Communities across the United States are working to improve community-based mental health crisis response, with 1 goal being to reduce criminal legal system involvement among individuals with mental illnesses, behavioral disorders, or mental health crises. Existing and recently developed models can generally be divided into non-law enforcement-based response models and law enforcement-based response models. Wide variation exists in terms of staffing, how response teams are called out or dispatched, hours of operation and immediacy of response, and approaches to crisis resolution.

OBJECTIVE: Aim: To study the attitude of law enforcement officers to motor activity and investigate its impact on their health.
METHODS: Materials and Methods: The research, which was conducted in 2022-2024, involved 163 law enforcement officers under the age of 30. Research methods: bibliosemantic, questionnaire, testing, medical and biological methods, methods of mathematical statistics.
RESULTS: Results: It has been found that the vast majority of law enforcement officers (85.3 %) understand the importance of motor activity as a factor of a healthy lifestyle, its impact on physical and mental health, and quality of their professional activities. At the same time, only 27.6 % of law enforcement officers systematically engage in motor activity, 52.8 % do it sporadically, and 25.8 % do not engage in it at all. Among the reasons that prevent them from exercising are lack of time (65.6 %), lack of desire (31.3 %), and fatigue after a service day (28.1 %). It has been found that law enforcement officers who systematically engage in motor activity have a significantly better level of health (7.31 points) compared to those who engage in occasional motor activity (5.07 points) and do not engage at all (2.19 points).
CONCLUSIONS: Conclusions: The positive impact of motor activity on the level of health of law enforcement officers has been proved. Good health is a guarantee of high resistance of law enforcement officers to negative factors of professional activities, professional longevity, and quality of their professional tasks.

OBJECTIVE: Aim: To investigate the dynamics of law enforcement officers\' physical and mental health components while performing their duties during the war in Ukraine.
METHODS: Materials and Methods: The research, which was conducted in 2022-2024, involved 114 law enforcement officers (male) from the Kharkiv oblast (Ukraine) of different ages: under 30 (n = 35), under 40 (n = 41), over 40 (n = 38). To test law enforcement officers\' physical and mental health indicators, we used 3 methods: 1) \"Fatigue-Monotony-Oversaturation-Stress\"; 2) \"Well-being-Activity-Mood\"; 3) \"Assessment of Nervous and Emotional Stress\".
RESULTS: Results: The negative dynamics of most components of the physical and mental health of law enforcement officers of all three groups while performing their duties during the martial law were revealed. The most pronounced significant changes occurred in such components as \"Fatigue\", \"Oversaturation\", \"Stress\", \"Well-being\", \"Mood\", \"Nervous and Emotional Stress\". The most pronounced negative changes in most components occurred in law enforcement officers over 40 years old, which is due to both the age characteristics of the subjects and their length of service.
CONCLUSIONS: Conclusions: The research confirms the high complexity and extremity of law enforcement officers\' service activities during the martial law, as well as the high requirements for law enforcement officers\' readiness to perform tasks in the context of a significant expansion of the National Police\'s powers. The results obtained also necessitate the search for effective ways to preserve and maintain the physical and mental health of law enforcement officers.

OBJECTIVE: Aim: To study the study the impact of negative factors of professional activities on the health of law enforcement officers.
METHODS: Materials and Methods: The research involved 89 law enforcement officers (58 men, and 31 women) who served for a year in practical police units after graduating from a higher educational institution. Methods: analysis and generalization of scientific and methodological literature, anthropometry, physiometry, testing, and statistical methods. The health status was assessed by body mass index, Robinson index, and vital index.
RESULTS: Results: It was found that the body mass index of law enforcement officers for one year of service in practical units deteriorated in both men and women by 1.3 kg/m2 and 0.9 kg/m2, respectively. More negative changes were observed in men. At the same time, after one year of service, the number of men with overweight (27.5 %) and even obesity of the first (13.9 %) and second (5.2 %) degrees increased significantly. In women, the changes were less pronounced. The dynamics of Robinson and vital indices, as well as the level of physical fitness, were also negative.
CONCLUSIONS: Conclusions: The results of the research indicate a negative impact of professional factors in terms of professional activities on the health of law enforcement officers. It has been found that adherence to the principles of a healthy lifestyle, in particular, a regimen of rationally organized motor activity, is an important area in combating the impact of negative factors of professional activities on the health of law enforcement officers.

BACKGROUND: The spread of illicitly manufactured fentanyl is driving steep increases in US overdose deaths. Fentanyl seizures are correlated with state-level opioid-related mortality; however, more granular seizure surveillance information has the potential to better inform overdose prevention and harm reduction efforts.
METHODS: Using data on fentanyl pill and powder seizures from High Intensity Drug Trafficking Areas (HIDTA), we tested associations between seizure prevalence and overdose mortality, from 2013 to 2020. The primary exposure-seizure burden-was constructed by identifying counties having high (above the median) prevalence of pill, powder, or combined pill/powder seizure burden per 100,000 population. Poisson models accounted for county demographic, law enforcement and time trends.
RESULTS: During the timeframe, there were 13,842 fentanyl seizures in 606 US counties. In adjusted models, counties with a high burden of pill or powder fentanyl seizures, or both (combined pills/powder) exhibited higher total overdose mortality than non-high burden counties (pills adjusted prevalence ratio [aPR]: 1.10 [95 % confidence interval [CI]: 1.08, 1.12]; powder aPR 1.12 [CI: 1.11, 1.13]; combined pills/powder aPR: 1.27 [CI: 1.25, 1.29]). A similar pattern of associations with fentanyl seizure burden was noted for overdose deaths involving synthetic opioids (pills [aPR]: 0.99 [CI: 0.96, 1.02]; powder aPR 1.29 [CI: 1.27, 1.30]; combined pills/powder aPR 1.55 [CI: 1.52, 1.58]).
CONCLUSIONS: Law enforcement data on fentanyl seizures predicts drug overdose mortality at the county-level. Integrating these data with more traditional epidemiologic surveillance approaches has the potential to inform community overdose response efforts.

BACKGROUND: Occupational trauma is heightened among police officers due to their exposure to physical, biological, chemical, and psychological hazards. Sustained occupational trauma results in mental illness among members of the police, which is a public health issue of concern. This study aimed to report a scoping review of the literature on strategies employed by police officers for coping with occupational trauma around the globe.
METHODS: A search string, formulated from the review question of what is known about the strategies of police officers for coping with occupational trauma, was used to search for articles from databases. A total of 588 hits were screened against inclusion criteria, resulting in 36 full-text studies between 1983 and 2022 being included in this review. Data were extracted using a standardised data extraction tool. The multi-step process was used to analyse the extracted data, integrating quantitative and qualitative approaches.
RESULTS: From this review, \'adaptive coping mechanisms\', involving confrontation; \'maladaptive coping mechanisms\', such as self-isolation, distancing and substance use; \'resilience\', relating to mental preparation, and \'seeking support systems\' from family, colleagues and professionals reflected the strategies used by police officers to cope with occupational trauma. Social stigma related to mental health disorders impacts the strategies used by police officers to cope with occupational trauma.
CONCLUSIONS: the police management and healthcare practitioners must collaborate towards providing constructive environments that support and strengthen police officers\' strategies for coping with occupational trauma.

BACKGROUND: Sex trafficking victims often have touchpoints with salons for waxing, styling, and other body modification services required by traffickers. Recently, some states have administered laws requiring salon professionals to receive intimate partner violence (IPV)-related training, with even fewer states mandating training on identifying sex trafficking. This study aimed to understand how salon professionals have witnessed evidence of violence, including IPV and sex trafficking, in the workplace and to explore the differences in their approach to each type of victim.
METHODS: In-depth interviews were conducted with salon professionals (N = 10) and law enforcement professionals/policymakers (N = 5). Content and thematic analysis techniques were used.
RESULTS: Salon professionals typically identified potential violence through signs such as bruises, odd behavior, and client disclosures, prompting them to engage in cautious conversations. Yet, few were trained to identify and intervene. Often, they responded to suspected violence by talking with the client, sharing concerns with salon leadership, directly intervening on the client\'s behalf, or contacting the police. Law enforcement and salon professionals had suggestions about improving salon professionals\' recognition of and response to violence, including training on victim-focused resources, creating a safe environment, and building relationships with law enforcement. They also suggested strengthening community partnerships to increase resource advocacy and reporting.
CONCLUSIONS: One-on-one salon services may provide a unique opportunity to intervene and identify victims of violence, especially when empowered through additional training and collaborative partnerships with community-oriented policing initiates. Implementing training and community-based initiatives could aid salon professionals in gaining greater confidence in knowing what to do when serving a client who is a victim of IPV or sex trafficking.

Fitness testing is employed by some law enforcement agencies to assure performance in occupational tasks. The aim of this study was to investigate associations between musculoskeletal fitness assessment scores and performance in police occupational tasks. Retrospective data from 106 law enforcement officers who completed five musculoskeletal fitness assessments (vertical jump (VJ), hand grip strength, leg back dynamometer, 1-minute push-ups and sit-ups) and three routine occupational tasks (1.22m fence jump (FJ), 8.5m victim drag (VD) with 101kg and a get-up (GU)) were collected. A standard multiple regression was performed to determine if the results in fitness assessments were predictive of performance in the occupational tasks. Models combining all fitness assessments significantly predicted performance in FJ (F(5,88)=12.228, p<0.001; adjusted R2=0.38), VD (F(5,88)=9.407, p<0.001; adjusted R2=0.31) and GU (F(5,87)=14.319, p<0.001; adjusted R2=0.42). Further analysis of individual predictors highlighted that performance in the VJ test was a significant contributor for all models, uniquely predicting 15% of FJ (p<0.001), 4% of VD (p=0.03) and 8% of GU (p=0.001) performance. Grip strength uniquely contributed 3% to performance in the VD (p=0.05) and performance in the sit-up test contributed 8% to GU performance (p=0.001). Performance in police-specific occupational tasks requires a combination of muscular strength, power, and endurance. These musculoskeletal fitness components should be ideally assessed in recruitment and return-to work practices to ensure officers can safely and optimally perform their occupational requirements.

UNASSIGNED: Law enforcement professionals who investigate crimes involving child sexual abuse material face increased risk of mental health challenges, including burnout. This study aims to develop a data-driven self-assessment tool for law enforcement personnel exposed to child sexual abuse material. The tool assesses burnout symptoms and related mental health issues, offering a proactive approach to identifying and supporting individuals at risk.
UNASSIGNED: A mixed-methods investigation involved 500 police investigators and forensic examiners across the U.S. The study utilized a convenience sample recruited through various channels connected with the National Criminal Justice Training Center.
UNASSIGNED: Twenty percent of participants exhibited high burnout. The Burnout Self-Assessment Tool demonstrated a sensitivity of 69.6% and specificity of 74.6% at a cut-off point ≥2, correctly classifying 73.6% of the sample. Individuals with scores ≥2 were 3.47 times more likely to be experiencing high burnout than peers with a score of zero, with increasing odds with each additional score. High burnout was associated with longer tenure in current positions.
UNASSIGNED: The Burnout Self-Assessment Tool offers a short and simple self-assessment tool for law enforcement professionals exposed to child sexual abuse material, aiding in the early identification of burnout symptoms. A cut-off point ≥2 provides a data-driven strategy for identifying individuals at increased risk, promoting timely intervention and support to mitigate burnout\'s adverse effects on mental well-being and professional performance. The Burnout Self-Assessment Tool\'s sensitivity and specificity balance enhances its utility, providing a proactive approach to address the unique mental health challenges faced by law enforcement personnel combating crimes involving child sexual abuse material.

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