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Some law enforcement officers' negative attitudes toward overdose victims are exacerbated following overdose education training.

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Title: Some law enforcement officers' negative attitudes toward overdose victims are exacerbated following overdose education training.
Authors: Winograd, Rachel P. (AUTHOR), Stringfellow, Erin J. (AUTHOR), Phillips, Sarah K. (AUTHOR), Wood, Claire A. (AUTHOR)
Source: American Journal of Drug & Alcohol Abuse. 2020, Vol. 46 Issue 5, p577-588. 12p.
Subjects: Police, Attitude (Psychology), Narcotic laws, Victims, People with drug addiction, Harm reduction, Principle (Philosophy)
Abstract: The devastating impact of the current opioid overdose crisis has led to new involvement of law enforcement officers. Training programs have focused on overdose recognition and response without targeting core attitudinal change by covering addiction or harm reduction principles. This study examined the impact of a comprehensive overdose education and naloxone distribution (OEND) training on officers' attitudes toward overdose victims, knowledge of and competence to respond to an opioid overdose, and concerns about using naloxone. The training included the common information about overdose recognition and response, with added components covering broader content about addiction and harm reduction principles and philosophies. A total of 787 (83% male) officers were administered surveys before and after attending a 2.5–3 hour comprehensive OEND training. Survey items measured overdose-related knowledge and attitudes, including attitudes about people who use drugs and who overdose. Following the training, participants' overdose-related knowledge and perceived competence to use naloxone improved. However, there were more nuanced changes in attitudes toward overdose victims: though 55.3% of officers reported more positive post-training attitudes, 31% reported more negative attitudes, and 13.7% reported no attitudinal change. Younger officers were most likely to report worsened attitudes. Improvements in attitudes toward overdose victims were associated with reductions in both naloxone-related concerns and risk compensation beliefs. Despite a comprehensive OEND training that addressed addiction and harm reduction and directly targeted hypothesized drivers of negative attitudes (e.g., risk compensation beliefs), some officers' attitudes worsened after the training. Randomized experiments of different training approaches would elucidate the mediators and moderators underlying these unexpected responses. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Some law enforcement officers' negative attitudes toward overdose victims are exacerbated following overdose education training.
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  Data: <searchLink fieldCode="AR" term="%22Winograd%2C+Rachel+P%2E%22">Winograd, Rachel P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stringfellow%2C+Erin+J%2E%22">Stringfellow, Erin J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Phillips%2C+Sarah+K%2E%22">Phillips, Sarah K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wood%2C+Claire+A%2E%22">Wood, Claire A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Drug+%26+Alcohol+Abuse%22">American Journal of Drug & Alcohol Abuse</searchLink>. 2020, Vol. 46 Issue 5, p577-588. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Police%22">Police</searchLink><br /><searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Narcotic+laws%22">Narcotic laws</searchLink><br /><searchLink fieldCode="DE" term="%22Victims%22">Victims</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+drug+addiction%22">People with drug addiction</searchLink><br /><searchLink fieldCode="DE" term="%22Harm+reduction%22">Harm reduction</searchLink><br /><searchLink fieldCode="DE" term="%22Principle+%28Philosophy%29%22">Principle (Philosophy)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The devastating impact of the current opioid overdose crisis has led to new involvement of law enforcement officers. Training programs have focused on overdose recognition and response without targeting core attitudinal change by covering addiction or harm reduction principles. This study examined the impact of a comprehensive overdose education and naloxone distribution (OEND) training on officers' attitudes toward overdose victims, knowledge of and competence to respond to an opioid overdose, and concerns about using naloxone. The training included the common information about overdose recognition and response, with added components covering broader content about addiction and harm reduction principles and philosophies. A total of 787 (83% male) officers were administered surveys before and after attending a 2.5–3 hour comprehensive OEND training. Survey items measured overdose-related knowledge and attitudes, including attitudes about people who use drugs and who overdose. Following the training, participants' overdose-related knowledge and perceived competence to use naloxone improved. However, there were more nuanced changes in attitudes toward overdose victims: though 55.3% of officers reported more positive post-training attitudes, 31% reported more negative attitudes, and 13.7% reported no attitudinal change. Younger officers were most likely to report worsened attitudes. Improvements in attitudes toward overdose victims were associated with reductions in both naloxone-related concerns and risk compensation beliefs. Despite a comprehensive OEND training that addressed addiction and harm reduction and directly targeted hypothesized drivers of negative attitudes (e.g., risk compensation beliefs), some officers' attitudes worsened after the training. Randomized experiments of different training approaches would elucidate the mediators and moderators underlying these unexpected responses. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/00952990.2020.1793159
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        Text: English
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        PageCount: 12
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        Type: general
      – SubjectFull: Attitude (Psychology)
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      – SubjectFull: Narcotic laws
        Type: general
      – SubjectFull: Victims
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      – SubjectFull: People with drug addiction
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      – SubjectFull: Harm reduction
        Type: general
      – SubjectFull: Principle (Philosophy)
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    Titles:
      – TitleFull: Some law enforcement officers' negative attitudes toward overdose victims are exacerbated following overdose education training.
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            NameFull: Winograd, Rachel P.
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            NameFull: Stringfellow, Erin J.
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            NameFull: Phillips, Sarah K.
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            NameFull: Wood, Claire A.
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              Text: 2020
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