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Table 1 Survey items relevant to police chief knowledge, attitudes, and beliefs on addiction and policing

From: Beliefs of US chiefs of police about substance use disorder, fentanyl exposure, overdose response, and use of discretion: results from a national survey

Items

  

Demographic items

 

Unit

1. How many years have you served in policing?

Years

2. How many years have you served as an agency head?

Years

3. Approximately how many full-time sworn officers do you lead?

Number of officers

Substantive items

Likert scale anchorsc

1. My police officers know how to effectively respond to opioid overdoses.

Strongly disagree/

Strongly agree

2. My police officers know how to effectively respond to methamphetamine overdoses.

Strongly disagree/

Strongly agree

3. If there was a way to de-escalate people high on methamphetamines and get them to medical treatment, I’d implement it. b

Strongly disagree/

Strongly agree

4. Police should be cautious in responding to drug overdose scenes because fentanyl may be present, and it can harm them. b

Strongly disagree/

Strongly agree

5. Do the police officers in your agency carry Narcan (naloxone) on patrol?

Yes/

No

Health-related frame

Safety-related frame

 

6. Whether police officers in my agency arrest a person for any nonviolent misdemeanor is:

Whether police officers in my agency arrest a drug user for any nonviolent misdemeanor is:

Not at their discretion at all/ Entirely at their discretion

7. I trust my officers to make the right decision about whether to arrest a person for a nonviolent misdemeanor.

I trust my officers to make the right decision about whether to arrest a drug user for a nonviolent misdemeanor.

Strongly disagree/

Strongly agree

8. People illegally use buprenorphine (Suboxone) to manage their opioid addiction on their own. b

People illegally use buprenorphine (Suboxone) to get high with a less dangerous drug than heroin or fentanylb

Strongly disagree/

Strongly agree

9. Please rank the following substances from 1 to 6 in terms of their relative harms to the community you serve: a

Please rank the following substances from 1 to 6 in terms of their relative threat to the safety of the community you serve: a

Most harmful/

Least harmful

  1. a = Cocaine; Heroin/fentanyl/opioids; Alcohol; Methamphetamine; Cannabis; Crack cocaine
  2. b = Participants could respond “don’t know”
  3. c = Responses were ranked from 1 to 7 (lower anchor to upper anchor)