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

Erika Pike, Martha Tillson, Michele Staton, J. Matthew Webster

2021Substance Abuse21 citationsDOIOpen Access PDF

Abstract

Background 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. Methods 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 ( n = 151) responded to a confidential, online survey using Qualtrics and a subsample also completed a qualitative interview ( n = 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. Results 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. Conclusions 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.

Topics & Concepts

Law enforcementOpioid overdose(+)-NaloxoneMedicineHarm reductionOpioidQualitative researchHarmConfidentialityPsychiatryMedical emergencyNursingPsychologyPublic healthLawPolitical scienceSocial psychologySociologyReceptorSocial scienceInternal medicineOpioid Use Disorder TreatmentSuicide and Self-Harm StudiesSubstance Abuse Treatment and Outcomes