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Research ArticleArticles

Treatment for mental health and substance use

Spillovers to police safety

Monica Deza, Thanh Lu, Johanna Catherine Maclean and Alberto Ortega
Published online before print October 08, 2025, 1223-13303R3; DOI: https://doi.org/10.3368/jhr.1223-13303R3
Monica Deza
Deza: Department of Economics, Syracuse University, & NBER, Maxwell School of Citizenship and Public Affairs, 426 Eggers Hall, Syracuse NY, 13244 USA, ;
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  • For correspondence: mdeza{at}syr.edu
Thanh Lu
Lu: Health Economics Program, RTI International, 3040 East Cornwallis Road, Durham NC, 27709 USA, ;
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  • For correspondence: tlu{at}rti.org
Johanna Catherine Maclean
Maclean (corresponding author): Schar School of Policy and Government, George Mason University, & NBER & IZA, 3351 Fairfax Drive, Arlington VA, USA, ;
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  • For correspondence: jmaclea{at}gmu.edu
Alberto Ortega
Ortega: Paul H. O’Neill School of Public and Environmental Affairs, Indiana University, 1315 E 10 St. Bloomington, IN 47405, ;
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  • For correspondence: alorte{at}iu.edu.
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Abstract

We study the effect of community access to mental health and substance use treatment on police officer safety, proxied with on-duty assaults on officers. Police officers often serve as first-responders to people experiencing mental health and substance use crises, which can place police officers at risk. Combining agency-level data on police officer on-duty assaults and county-level data on treatment centers that offer mental health and substance use care, we estimate panel fixed-effects regressions. An additional four centers per county (the average annual increase observed in our data) leads to a 1.3% reduction per police agency in on-duty police officers assaults.

Keywords:
  • Law enforcement
  • workplace safety
  • assaults
  • healthcare
  • mental health
  • substance use
JEL Codes:
  • I1
  • I11
  • J28

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Journal of Human Resources: 60 (5)
Journal of Human Resources
Vol. 60, Issue 5
1 Sep 2025
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Treatment for mental health and substance use
Monica Deza, Thanh Lu, Johanna Catherine Maclean, Alberto Ortega
Journal of Human Resources Oct 2025, 1223-13303R3; DOI: 10.3368/jhr.1223-13303R3

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Treatment for mental health and substance use
Monica Deza, Thanh Lu, Johanna Catherine Maclean, Alberto Ortega
Journal of Human Resources Oct 2025, 1223-13303R3; DOI: 10.3368/jhr.1223-13303R3
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Keywords

  • Law enforcement
  • workplace safety
  • assaults
  • healthcare
  • mental health
  • substance use
  • I1
  • I11
  • J28
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