Dealing with those who are high.

The scene is becoming not all that uncommon. Last week, I was called out to a death that was ruled as a drug overdose. With the ease of getting drugs these days and the prevalence of fentanyl, we, as chaplains, are running more and more of these types of calls. But in this case, as with many a call I have been on, the friends and roommates of the deceased were quite high. There was slurred speech, unsteadiness on their feet, and even confession to taking something.

The reality is that you will deal with those who are high on some drug at some point as a public safety chaplain. With that, here are eight insights for you when you are dealing with someone high.

  1. They may not understand what you say. With drug use, cogitative abilities diminish. Many people may not understand anything you say. Different drugs and different levels of usage may present you with different levels of comprehension.

  2. Make sure you are not alone on scene. Utilize LE as needed. With the use of illicit drugs brings in many different factors. Things can turn sideways real quick. Never be alone on calls such as that. If possible, have law enforcement stay with you on the scene. If you feel uncomfortable, feel free to leave and notify dispatch. Also, have dispatch check in with you regularly to see how you are doing.

  3. Know when to back out. Know your exits. Sometimes, your exit may be different from the way you came in. Don't forget to contact dispatch if you must make a hasty exit.

  4. Don't confront. You are there to minister to those who are hurting, not confront them about their drug use. I find it easier not to discuss it at all. Play it down.

  5. Be aware of your surroundings. Always keep your eyes open for weapons or drugs. Also, be aware of others in the house or premises. More than once, I have been surprised to find somebody sleeping or passed out under a sleeping bag. I didn't know they were there, and they were quite surprised to wake up to many first responders around them.

  6. Write instructions down. Going back to #1, those who are high may need help comprehending what you are saying. Writing things down and going over what is written allows for understanding later. If you feel it wise, you can always leave your business card.

  7. Be aware that they may become the next medical emergency. Since one never knows how one will react to taking an illicit drug, be aware that it may become the next medical emergency. Know how to get the medical team back on scene ASAP.

  8. Still, minister to them. Don't forget, you are there to take care of them. While you probably don't agree with what they are doing, they still need the love of God in their life at this moment. In this case, you are it.