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执法人员在应对阿片类药物流行中的作用:定性评估。

The role of law enforcement officers in responding to the opioid epidemic: A qualitative assessment.

机构信息

Department of Behavioral Science, University of Kentucky College of Medicine, Medical Behavioral Science Building, Lexington, Kentucky, USA.

Center on Drug and Alcohol Research, University of Kentucky, Lexington, Kentucky, USA.

出版信息

Subst Abus. 2021;42(4):813-820. doi: 10.1080/08897077.2020.1865243. Epub 2021 Jan 20.

Abstract

Opioid-related overdose deaths continue to rise with the ongoing opioid epidemic. In response, changes in the role of law enforcement officers have included being trained to administer naloxone to reverse overdoses and offering navigation and referrals to substance use treatment. This secondary data analysis includes qualitative data from law enforcement officers collected as part of a mixed-methods needs assessment from one Kentucky county. Law enforcement officers ( = 151) responded to a confidential, online survey using Qualtrics and a subsample also completed a qualitative interview ( = 6). Open-ended questions in the online survey and interviews included how the opioid epidemic has affected the individual's profession, specifically their role in reversing overdoses and providing referrals to individuals who misuse opioids. Law enforcement officers surveyed indicated that they have expanded their professional roles to include providing naloxone to reverse opioid overdoses and referrals. While their specific roles and duties have changed to include naloxone administration to reverse opioid overdoses and providing referrals, officers felt that this was just part of their job in responding to the needs of the community. Officers reported that they have learned how to use (99%) and carry naloxone (87%) to reverse opioid related overdoses. The majority (92%) reported providing referrals (e.g., treatment and harm reduction resources) to individuals who misuse opioids. The opioid epidemic has changed the roles of law enforcement officers, including providing naloxone to reverse overdoses and referrals for treatment. Future research should continue to explore how substance misuse in the community changes the roles of law enforcement officers and how to best train and support officers as their roles evolve in response to these changes.

摘要

阿片类药物相关的过量死亡人数随着阿片类药物流行持续上升。为应对这一情况,执法人员的角色发生了变化,包括接受纳洛酮使用培训以逆转过量,并提供导航和转介药物使用治疗。本二次数据分析包括肯塔基州一个县进行的混合方法需求评估中收集的执法人员的定性数据。执法人员( = 151)使用 Qualtrics 对一项机密在线调查做出回应,其中一个子样本还完成了定性访谈( = 6)。在线调查和访谈中的开放式问题包括阿片类药物流行如何影响个人的职业,特别是他们在逆转过量和向滥用阿片类药物的个人提供转介方面的作用。接受调查的执法人员表示,他们已经扩大了专业角色,包括提供纳洛酮来逆转阿片类药物过量和提供转介。虽然他们的具体角色和职责已经发生变化,包括使用纳洛酮逆转阿片类药物过量和提供转介,但执法人员认为这只是他们响应社区需求的工作的一部分。执法人员报告称,他们已经学会如何使用(99%)和携带纳洛酮(87%)来逆转阿片类药物相关的过量。大多数(92%)报告说向滥用阿片类药物的个人提供转介(例如治疗和减少伤害资源)。阿片类药物流行改变了执法人员的角色,包括提供纳洛酮逆转过量和转介治疗。未来的研究应继续探索社区中药物滥用如何改变执法人员的角色,以及如何在这些变化发生时更好地培训和支持执法人员,以适应其角色的演变。

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