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Navigating Law Enforcement Presence in Emergency Departments.
Prashasti Bhatnagar1,2, Cassandra Ramdath3, Desiree Pinto2
1Department of Sociology, UCLA (University of California, Los Angeles), Los Angeles.
Law enforcement in emergency departments (EDs) can harm survivors of violence (SOVs). This study identified three strategies—triage, training, and advocate integration—to improve ED environments for SOVs and stakeholders.
Area of Science:
- Public Health
- Emergency Medicine
- Sociology
Background:
- Law enforcement presence in emergency departments (EDs) is common but can negatively impact survivors of violence (SOVs).
- Existing literature lacks effective strategies for managing law enforcement interactions in EDs to support SOVs while balancing other stakeholder needs.
Purpose of the Study:
- To identify mutually beneficial strategies for managing law enforcement presence in EDs.
- To mitigate unintended harms associated with law enforcement interactions for survivors of violence.
Main Methods:
- Qualitative study using semistructured interviews and focus groups.
- Conducted in an urban level I trauma center from September 2020 to October 2023.
- Included survivors of violence (SOVs), hospital-based violence intervention program (HVIP) representatives, and law enforcement officers (LEOs).
Main Results:
- Consensus emerged on three key themes: triaging law enforcement interactions, formalizing joint training for hospital staff and law enforcement, and integrating SOV advocates within the ED.
- 21 SOVs, 23 HVIP representatives, and 16 LEOs participated.
Conclusions:
- Three stakeholder-informed strategies can optimize ED environments.
- These strategies aim to support SOV rights and recovery.
- Potential benefits include mitigating adverse interactions and improving information sharing among ED stakeholders.
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