Project SHIELD 2.0: Police Education to Support Public Health in Kentucky

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorJohns Hopkins Bloomberg School of Public Health

About this trial

The project is a pragmatic, quasi-experimental hybrid type II effectiveness-implementation trial of a structural HIV prevention intervention to address police behavior (arrests and referrals) and ultimately improve health among people who use drugs. The study involves a novel implementation strategy that engages behavioral health workers as "local champions" in the delivery of an evidence-based police education program (SHIELD training intervention). In addition to examining implementation outcomes, primary outcomes focus on assessing effectiveness of the intervention among police (specifically in reducing drug-related arrests and promoting referrals to Medications for Opioid Use Disorder (MOUD) treatment. The investigator's overarching effectiveness hypothesis is that after law enforcement organizations receive the SHIELD training intervention, the organizations will be more likely to refer people who use drugs to MOUD treatment and other health and social services, rather than arresting for low level possession offenses. The study will be conducted across different counties in Appalachian Kentucky.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

An adult over the age of 18 years old

Currently employed in a law enforcement agency in one of the nine counties participating in the trial

Disqualifiers

Only adult participants over the age of 18 will be recruited into the study, and the investigators will not restrict eligibility based on gender, race, or any other socio-demographic characteristics.

Trial design

Design model

Single group

Treatments tested in this trial

  • SHIELD 2.0

    Behavioral

    SHIELD is an evidence-based police education training program that has been demonstrated to change police behavior (arrest and referrals) and improve outcomes among police and people who use drugs in NIH-funded and other research studies. The original intervention delivery relied on academic teams, limiting sustainability and scalability. The investigator's novel "SHIELD 2.0" implementation strategy aims to address these limitations by capacitating the local behavioral health workforce to implement the steps of the SHIELD process, specifically to complete the delivery of the SHIELD intervention to local police officers.

Treatment groups

150 Participants
are divided into 1 treatment group
Group A: SHIELD 2.0Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Frequency of Law enforcement officer self-reported referrals to MOUD

Time frame
From baseline up to 12 months post SHIELD training
2

Frequency of Law enforcement officer self-reported drug-related arrests

Time frame
From baseline up to 12 months post SHIELD training

Secondary outcomes

1

Law enforcement officer self-reported stress as assessed by survey

Survey scores range from 0-12, with lower scores indicating a lower level of stress

Time frame
From baseline up to 12 months post SHIELD training
2

Law enforcement officer self-reported burnout as assessed by survey

Survey scores range from 0-24, with lower scores indicating a lower level of burnout

Time frame
From baseline up to 12 months post SHIELD training
3

Law enforcement officer self-reported job satisfaction as assessed by survey

Survey scores range from 0-6, with lower scores indicating a lower level of job satisfaction

Time frame
From baseline up to 12 months post SHIELD training

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Johns Hopkins Bloomberg School of Public Health

Lead sponsor

University of Kentucky

Collaborator

Northeastern University

Collaborator

San Diego State University

Collaborator

National Institute on Drug Abuse (NIDA)

Collaborator

Brown University

Collaborator

University of California, San Diego

Collaborator