Strategies for Improving Police Response Models involving Opioid Overdoses and Overdose Deaths

Authors

  • Thomas B. Sease
  • Wayne Lehman Institute of Behavioral Research, Texas Christian University
  • Jennifer Pankow
  • Jac Charlier
  • Renee Castillo
  • Jennifer Becan
  • Kevin Knight

DOI:

https://doi.org/10.5281/zenodo.15223156

Keywords:

Law Enforcement, Opioid Overdose, Community Linkage, Trauma, Impact on Children, Officer Well-being, Deflection, Pre-Arrest Diversion, Co-responder, Community Safety, Criminal Justice, SDG 1, SDG 3, SDG 5, SDG 10, SDG 16, SDG

Abstract

Deflection programs have emerged as a promising approach to addressing the opioid overdose crisis, offering an innovative alternative to traditional criminal justice approaches. A variety of collaborative initiatives bring together law enforcement, first responders, and behavioral health agencies to redirect individuals away from the criminal-legal system and toward supportive community-based services. Implemented across the United States, these programs have shown significant positive outcomes, including reduced overdose deaths, fewer police encounters, and lower incarceration rates. As the deflection field continues to evolve, the next generation of deflection initiatives are positioned to expand their community impact by focusing on four critical areas of intervention: 1) supporting impacted children and families, 2) implementing trauma-informed practices, 3) addressing law enforcement well-being, and 4) enhancing community engagement. By emphasizing these interconnected components, deflection programs have the potential to significantly improve participant engagement, transform police-community relationships, and ultimately achieve better long-term behavioral health outcomes.

Keywords: Law Enforcement, Opioid Overdose, Community Linkage, Trauma, Impact on Children, Officer Well-being, Deflection, Pre-Arrest Diversion, Co-responder

 

References

Ali, M. M., Henke, R. M., Mutter, R., O'Brien, P. L., Cutler, E., Mazer-Amirshahi, M., & Pines, J. M. (2019). Family member opioid prescriptions and opioid use disorder. Addictive Behaviors, 95, 58-63.

Alhussain, K., Shah, D., Thornton, J. D., & Kelly, K. M. (2019). Familial opioid misuse and family cohesion: impact on family communication and well-being. Addictive Disorders & Their Treatment, 18(4), 194-204. https://doi.org/10.1097/ADT.0000000000000165

Bailey, A., Harrington, C., & Evans, E. A. (2023). A scoping review of community-based post-opioid overdose intervention programs: implications of program structure and outcomes. Health & Justice, 11(1), 3. https://doi.org/10.1186/s40352-022-00201-w

Bath, H. (2008). The three pillars of trauma-informed care. Reclaiming Children and Youth, 17(3), 17-21. https://elevhalsan.uppsala.se/globalassets/elevhalsan/dokument/psykologhandlingar/trauma-informed-care.pdf

BJA, & USDOJ. (2021). Report of the National Survey to Assess First Responder Deflection Programs in Response to the Opioid Crisis. https://bja.ojp.gov/library/publications/report-national-survey-assess-first-responder-deflection-programs-response

Blue, K., Donovan, A., Fleck-Henderson, A., Fulambarker, A., Neyland, K., Speakman, E., Warnick, J., & Weiner, A. (2020). Guide for a Trauma-Informed Law Enforcement Initiative Based on experience in Cambridge, Massachusetts. https://www.cambridgema.gov/- /media/Files/policedepartment/SpecialReports/guideforatraumainformedlawenforcementinitiative.pdf

Borum, R., Deane, M., Steadman, H., [#0026] Morrissey, J. (1998). Police perspectives on responding to mentally ill people in crisis: perceptions of program effectiveness. Behavioral Sciences and the Law, 16, 393-405.

Brundage, S. C. (2019). The Ripple Effect: The Impact of the Opioid Epidemic on Children and Families Recommendations for an Action Agenda Based on a Multidisciplinary Meeting. www.uhfnyc.org

Bureau of Justice Assistance (2023). Law enforcement and first responder deflection: Pathways to deflection case studies series. CHJ-TASC_Pathways_to_Deflection_First_Responder_and_Officer_Referral.pdf

Carroll, J. J., Mital, S., Wolff, J., Noonan, R. K., Martinez, P., Podolsky, M. C., Kilorin, J. C., & Green, T. C. (2020). Knowledge, preparedness, and compassion fatigue among law enforcement officers who respond to opioid overdose. Drug Alcohol and Dependence, 217, 108257. https://doi.org/10.1016/j.drugalcdep.2 020.108257.

Carroll, J. J., Cummins, E. R., Formica, S. W., Green, T. C., Bagley, S. M., Beletsky, L., Rosenblood, D., Xuan, Z., & Walley, A. Y. (2023). The police paradox: A qualitative study of post-overdose outreach program implementation through public health-public safety partnerships in Massachusetts. International Journal of Drug Policy, 120, 104160. https://doi.org/10.1016/j.drugpo.2023.104160

Centers for Disease Control and Prevention (2022). Building trauma-informed communities. Building Trauma-Informed Communities | Blogs | CDC

Centers for Disease Control and Prevention. State Unintentional Drug Overdose Reporting System (SUDORS). Final Data. Atlanta, GA: US Department of Health and Human Services, CDC; [2024, February, 26]. Access at: https://www.cdc.gov/overdose-prevention/data-research/facts-stats/sudors-dashboard-fatal-overdose-data.html

Dees, T. (2024). Exhausted and overworked: ‘What Cops Want’ Survey highlights officer wellbeing concerns. In Police1, What Cops Want in 24. https://www.police1.com/what-cops-want/digital-edition-what-cops-want-in-2024

Dennis, B. B., Bowles, J., Johnson, C., De Wolfe, T., Mundel, E., Fast, D., Boyd, J., Fleury, M., Bach, P., Fairbairn, N., Socías, M. E., Ti, L., Hayashi, K., DeBeck, K., Milloy, M. J., Felicella, G., Morgan, J., Eekhoudt, C. R., McGrail, K., … Nolan, S. (2024). Road to Recovery: protocol for a mixed-methods prospective cohort study evaluating the impact of a new model of substance use care in a Canadian setting. BMJ Open, 14(9), e090608-. https://doi.org/10.1136/bmjopen-2024-090608

Knight, K., Charlier, J., & Flynn, P. (2018). Law Enforcement Needn’t Serve Alone on the Front Lines of the Opioid Crisis - Police Chief Magazine. Police Chief Magazine, 12. https://www.policechiefmagazine.org/law-enforcement-neednt-serve-alone/

Seo, D. C., Satterfield, N., Alba-Lopez, L., Lee, S. H., Crabtree, C., & Cochran, N. (2023). “That’s why we’re speaking up today”: exploring barriers to overdose fatality prevention in Indianapolis’ Black community with semi-structured interviews. Harm Reduction Journal, 20(1), 159. https://doi.org/10.1186/s12954-023-00894-8

Drew, J. M. & Martin, S. (2021). A national study of police mental health in the USA: Stigma, mental health and help-seeking behaviors. Journal of Police and Criminal Psychology, 36(2), 295-306. https://doi.org/10.1007/s11896-020-09424-9

Treadwell, J. (2014). Case Management and Care Coordination : Supporting Children and Families to Optimal Outcomes. Springer International Publishing.

Labriola, M., Peterson, S., Taylor, J., Sobol, D., Reichert, J. A., Ross, J., Charlier, J., & Juarez, S. (2023). A multi-site evaluation of law enforcement deflection in the United States. RAND. https://www.researchgate.net/profile/Jessica-Reichert-2/publication/379753932_A_multi-site_evaluation_of_law_enforcement_deflection_in_the_United_States/links/66183f6443f8df018defef31/A-multi-site-evaluation-of-law-enforcement-deflection-in-the-United-States.pdf

Levine, K. L., Hinkle, J. C., & Griffiths, E. (2021). Making deflection the new diversion for drug offenders. Ohio State Journal of Criminal Law, 19, 75. Law Journal Library - HeinOnline.org

NADEC. (2023). About Us - National Alliance For Drug Endangered Children. https://nationaldec.org/about-us/

NCTSN. (2008). Service Systems Brief: Creating a Trauma-Informed Law Enforcement System | The National Child Traumatic Stress Network. NCTSN Services Systems Briefs, 2(1), 7. https://www.nctsn.org/resources/service-systems-brief-creating-trauma-informed-law-enforcement-system

Mazur, W. & Collins, J. (2023). 6 trauma management best practices for police organizations: Make mental health a priority to strengthen your personnel’s resilience. Police1. https://www.police1.com/wellness-week/articles/6-trauma-management-best-practices-for-police-organizations-072vcMU52kLWSRhH/

Mattson, C. L. (2021). Trends and geographic patterns in drug and synthetic opioid overdose deaths—United States, 2013–2019. MMWR. Morbidity and Mortality Weekly Report, 70. http://dx.doi.org/10.15585/mmwr.mm7006a4

Miller, N., Fiori, H., Charlier, J., & Rainer, P. (2023). Trauma and the Opioid Crisis: Perceived Impacts on First Responders. COSSUP Resources, 1–12. https://www.cossup.org/Content/Documents/Articles/CHJ-TASC_Opioid_Crisis_Perceived_Impacts_on_Overdose_First_Responders_Dec2023.pdf

Nguyen, A. P., Glanz, J. M., Narwaney, K. J., & Binswanger, I. A. (2020). Association of opioids prescribed to family members with opioid overdose among adolescents and young adults. JAMA Network Open, 3(3), e201018-e201018. https://doi.org/10.1001/jamanetworkopen.2020.1018

Otto, H. D. & Gatens, A. (2022). Addressing police officer stress: A review of the literature. Illinois Criminal Justice Information Authority. https://icjia.illinois.gov/researchhub/articles/understanding-police-officer-stress-a-review-of-the-literature

Park, J. N., Rouhani, S., Belesky, L., Vincent, L., Saloner, B., & Sherman, S. G. (2020). Situating the Continuum of Overdose Risk in the Social Determinants of Health: A New Conceptual Framework. The Milbank Quarterly, 98(3), 700–746. https://doi.org/10.1111/1468-0009.12470

Reeves, E. (2015). A synthesis of the literature on trauma-informed care. Issues in Mental Health Nursing, 36(9), 698-709. https://doi.org/10.3109/01612840.2015.1025319

Sadulski (2023). Why stress management skills are so important for police officers. Public Safety Blog American Public University. https://www.apu.apus.edu/area-of-study/public-safety/resources/why-stress-management-skills-important-for-police-officers/

Shipton, E. A., Shipton, E. E., & Shipton, A. J. (2018). A review of the opioid epidemic: what do we do about it?. Pain and Therapy, 7, 23-36. https://doi.org/10.1007/s40122-018-0096-7

Spencer MR, Garnett MF, Miniño AM. Drug Overdose Deaths in the United States, 2002–2022. NCHS Data Brief, no 491. Hyattsville, MD: National Center for Health Statistics 2024. https://dx.doi.org/10.15620/cdc:135849

Substance Abuse and Mental Health Services Administration (2014). Practical guide for implementing a trauma-informed approach. Practical Guide for Implementing a Trauma-Informed Approach

Winstanley, E. L., & Stover, A. N. (2019). The impact of the opioid epidemic on children and adolescents. Clinical Therapeutics, 41(9), 1655-1662. https://doi.org/10.1016/j.clinthera.2019.06.003

Wisdom, A. C., Villamil, V., Govindu, M., Kursey, M., Peppard, L., Bates, R. A., Myrick, A., Snyder, C., & Noonan, R. K. (2022). The Martinsburg Initiative: A Collaboration Between Public Safety, Public Health, and Schools to Address Trauma and Substance Use. Journal of Public Health Management and Practice, 28, S355–S358. https://doi.org/10.1097/PHH.0000000000001591

Published

2025-04-22

How to Cite

B. Sease , T., Lehman, W., Pankow, J., Charlier, J., Castillo, R., Becan, J., & Knight, K. (2025). Strategies for Improving Police Response Models involving Opioid Overdoses and Overdose Deaths. Journal of Multidisciplinary Studies in Human Rights and Science, 7(2-8). https://doi.org/10.5281/zenodo.15223156

URN