Training law enforcement to respond to opioid overdose with naloxone: Impact on knowledge, attitudes, and interactions with community members - PubMed (original) (raw)
Training law enforcement to respond to opioid overdose with naloxone: Impact on knowledge, attitudes, and interactions with community members
Karla D Wagner et al. Drug Alcohol Depend. 2016.
Abstract
Background: Training law enforcement officers (LEOs) to administer naloxone to opioid overdose victims is increasingly part of comprehensive efforts to reduce opioid overdose deaths. Such efforts could yield positive interactions between LEOs and community members and might ultimately help lower overdose death rates.
Methods: We evaluated a pilot LEO naloxone program by (1) assessing opioid overdose knowledge and attitudes (competency in responding, concerns about naloxone administration, and attitudes towards overdose victims) before and after a 30min training on overdose and naloxone administration, and (2) conducting qualitative interviews with LEOs who used naloxone to respond to overdose emergencies after the training.
Results: Eighty-one LEOs provided pre- and post-training data. Nearly all (89%) had responded to an overdose while serving as an LEO. Statistically significant increases were observed in nearly all items measuring opioid overdose knowledge (p's=0.04 to <0.0001). Opioid overdose competencies (p<0.001) and concerns about naloxone administration (p<0.001) significantly improved after the training, while there was no change in attitudes towards overdose victims (p=0.90). LEOs administered naloxone 11 times; nine victims survived and three of the nine surviving victims made at least one visit to substance abuse treatment as a result of a LEO-provided referral. Qualitative data suggest that LEOs had generally positive experiences when they employed the skills from the training.
Conclusions: Training LEOs in naloxone administration can increase knowledge and confidence in managing opioid overdose emergencies. Perhaps most importantly, training LEOs to respond to opioid overdose emergencies may have positive effects for LEOs and overdose victims.
Keywords: Law enforcement; Naloxone; Opioid overdose; Overdose prevention.
Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Similar articles
- Some law enforcement officers' negative attitudes toward overdose victims are exacerbated following overdose education training.
Winograd RP, Stringfellow EJ, Phillips SK, Wood CA. Winograd RP, et al. Am J Drug Alcohol Abuse. 2020 Sep 2;46(5):577-588. doi: 10.1080/00952990.2020.1793159. Epub 2020 Sep 15. Am J Drug Alcohol Abuse. 2020. PMID: 32931324 - Law enforcement attitudes towards naloxone following opioid overdose training.
Purviance D, Ray B, Tracy A, Southard E. Purviance D, et al. Subst Abus. 2017 Apr-Jun;38(2):177-182. doi: 10.1080/08897077.2016.1219439. Epub 2016 Aug 11. Subst Abus. 2017. PMID: 27715714 - Beyond rescue: Implementation and evaluation of revised naloxone training for law enforcement officers.
Dahlem CHG, King L, Anderson G, Marr A, Waddell JE, Scalera M. Dahlem CHG, et al. Public Health Nurs. 2017 Nov;34(6):516-521. doi: 10.1111/phn.12365. Epub 2017 Oct 6. Public Health Nurs. 2017. PMID: 28983963 - Naloxone administration by law enforcement officers in New York State (2015-2020).
Pourtaher E, Payne ER, Fera N, Rowe K, Leung SJ, Stancliff S, Hammer M, Vinehout J, Dailey MW. Pourtaher E, et al. Harm Reduct J. 2022 Sep 19;19(1):102. doi: 10.1186/s12954-022-00682-w. Harm Reduct J. 2022. PMID: 36123614 Free PMC article. Review. - A systematic review of community opioid overdose prevention and naloxone distribution programs.
Clark AK, Wilder CM, Winstanley EL. Clark AK, et al. J Addict Med. 2014 May-Jun;8(3):153-63. doi: 10.1097/ADM.0000000000000034. J Addict Med. 2014. PMID: 24874759 Review.
Cited by
- Effectiveness of take ACTION online naloxone training for law enforcement officers.
Dahlem CH, Patil R, Khadr L, Ploutz-Snyder RJ, Boyd CJ, Shuman CJ. Dahlem CH, et al. Health Justice. 2023 Nov 18;11(1):47. doi: 10.1186/s40352-023-00250-9. Health Justice. 2023. PMID: 37979100 Free PMC article. - Post-overdose interventions triggered by calling 911: Centering the perspectives of people who use drugs (PWUDs).
Wagner KD, Harding RW, Kelley R, Labus B, Verdugo SR, Copulsky E, Bowles JM, Mittal ML, Davidson PJ. Wagner KD, et al. PLoS One. 2019 Oct 17;14(10):e0223823. doi: 10.1371/journal.pone.0223823. eCollection 2019. PLoS One. 2019. PMID: 31622401 Free PMC article. - "Feeling confident and equipped": Evaluating the acceptability and efficacy of an overdose response and naloxone administration intervention to service industry employees in New York City.
Wolfson-Stofko B, Gwadz MV, Elliott L, Bennett AS, Curtis R. Wolfson-Stofko B, et al. Drug Alcohol Depend. 2018 Nov 1;192:362-370. doi: 10.1016/j.drugalcdep.2018.08.001. Epub 2018 Sep 21. Drug Alcohol Depend. 2018. PMID: 30287108 Free PMC article. - Evaluation of an Experimental Web-based Educational Module on Opioid-related Occupational Safety Among Police Officers: Protocol for a Randomized Pragmatic Trial to Minimize Barriers to Overdose Response.
Simmons J, Elliott L, Bennett AS, Beletsky L, Rajan S, Anders B, Dastparvardeh N. Simmons J, et al. JMIR Res Protoc. 2022 Feb 25;11(2):e33451. doi: 10.2196/33451. JMIR Res Protoc. 2022. PMID: 35212639 Free PMC article. - "It's just another tool on my toolbelt": New York state law enforcement officer experiences administering naloxone.
Lloyd D, Rowe K, Leung SJ, Pourtaher E, Gelberg K. Lloyd D, et al. Harm Reduct J. 2023 Mar 6;20(1):29. doi: 10.1186/s12954-023-00748-3. Harm Reduct J. 2023. PMID: 36879248 Free PMC article.
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources