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Cocaine misuse treatment in England
Seivewright1, Donmall, Douglas
1Substance Misuse Service, Community Health Sheffield NHS Trust, Norfolk House, 4 Norfolk St., S1 2JB, Sheffield, UK
The International Journal on Drug Policy
|August 6, 2000
Summary
This study assessed cocaine misuse treatments in England, finding counseling and residential rehabilitation effective for reducing drug use and associated problems. While treatments offered short-term withdrawal relief, long-term abstinence remains a challenge.
Area of Science:
- Addiction Medicine
- Psychiatry
- Public Health
Background:
- Cocaine misuse presents significant public health challenges in England.
- Effective treatment strategies for cocaine dependence require ongoing investigation.
Purpose of the Study:
- To identify treatments utilized for cocaine misuse in England.
- To conduct a preliminary assessment of treatment effectiveness.
Main Methods:
- A postal survey of drug misuse treatment services.
- Interviews with service staff regarding treatment policies and effectiveness.
- Prospective cohort study of individuals undergoing treatment.
Main Results:
- Approximately 50% of surveyed services reported treating cocaine misusers.
- Common treatments included counseling, residential rehabilitation, and 32 different medications.
- Treatments showed greater short-term effectiveness for withdrawal symptoms than long-term abstinence.
- A treatment cohort demonstrated significant reductions in drug use and related problems.
Conclusions:
- Counselling and residential rehabilitation appear effective in reducing cocaine use and associated problems.
- Further research is needed to enhance long-term abstinence rates.
- Acupuncture was noted as a treatment in a minority of services.
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