Watson

et al. 2019

Drug and Alcohol Review

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“…An even higher trend of favorable attitudes was found among those officers and firefighters who restored a pulse for a victim of out-of-hospital cardiac arrest 25. Ray et al found a reluctance, even toward naloxone training, with LEOs who had less experience or lacked recent experiences with overdose cases 28. EMS professionals may have a more positive attitude toward CP programs when they can see the tangible benefits to the community they serve.…”

Section: Discussionmentioning

confidence: 99%

Emergency Medical Services Professionals’ Attitudes About Community Paramedic Programs

Steeps

Wilfong

Hubble

et al. 2017

WestJEM

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IntroductionThe number of community paramedic (CP) programs has expanded to mitigate the impact of increased patient usage on emergency services. However, it has not been determined to what extent emergency medical services (EMS) professionals would be willing to participate in this model of care. With this project, we sought to evaluate the perceptions of EMS professionals toward the concept of a CP program.MethodsWe used a cross-sectional study method to evaluate the perceptions of participating EMS professionals with regard to their understanding of and willingness to participate in a CP program. Approximately 350 licensed EMS professionals currently working for an EMS service that provides coverage to four states (Missouri, Arkansas, Kansas, and Oklahoma) were invited to participate in an electronic survey regarding their perceptions toward a CP program. We analyzed interval data using the Mann-Whitney U test, Kruskal-Wallis one-way analysis of variance, and Pearson correlation as appropriate. Multivariate logistic regression was performed to examine the impact of participant characteristics on their willingness to perform CP duties. Statistical significance was established at p ≤ 0.05.ResultsOf the 350 EMS professionals receiving an invitation, 283 (81%) participated. Of those participants, 165 (70%) indicated that they understood what a CP program entails. One hundred thirty-five (58%) stated they were likely to attend additional education in order to become a CP, 152 (66%) were willing to perform CP duties, and 175 (75%) felt that their respective communities would be in favor of a local CP program. Using logistic regression with regard to willingness to perform CP duties, we found that females were more willing than males (OR = 4.65; p = 0.03) and that those participants without any perceived time on shift to commit to CP duties were less willing than those who believed their work shifts could accommodate additional duties (OR = 0.20; p < 0.001).ConclusionThe majority of EMS professionals in this study believe they understand CP programs and perceive that their communities want them to provide CP-level care. While fewer in number, most are willing to attend additional CP education and/or are willing to perform CP duties.

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“…Reported surveys and discussion with law enforcement officers suggest growing acceptance and willingness to participate in opioid overdose response by the public safety community. 8 Programs enabling willing departments to carry naloxone are relatively new but represent a growing trend in prehospital medicine and would benefit from EMS physician input and some degree of oversight. The North Carolina Harm Reduction Coalition maintains a list of states and law enforcement agencies participating in naloxone programs, with 27 states and hundreds of programs active as of Spring 2015…”

Section: Introductionmentioning

confidence: 99%