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Warrant checking practices by post-overdose outreach programs in Massachusetts: A mixed-methods study.

Marco E Tori1, Emily Cummins1, Leo Beletsky2

  • 1Boston Medical Center and Boston University School of Medicine, Grayken Center for Addiction, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, 801 Massachusetts Ave, 2nd Floor, Boston, MA 02118, United States.

The International Journal on Drug Policy
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PubMed
Summary
This summary is machine-generated.

Post-overdose outreach programs often check warrants, which can lead to arrest or delayed services for survivors. Limiting warrant checks may improve engagement and harm reduction efforts for overdose survivors.

Keywords:
OverdosePolicePost-overdose outreachPublic healthWarrant checking

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Area of Science:

  • Public Health
  • Criminology
  • Sociology

Background:

  • Post-overdose outreach programs aim to connect overdose survivors with harm reduction and treatment services.
  • These programs often utilize police and public health teams responding to 911 calls.
  • Some programs conduct arrest warrant checks before outreach visits.

Purpose of the Study:

  • To understand approaches to warrant checking in post-overdose outreach.
  • To identify program and community factors associated with different warrant checking strategies.
  • To explore the perspectives of police and public health outreach staff on warrant checking.

Main Methods:

  • Analysis of a 2019 statewide survey of post-overdose outreach programs in Massachusetts.
  • Classification of warrant checking approaches.
  • Ethnographic analysis of qualitative interviews with outreach staff (n=38).

Main Results:

  • A majority of programs (57%-79%) conducted warrant checks.
  • Approaches included: no warrant action (19.6%), delaying outreach (15.9%), arrest (8.0%), situational (7.2%), and no outreach (6.5%).
  • Warrant checks created tension between police dual roles and altered outreach approaches, with unintended consequences.

Conclusions:

  • Warrant checks can lead to arrest, delayed services, and barriers for overdose survivors.
  • These consequences undermine the goals of post-overdose outreach programs.
  • Programs should consider limiting warrant checks and police field involvement to improve engagement.