عنوان انگلیسی مقاله:
“Its like super structural” – Overdose experiences of youth who use drugs and police in three non-metropolitan cities across British Columbia
ترجمه فارسی عنوان مقاله:
"این مانند ساختاری فوق العاده است" - تجربیات بیش از حد مصرف جوانان در سه شهر غیر کلانشهر بریتیش کلمبیا که از مواد مخدر و پلیس استفاده می کنند
Sciencedirect - Elsevier - International Journal of Drug Policy, 76 (2020) 102623. doi:10.1016/j.drugpo.2019.102623
Marion Selfridgea,⁎, Alissa Greerb, Kiffer G. Carda,c, Scott Macdonalda,d, Bernie Paulya,e
Introduction: Youth who use drugs (YWUD) are vulnerable to experience or encounter drug related overdose
deaths. Fentanyl has increased the risks, calling greater attention to overdose. In response, there have been
increases in harm reduction services and policies such as the Good Samaritan Drug Overdose Act (GSDOA) which
exempts people who witness an overdose and call 9–1–1 from being charged for possession of drugs. However,
fear of police continues to be a barrier to calling 9–1–1. This paper focuses on the experiences of youth with
police in overdose situations and their knowledge of GSDOA.
Methods: Youth, aged 16–30, who had used drugs at least weekly, and had encountered police in the past year
were recruited between May 2017 and June 2018 in three non-metropolitan cities in British Columbia, Canada.
38 participants completed qualitative interviews asking them about their experiences with police, overdose,
decisions to call 9–1–1, and their understanding of the GSDOA. Their responses were coded in NVIVO and
analyzed using interpretive description.
Results: For many YWUD in this study, overdoses are an ever-present part of their lives and fear of fentanyl has
left them concerned for themselves and others. Negative experiences occurred when police used their power
without benefit to youth or were rough or disrespectful, without care for the person overdosing. Youth saw
police in a positive light if they were compassionate, stepping aside for paramedics or reviving someone experiencing
an overdose. Youth had very mixed knowledge of the GSDOA and were concerned about criminalization
if they called 9–1–1.
Conclusions: Collaboration with police and local stakeholders is required to address the concerns of YWUD and
to increase awareness and penetration of policies such as the GSDOA. Changes to policing cultures that prioritize
health rather than criminalize YWUD may increase youths trust of police and increase calls to 9–1–1.
Keywords: Drug overdose | Youth who use drugs | Police discretion | Naloxone | Harm reduction