Secondary traumatic stress, burnout, compassion satisfaction, and perceived organizational trauma readiness in forensic science professionals.

Secondary traumatic stress, burnout, and compassion satisfaction have been described since the 1980s and extensively studied in first responders, law enforcement, legal professionals, and human service providers. There are few studies in forensic science professionals. To determine levels of secondary traumatic stress, burnout, and compassion satisfaction and relate these to demographics and job characteristics, we administered online a modified version of the Professional Quality of Life (ProQOL) questionnaire to professionals in crime laboratories and medical examiner offices. Participants also completed a modified version of the Vicarious Trauma-Organizational Readiness Guide (VT-ORG) to measure perceptions of their organizations' efforts to address vicarious trauma and promote health and wellness. Results from 419 subjects indicated that field-based forensic science professionals registered higher levels of secondary traumatic stress compared to laboratory-based professionals, but burnout and compassion satisfaction were not significantly different between these groups. Demographic variables did not predict any of these outcome measures, but work with victims' families and testifying significantly, albeit weakly, predicted higher secondary traumatic stress. Greater employee belief that their organizations were addressing issues of stress and trauma predicted lower levels of secondary traumatic stress and burnout and higher levels of compassion satisfaction. Write-in responses by participants paralleled the quantitative findings. These results indicate a need to strengthen organizational efforts to address stress and trauma and promote health and wellness, particularly in professionals with direct field-based exposure to crime scenes, contact with victims' families, and responsibility for testifying.

The Opioid Epidemic: Moving Toward an Integrated, Holistic Analytical Response.

In many jurisdictions, public safety and public health entities are working together to enhance the timeliness and accuracy of the analytical characterization and toxicology testing of novel synthetic opioids. The improved sharing and early detection of these analytical data are intended to inform surveillance, interdiction efforts, patient intervention and treatment, all of which are critical to curbing the opioid epidemic. Forensic practitioners working to identify novel synthetic opioids struggle to provide timely results when encountering new or unknown substances, such as the fentanyl analogs. These compounds, which mimic heroin in pharmacologic effect but can be far more potent, are inconsistently present in chemical identification libraries, and are currently largely unavailable as reference materials for analytical comparison. Additionally, federal, state and local governments as well as nongovernmental organizations require potency, toxicity and potential-for-abuse data to evaluate the potential health risks of emerging drug threats. Subsequent scheduling efforts and criminal prosecutions also require these thorough drug characterization studies. Pilot programs have demonstrated that early communication of real-time drug toxicity and analytical data significantly impacts the successful response to emerging opioids. High-quality, real-time, national-level data on chemical composition, toxicological test data, drug toxicity and overdoses, and analysis of seized materials by law enforcement are needed to track drug trends. However, the USA still lacks a national system to coordinate and communicate toxicology, medical and medical examiner and coroner data with the broader medical and law enforcement communities. Opportunities to address these gaps as well as recent advancements collected through interagency efforts and technical workshops in the toxicology and analytical chemistry communities are presented here. Opportunities for partnership, increased communication and expanding best practices to move toward an integrated, holistic analytical response are also explored.