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Two‐year outcomes following naloxone administration by police officers or emergency medical services personnel
Author(s) -
Lowder Evan M.,
Lawson Spencer G.,
O'Donnell Daniel,
Sightes Emily,
Ray Bradley R.
Publication year - 2020
Publication title -
criminology and public policy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.6
H-Index - 33
eISSN - 1745-9133
pISSN - 1538-6473
DOI - 10.1111/1745-9133.12509
Subject(s) - (+) naloxone , opioid overdose , medicine , medical emergency , emergency medical services , occupational safety and health , agency (philosophy) , poison control , injury prevention , emergency medicine , suicide prevention , opioid , philosophy , receptor , epistemology , pathology
Research Summary We conducted a retrospective, quasi‐experimental study of a police naloxone program to examine individual outcomes following nonfatal overdose where either police ( n = 111) or emergency medical services ( n = 1,229) provided a first response and administered naloxone. Individuals who received a police response were more likely to be arrested immediately following initial dispatch and had more instances of repeat nonfatal overdose two years following dispatch; there were no differences in rearrest or death rates. Findings suggest police naloxone programs may increase short‐term incarceration risk, but we found little evidence overall of long‐term adverse effects. Policy Implications Naloxone is a tool to reduce fatal opioid‐involved overdose. Its provision alone does not constitute a comprehensive agency response to the opioid epidemic. Findings support the need for standardized policies and procedures to guide emergency responses to nonfatal overdose events and ensure consistency across agencies.