Leveraging Body-Worn Camera Footage to Better Understand Opioid Overdoses and the Impact of Police-Administered Naloxone.

Objectives. To investigate what transpires at opioid overdoses where police administer naloxone and to identify the frequency with which concerns about police-administered naloxone are observed. Methods. We reviewed body-worn camera (BWC) footage of all incidents where a Tempe, Arizona police officer administered naloxone or was present when the Tempe Fire Medical Rescue (TFMR) administered it, from February 3, 2020 to May 7, 2021 (n = 168). We devised a detailed coding instrument and employed univariate and bivariate analysis to examine the frequency of concerns regarding police-administered naloxone. Results. Police arrived on scene before the TFMR in 73.7% of cases. In 88.6% of calls the individual was unconscious when police arrived, but 94.6% survived the overdose. The primary concerns about police-administered naloxone were rarely observed. There were no cases of improper naloxone administration or accidental opioid exposure to an officer. Aggression toward police from an overdose survivor rarely occurred (3.6%), and arrests of survivors (3.6%) and others on scene (1.2%) were infrequent. Conclusions. BWC footage provides a unique window into opioid overdoses. In Tempe, the concerns over police-administered naloxone are overstated. If results are similar elsewhere, those concerns are barriers that must be removed. (Am J Public Health. 2022;112(9):1326-1332. https://doi.org/10.2105/AJPH.2022.306918).

Re-assessing measurement error in police calls for service: Classifications of events by dispatchers and officers.

Police calls for service are an important conduit by which officers and researchers can obtain insight into public requests for police service. Questions remain, however, about the quality of these data, and, particularly, the prevalence of measurement error in the classifications of events. As part of the present research, we assess the accuracy of call-types used by police dispatchers to describe events that are responded to by police officers. Drawing upon a sample of 515,155 calls for police service, we explore the differences among initial call-types, cleared call-types, and crime-types as documented in crime reports. Our analyses reveal that although the majority of calls for service exhibit overlap in their classifications, many still exhibit evidence of misclassification. Our analyses also reveal that such patterns vary as a function of call- and crime-type categories. We discuss our findings in light of the challenges of the classification process and the associated implications.