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The Guardian - US
The Guardian - US
World
Hannah Harris Green

The little-known program contributing to a decline in overdose deaths in the US

an emergency worker pushes a man on a gurney outside
A member of the Portland fire and rescue community health assess and treat team pushes a patient into an ambulance after they were administered Narcan in Portland, Oregon, on 25 January 2024. Photograph: Patrick T Fallon/AFP via Getty Images

Overdoses have been declining nationally since the fall of 2023, and public health experts have been unable to agree as to why. The decline has been uneven across states, and West Virginia, long known as the epicenter of the opioid crisis, is also among the states that have most reduced overdose fatalities, as noted in a recent Guardian analysis.

One little explored factor is the increased adoption of crisis intervention training (CIT) for law enforcement. Early research that compares jurisdictions that have CIT programs to those that do not show that this intervention is associated with a decline in overdose fatalities.

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