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超越纳洛酮:警方、社会服务机构与研究人员对阿片类药物危机的协作应对

Moving Beyond Narcan: A Police, Social Service, and Researcher Collaborative Response to the Opioid Crisis.

作者信息

White Michael D, Perrone Dina, Watts Seth, Malm Aili

机构信息

Center for Violence Prevention and Community Safety, Arizona State University, 411 N Central Ave, Phoenix, AZ 85004 USA.

School of Criminology, Criminal Justice, and Emergency Management, California State University Long Beach, 1250 Bellflower Boulevard, Long Beach, CA 90840 USA.

出版信息

Am J Crim Justice. 2021;46(4):626-643. doi: 10.1007/s12103-021-09625-w. Epub 2021 Jul 3.

Abstract

The opioid crisis is the most persistent, long-term public health emergency facing the United States, and available evidence suggests the crisis has worsened during the COVID-19 global pandemic. Naloxone is an effective overdose response that saves lives, but the drug does not address problematic drug use, addiction, or the underlying conditions that lead to overdoses. The opioid crisis is at its core a multidisciplinary, multisystem problem, and an effective response to the crisis requires collaboration across those various systems. This paper describes such a collaborative effort. is a multidisciplinary partnership that includes police officers, social workers, substance use peer counselors, public health professionals, police researchers, and drug policy/harm reduction researchers. The project, 10 months underway, trained and equipped Tempe (AZ) police officers to administer Narcan. In addition, a 24/7 in-person "Crisis Outreach Response Team" rapidly responds to any suspected overdose and offers follow-up support, referrals, and services to the individual (and loved ones) for up to 45 days after the overdose. We present preliminary project data including interviews with project managers, counselors, and police officers, descriptions of Narcan administrations in the field, and aggregate data on client service engagement. These data highlight the complexity of the opioid crisis, the collaborative nature of the Tempe project, and the importance of initiating a multidisciplinary, comprehensive response to effectively deal with the opioid problem.

摘要

阿片类药物危机是美国面临的最持久、长期的公共卫生紧急情况,现有证据表明,在新冠疫情全球大流行期间,这场危机恶化了。纳洛酮是一种有效的过量用药应对药物,能挽救生命,但这种药物无法解决药物使用问题、成瘾问题或导致过量用药的潜在状况。阿片类药物危机本质上是一个多学科、多系统的问题,有效应对这场危机需要各个系统之间的协作。本文描述了这样一项协作努力。这是一个多学科合作伙伴关系,包括警察、社会工作者、药物使用同伴咨询师、公共卫生专业人员、警察研究人员以及毒品政策/减少危害研究人员。该项目已开展10个月,对坦佩(亚利桑那州)的警察进行了培训并配备了纳洛酮。此外,一个全天候的现场“危机外展应对小组”会迅速对任何疑似过量用药情况做出反应,并在过量用药后的45天内为当事人(及其亲人)提供后续支持、转介和服务。我们展示了该项目的初步数据,包括对项目经理、咨询师和警察的访谈、现场纳洛酮使用情况的描述以及客户服务参与的汇总数据。这些数据凸显了阿片类药物危机的复杂性、坦佩项目的协作性质以及启动多学科、全面应对措施以有效解决阿片类药物问题的重要性。

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