Law Enforcement Drug Seizures and Opioid-Involved Overdose Mortality

JAMA Network Open, Год журнала: 2025, Номер 8(3), С. e251158 - e251158

Опубликована: Март 19, 2025

Importance Opioid-involved overdose mortality has been on the rise for 2 decades in US, exacerbated by an unregulated drug supply that is unpredictable and increasingly contained highly potent fentanyl analogs starting a decade ago. Objective To determine whether there geospatial association between law enforcement seizures opioid-involved San Francisco. Design, Setting, Participants This cross-sectional study used location- time-stamped data from Office of Chief Medical Examiner publicly available crime Francisco Police Department 2020 2023 to assess location time were associated with subsequent mortality. Data analyzed January September 2023. Exposures Time-stamped locations involving distribution charge. Main Outcomes Measures The primary outcomes (1) any opioid (2) or analog. relative risk (RR) 95% CIs endemic epidemic factors calculated. Results There 2653 seizure events involved charge 1833 deaths tested positive synthetic opioid, including heroin analogs. Within surrounding 100 meters, increase fatal overdoses day following event (RR, 1.74; CI, 1.06-2.83; P = .03) elevated persisted 7 days (2 days: RR, 1.55; 1.09-2.21; .02; 3 1.45; 1.08-1.93; .01; 1.27; 1.11-1.46; .001). Similar statistically significant spatiotemporal patterns observed 250- 500-meter spatial bandwidths. each space-time kernel, strength association, all which significant, dissipated further away distance event. Conclusions Relevance findings this suggest laws public safety residents may be having unintended negative consequence increasing reduce mortality, it better focus evidence-based health policies interventions.

Язык: Английский

---

The police paradox: A qualitative study of post-overdose outreach program implementation through public health-public safety partnerships in Massachusetts

International Journal of Drug Policy, Год журнала: 2023, Номер 120, С. 104160 - 104160

Опубликована: Авг. 17, 2023

Язык: Английский

---

Endogenous opiates and behavior: 2023

Peptides, Год журнала: 2024, Номер 179, С. 171268 - 171268

Опубликована: Июнь 28, 2024

Язык: Английский

---

Overdose and Overwork: First Responder Burnout and Mental Health Help-Seeking in Missouri's Overdose Crisis

Drug and Alcohol Dependence, Год журнала: 2025, Номер 271, С. 112590 - 112590

Опубликована: Фев. 28, 2025

Язык: Английский

---

Therapeutic alignments: examining police and public health/harm reduction partnerships

Policing & Society, Год журнала: 2023, Номер 34(4), С. 290 - 304

Опубликована: Сен. 28, 2023

ABSTRACTOngoing calls for police reform across North America alongside the growing momentum removal of criminal sanctions personal possession drugs have placed policing agencies in an ambivalent position with respect to drug governance and people who use (PWUD). Meanwhile, response longstanding harms produced by law enforcement, harm reduction gained traction recent years, resulting collaborations between health services, including naloxone administration officers, post-overdose outreach wellness checks, integrated public health-public safety information sharing frameworks. Using situational analysis method, we consider range elements actors that form these partnerships, their broader structural, institutional, policy effects. We detail actual potential implications such forms institutional coordination on health, equity, possibility meaningful reform. Our reveals rather than mitigating initiatives stand undermine access services increase system avoidance eroding trust among PWUD. reason recasting as therapeutic agents embedded medico-therapeutic practices reaffirms role punitive enforcement governance.KEYWORDS: policingdrugsnet-wideningPWUDoverdose Disclosure statementNo conflict interest was reported author(s).Correction StatementThis article has been corrected minor changes. These changes do not impact academic content article.Additional informationFundingThis work supported Social Sciences Humanities Research Council Canada.

Язык: Английский

---

Post-overdose follow-up in the community with peer recovery specialists: The Lake Superior Diversion and Substance Use Response Team

Drug and Alcohol Dependence Reports, Год журнала: 2023, Номер 6, С. 100139 - 100139

Опубликована: Фев. 1, 2023

As the overdose epidemic continues to worsen, nonfatal calls for service represent a critical touchpoint intervention. While most studies have focused on law enforcement led post-overdose follow-up, current study describes programmatic characteristics and outcomes of non-law post program comprised peer specialists embedded within local police department.We examined information 341 follow-up responses occurring over 16-month period using administrative data. We assessed including demographic clients, referral source, engagement type, goal completion.The results indicate that 60% client referrals ended in in-person contact. Of those, about 80% went complete an with specialist. found no significant variation demographics source or (in-person not); however, from first responders, common are significantly less likely result contact, though, if contact is made, similarly goal.Post response programs do not involve exceedingly rare. Given some research has shown involvement can unexpected, associated harms, it important assess effectiveness police. Findings here suggest this type successful at locating engaging community members into recovery support services who experienced overdose.

Язык: Английский

---

Expanding access to substance misuse services through emergency medical services: envisioning a novel partnership for addiction medicine clinicians

The American Journal of Drug and Alcohol Abuse, Год журнала: 2024, Номер 50(1), С. 8 - 11

Опубликована: Янв. 2, 2024

Emergency medical services (EMS) can be an invaluable ally of addiction medicine clinicians, but the potential role EMS in combating opioid epidemic has been under-realized. historically focused on emergency response and resuscitation cases overdose; however, is also well-positioned to build rapport with persons who use drugs (PWUD), provide harm reduction services, connect PWUD additional treatment resources. A select number organizations have begun offer substance-related programming that extends beyond resuscitation, these offerings remain limited scope impact. This perspective argues clinicians bolster ability high quality by engaging prehospital care education, program development research, clinical care. shares practical strategies for partner considers several barriers must overcome, including bureaucratic challenges, variability practice providers across different locations, funding.

Язык: Английский

---

Moving Beyond Referrals: Addressing Multilevel Barriers to Substance Use Treatment Engagement Through Police-Led Recovery Management Check-Ups

The Journal of Behavioral Health Services & Research, Год журнала: 2024, Номер 52(1), С. 64 - 85

Опубликована: Авг. 15, 2024

Язык: Английский

---

Looking into the black mirror of the overdose crisis: Assessing the harms of collaborative surveillance technologies in the United States response

Medical Anthropology Quarterly, Год журнала: 2024, Номер unknown

Опубликована: Авг. 15, 2024

Abstract Drug overdose is a leading cause of death among adults in the United States, prompting calls for more surveillance data and sharing across public health law enforcement to address crisis. This paper integrates Black feminist science technology studies (STS) into an anthropological analysis collision health, policing, as embedded US National Overdose Response Strategy its technological innovation, Detection Mapping Application Program (ODMAP). The dystopian Netflix series “Black Mirror,” which explores seemingly useful but quietly destructive potential technology, offers lens through speculate upon anticipate harms collaborative projects. Ultimately, I ask: are such interventions benevolent approach crisis or we looking black mirror racialized criminalization States?

Язык: Английский

---

Development and exploratory evaluation of substance use and substance use disorder training for the Washington State Basic Law Enforcement Academy

Policing A Journal of Policy and Practice, Год журнала: 2024, Номер 18

Опубликована: Янв. 1, 2024

Abstract Washington State passed a 2021 law requiring all new enforcement officers to receive training on substance use disorder (SUD). This project developed and conducted an exploratory evaluation of the effectiveness SUD among recruits completing Basic Law Enforcement Academy. Recruits completed surveys at start (“pre”) end (“post”) Surveys included two subscales from Drug Problem Perceptions Questionnaire. ANOVA analyses compared pre-post changes in ratings Academy with without training. (n = 211) receiving reported increases almost questions knowledge alcohol drugs professional self-esteem working (Fs 4.6-23.157, ps < 0.05). 59) not little no or self-esteem. The was effective giving evidence-based information confidence interact effectively people SUD.

Язык: Английский

---