关键词: deservedness first responders lived experience opioid crisis opioid use disorder

Mesh : Humans Male Female Opioid-Related Disorders / psychology Adult Emergency Responders / psychology statistics & numerical data Surveys and Questionnaires Opioid Epidemic / trends statistics & numerical data Middle Aged

来  源:   DOI:10.1017/dmp.2024.79

Abstract:
OBJECTIVE: This study provides preliminary findings on the experiences of first responders during the opioid crisis and their viewpoints regarding whether clients with opioid use disorder deserve medical rehabilitation. Understanding associations between first responder experiences and viewpoints of client deservedness can help reduce stigma, improve compassionate care, and identify training gaps.
METHODS: Analyses were run with data from a nationwide survey of Emergency Medical Services-providers and law enforcement workers collected from August to November 2022 (N = 3836). The study used univariate statistics and ordered logistic regression to understand first responders\' experiences and viewpoints on client deservedness, as well as the relationship between the two.
RESULTS: Results show a negative correlation between responding to overdose calls and perceiving clients with opioid use disorder as deserving of medical rehabilitation. Law enforcement, males, and conservatives also had negative viewpoints. Conversely, having a friend experience addiction and believing addiction has had a direct impact on respondents\' lives predicted increases in client deservedness.
CONCLUSIONS: Policy should focus on creating spaces where first responders can have positive interactions with people who use drugs or are in recovery. Better training is needed to help first responders manage on-the-job stressors and understand the complexities of addiction.
摘要:
目的:这项研究提供了阿片类药物危机期间急救人员的经验以及他们对阿片类药物使用障碍患者是否值得医疗康复的观点的初步发现。了解第一响应者的经历和客户应得的观点之间的关联可以帮助减少污名,改善同情关怀,并确定培训差距。
方法:使用2022年8月至11月收集的全国紧急医疗服务提供者和执法人员调查数据进行分析(N=3836)。该研究使用单变量统计和有序逻辑回归来了解第一响应者对客户应得的经验和观点,以及两者之间的关系。
结果:结果表明,对过量电话的反应与认为阿片类药物使用障碍的客户值得医疗康复之间存在负相关。执法部门,男性,保守派也有负面观点。相反,有一个朋友经历成瘾并相信成瘾对受访者的生活有直接影响,预测客户应得的增加。
结论:政策应侧重于创造第一反应者可以与使用药物或正在康复的人进行积极互动的空间。需要更好的培训来帮助急救人员管理工作压力源并了解成瘾的复杂性。
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