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The New York 911 Good Samaritan Law and Opioid Overdose Prevention Among People Who Inject Drugs
Author(s) -
Zadoretzky Cathy,
McKnight Courtney,
Bramson Heidi,
Des Jarlais Don,
Phillips Maxine,
Hammer Mark,
Cala Mary Ellen
Publication year - 2017
Publication title -
world medical and health policy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.326
H-Index - 11
ISSN - 1948-4682
DOI - 10.1002/wmh3.234
Subject(s) - opioid overdose , public health , criminology , law , medicine , criminal law , methadone , psychiatry , law enforcement , thematic analysis , harm reduction , psychology , qualitative research , medical emergency , sociology , opioid , nursing , political science , (+) naloxone , receptor , social science
This study examines how people who inject drugs (PWIDs) applied and experienced New York's Opioid Overdose Prevention Programs (OOPPs) and 911 Good Samaritan Law. Mixed‐methods interviews were conducted with a community sample of New York syringe exchange participants ( N = 225) and new admissions to methadone treatment ( N = 75) in 2013 and 2014. Most participants were unaware of explicit protections provided by New York law to witnesses (85 percent) or overdose victims (83 percent) who called 911 for assistance. However, 75 percent called 911 upon last witnessing an overdose and 85 percent were very likely to call 911 for future victims. Calling 911 was associated with knowing relatives or friends who died of overdose (AOR = 2.57; 95%CI: 1.28, 5.19), OOPP training since implementation of the 911 Good Samaritan Law (AOR = 1.55; 95%CI: 1.07, 2.24), and perceived importance of calling 911 (AOR = 2.12; 95%CI: 1.02, 4.40). Thematic patterns in qualitative data revealed that participants fearing criminal penalties delayed calling 911 or abandoned overdose victims after calling 911, risking victim morbidity and fatality. Misunderstanding of New York law and fear of criminal penalties undermined participants’ efforts to save lives, even when 911 was called. Public health outcomes may benefit by investigating how PWIDs misunderstand the 911 Good Samaritan Law.