Only 37% of police officers give naloxone to OD victims

According to a recent study, among police officers who responded to overdose calls in the last six months, only 37% administered naloxone on the scene, and 36% made an arrest, despite the fact that some of the states had a Good Samaritan Law — which protects people who make calls to police for overdoses — in effect. The study, “Knowledge, preparedness, and compassion fatigue among law enforcement officers who respond to opioid overdose,” is in the current issue of Drug and Alcohol Dependence. Most of the officers knew whether or not their state had a Good Samaritan Law, but only 26% knew that the law protects people on the scene from arrest.     

Naloxone administration for suspected opioid overdose: An expanded scope of practice by a basic life support collegiate-based emergency medical services agency

Opioid abuse is a growing and significant public health concern in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity. Georgetown University's collegiate-based emergency medical services (EMS) agency recently adopted a protocol, allowing providers to administer intranasal naloxone for patients with suspected opioid overdose. While normally not within the scope of practice of basic life support prehospital agencies, the recognition of an increasing epidemic of opioid abuse has led many states, including the District of Columbia, to expand access to naloxone for prehospital providers of all levels of training. In particular, intranasal naloxone is a method of administering this medication that potentially avoids needlestick injuries among EMS providers. Universities with collegiate-based EMS agencies are well positioned to provide life-saving treatments for patients acutely ill from opioid overdose.     

Applying a US Police Integrity Measurement Tool to the Eritrean Context: Perceptions of Top-Level Eritrean Police Officers Regarding Police Misconduct

Abstract

This article presents an analysis of data from a police integrity measurement survey administered to 107 top-level Eritrean police officers. Respondents were asked for their opinions regarding the seriousness of police misconduct, disciplinary action recommended, and their willingness to report fellow police officers engaged in such misconduct. The surveyed police officers considered some types of misconduct (e.g. off-duty work and accepting gifts) to be significantly less serious than others (e.g. opportunistic thefts from crime scenes and bribery). The findings suggest that the greater the seriousness of the offence, the more likely the officers were to recommend more severe disciplinary action. The survey evidence also indicates that, for six of the ten police misconduct cases, the majority of the respondents revealed they would report the misconduct, which suggests the police code of silence in the context of the Eritrean policing environment is weak.     

EMTs authorized to carry buprenorphine in New Jersey

Last month, the New Jersey state health commissioner issued an executive directive allowing medical directors of New Jersey's 21 Mobile Intensive Care Unit (MICU) programs to carry buprenorphine, which can be used to mitigate opioid‐withdrawal symptoms following an overdose reversal with naloxone. People who are revived with naloxone after an overdose go through withdrawal, which can be intense and painful. Only an opioid, like buprenorphine, can reverse these symptoms.     

NY AG ends Emergent's exclusivity for Narcan nasal spray

Narcan, the lifesaving opioid overdose reversal drug, has been the only naloxone spray allowed on the market due to an exclusivity agreement between the pharmaceutical company that owns it — Emergent BioSolutions — and the company that makes the spray device. This deal is ending thanks to New York Attorney General Letitia James, who has made it possible, via an agreement with Emergent, for other companies to use the patented, proprietary spray technology. Emergent, which bought Adapt, the creator of Narcan, will have to renegotiate these terms, James announced on Jan. 2. “Given the tragic, devastating effects of the opioid crisis, and the urgent need for additional drugs for the emergency treatment of opioid overdoses, my office will do whatever possible to ensure that there are no unnecessary impediments to the development of additional lifesaving opioid overdose reversal drugs,” she said. “I'm proud to announce that, starting today, additional companies will be able to gain access to these nasal spray devices. With more companies able to access this easy‐to‐use technology, our hope is that we can reduce the number of opioid overdose deaths across New York and this nation and save millions of additional lives.” A little history here: Adapt Pharma launched Narcan in February 2016, a year before the State Targeted Response (STR) grants were issued. Narcan is patented, but naloxone had been used for decades in the emergency treatment of opioid overdoses, by first responders and medical workers. In October 2018, in the middle of the lucrative STR (which no longer had to be 80% treatment) and State Opioid Response funding cycles, Emergent bought Adapt — for Narcan. Adapt had already entered into the contract with the nasal spray device manufacturer. Other pharmaceutical companies had been trying to develop a nalmefene overdose reversal drug using the device.     

How does naloxone distribution relate to opioid overdose deaths?

The $64,000 question — or however much money has been spent on naloxone, the lifesaving medication that rescues opioid overdose victims — is whether the distribution of the medication has an effect on overdose deaths.     

The Utility of Personality Inventories in the Employee Assistance Process

Abstract

A study was conducted to assess the usefulness of objective measures of personality in (a) the identification of employees in need of an employee assistance program (EAP) and (b) the evaluation of employee mental health change as a result of EAP participation. In addition, comparisons of EAP referred and non-referred employees were made on race, sex, age, and performance variables. MMPI, CPI, and SRA-Verbal Form test data from all or part of a sample of 376 police officers referred for fitness-for-duty evaluations were used in various analyses. Many of the officers were reassessed following an EAP intervention, while others chose not to accept the intervention (forming a natural control group). It was found that the MMPI-2 has the potential utility in both the identification and evaluation stages of the EAP process. Males and black employees were found to more likely to be referees to an EAP. Finally, it was found that referred employee performance was more than a half a standard deviation lower than that of non-referred employees.     

Correction

In “Is naloxone really needed in buprenorphine product?” (ADAW, June 10), there is an error. The sentence reading “But it is known that naloxone, an opioid antagonist (it is the active ingredient of Vivitrol)…” should have read “But it is known that naloxone, an opioid antagonist (it is the active ingredient of Narcan).…” We regret the error.     

Reasons for Not Reporting Victimizations to the Police: Do They Vary for Physical and Sexual Incidents?

Victimization is a significant problem among college students, but it is less likely to be reported to the police than are victimizations in the general population. Objective: In this study, the authors examined (1) whether reasons for not reporting varied by type of victimization (sexual or physical) and (2) victim-, offender-, and incident-related predictors of these reasons. Participants: To address these objectives, the authors used data collected from 492 female college students. Methods: The authors recruited women via flyers placed around campus that asked them to come to the student health center to complete anonymous surveys. Results: Findings from within-subject analyses indicated that women were more likely to cite the following reasons for not reporting a sexual rather than a physical victimization: the incident would be viewed as their fault, they were ashamed, they did not want anyone to know about the incident, or they did not want the police involved. Results from logistic regression analyses indicated that the predictors of not reporting also varied across crime types. Conclusions: The authors discuss study implications for campus-based prevention strategies.     

“A Run-in with the Cops Is Really Few and Far Between”: Negative Evidence and Ethnographic Understanding of Racial Discrimination by Police

ABSTRACT

Statistics show that blacks are subjected to disproportionately more policing than whites, and more often interpret their encounters with police as affected by racial discrimination. The ethnographic evidence supports the numbers, but this body of work, I suggest, has been too focused on blacks’ experiences with prejudicial policing. A fruitful but largely unexplored way to advance the ethnographic study of police discrimination is to collect and analyze data from the group receiving preferential treatment from officers: whites. In practice, this often involves collecting and analyzing nonevents, such as not being stopped by police. This article’s purpose is to outline and illustrate the benefits and difficulties of such research by drawing on Lewis and Lewis’s 1980 typology of “negative evidence” and findings from my study of 30 white drug dealers.     

The SIF debate: Lines drawn with Rosenstein op‐ed,but truth may lie in the middle

The federal Department of Justice is not going to allow supervised injection facilities (SIFs) to go forward, with Rod J. Rosenstein, deputy attorney general, drawing a clear line in the sand in an Aug. 27 op‐ed in The New York Times ( https://www.nytimes.com/2018/08/27/opinion/opioids‐heroin‐injection‐sites.html ). “Advocates euphemistically call them ‘safe injection sites,’ but they are very dangerous and would only make the opioid crisis worse,” he wrote, calling them “B.Y.O.D.” facilities (for “bring your own drugs,” which they are). In SIFs, people can be revived by naloxone if they overdose; if they inject alone, which happens often, they can't.     

Precinct Domestic Violence Teams: Whose Goals Should Determine Program Activities?

ABSTRACT

This article describes an urban community's attempts to increase domestic violence survivors' participation in the criminal justice system by combining social work advocacy, specialized police officers, and prosecutors into precinct domestic violence teams. An analysis of the outcomes of 1,057 domestic violence reports found that the presence of the teams did not result in increased survivor participation in prosecution. A survey of 265 of the survivors indicated that prosecution was rarely a goal of the survivors, whose participation was needed to meet the goals of the criminal justice system. This study illustrates the importance of learning the views of people that interventions are designed to help.     

“Whoa! They Could’ve Arrested <Emphasis Type="Italic">Me</Emphasis>!”: Unsuccessful Identity Claims of Women During Police Response to Intimate Partner Violence

Many jurisdictions in the U.S. have implemented mandatory arrest policies in an attempt to limit police officers’ discretion in their arrest decisions when responding to intimate partner violence calls. Drawing from semi-structured interviews with female victims of intimate partner violence, I explore the ways in which mandatory arrest policies have influenced the identity work of women during their interactions with police officers. I focus specifically on women’s “unsuccessful” identity claims: situations where women are unable to convince police officers that they are victims and situations where women are unable to convince officers that they are not victims. I examine the strategies that women use during their identity work and explore the consequences of women’s failed self presentations under mandatory arrest policies, the most significant of which is a woman’s arrest. I argue that under mandatory arrest policies, for many women, the risk of failed identity work is even more consequential than before these policies were established.     

Community policing in racialized communities: A potential role for police social work

ABSTRACT

Despite lack of strong empirical evidence about its effectiveness, community policing remains the approach of choice for police organizations in managing the complexity of crime and neighborhood disorder. It is also the preferred strategy for improving relations between police and racialized communities. Anchored in ongoing public conversations and protests about the tense relationships between police and racialized communities, this article offers a theoretical analysis of community policing. An overview of its objectives, principles, and use in Canada is first provided. Next, a critical reading of community policing is presented, which suggests that its end may be near, given that it has not fulfilled its promise of improved police-minority relations. Finally, the case of Abdirahman Abdi in Ottawa is discussed, to illustrate this failed promise. The author contends that, in the absence of a change model for transformation in police-minority relations, police social workers are an important but overlooked component of community policing. The article concludes with several recommendations, one of which is to employ police social workers in police organizations, since the challenge of community policing requires a multidisciplinary perspective that the police alone cannot provide.     

Transformational leadership and job satisfaction of police officers (carabineros) in Chile: the mediating effects of group identification and work engagement / Liderazgo transformacional y satisfacción laboral en carabineros de Chile: los efectos mediadores de la identificación con el grupo y el work engagement

Abstract

The aim of this paper is to examine the relationship between transformational leadership and work satisfaction, as well as to analyse the mediating role of group identification and work engagement in a police training process at a Chilean professional military institution. The sample was made up of 985 candidates representing all the candidates that joined the units of the country in the different locations. Officers and non-commissioned officers acting as instructors were considered ‘leaders’, while their ‘followers’ were the young candidates in the training period. It was found that all the relevant variables were positively and significantly interrelated, and a model of structural equations revealed that both work engagement and group identification played a mediating role in the relationship between transformational leadership and work satisfaction.     

Affirmative action,political representation,unions, and female police employment

Using data from three time periods (1981, 1987, and 1990/91), we analyze the factors that affect the hiring of female officers by municipal police departments. We find that affirmative action litigation significantly increased hiring of new female recruits, but female political representation in the form of female city councilors or mayors did not significantly affect the gender composition of police recruits. Consistent with co-worker discrimination, we find that hiring of female recruits is negatively related to the proportion of males already employed in the department. Furthermore, maledominated departments are more likely to employ fitness exams for recruits (a potential barrier to women) than are more integrated departments. The effect of a police union is mixed; there is some evidence that unions boost the hiring of female officers, yet unions are also associated with an increased likelihood of using fitness exams to screen new recruits.     

Assessing the Role of Gambling on Problematic Alcohol Consumption by Police Officers

While a number of studies have attributed critical incident stressors to alcohol abuse among police officers, no study has examined the role gambling, if any, plays on problematic alcohol consumption. Therefore, data from the Police Stress and Domestic Violence in Police Families in Baltimore, Maryland, 1997–1999 are analyzed to test the influence of gambling on problematic alcohol consumption engaged by police officers. Results indicated that gambling is significant in predicting problematic alcohol consumption. Burnout, peer drinking, and self-control also predicted the dependent variable. The study’s results, as well as the study’s limitations and directions for future research, are also discussed.     

Under 2% of Medicaid‐covered youths get MAT after OD: Study

Fewer than one‐third of youths receive addiction treatment after an opioid overdose, and only one in 54 receive pharmacotherapy (methadone, buprenorphine or naltrexone), a study published in JAMA Pediatrics reports. The researchers urge interventions to link these youths to treatment after an overdose, and call for improving access to medications: methadone, buprenorphine, and naltrexone.     

Sociologist Austin Turk and Policing: Structural Reinforcers and Reversals of the Positional Authority of Police

Austin Turk (1969) offers a distinctly sociological explanation of policing by theorizing that structural reinforcers (e.g., older police officer, younger citizen) and reversals (e.g., younger police officer, older citizen) of the situationally absolute positional authority of police officers affect the relationship between police officers and citizens. To this point, however, there have been only three direct tests of Turk’s theory ( Greenleaf and Lanza‐Kaduce, 1995 ; Lanza‐Kaduce and Greenleaf, 2000 ; Weidner and Terrill, 2005 ). All have examined overt conflict and the results are mixed. The present research therefore adds a fourth test of Turk’s (1969) theory to the sociological literature by examining the effects of structural reinforcers and reversals on citizens’ perceptions of the legitimacy and propriety of police actions during routine traffic stop encounters. Net of control measures, including the legal reason for the traffic stop, and extra‐legal measures, such as driver gender, the data provide modest to strong support for parts of Turk’s (1969) theory and absolutely no support for others. The conclusion of the present study is that more research is needed to determine whether Turk (1969) is correct in theorizing that there is a sociology, and not just a social psychology, to police‐citizen encounters.