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Cocaine use by clients in methadone programs: significance, scope, and behavioral interventions
W S Condelli1, J A Fairbank, M L Dennis
1Research Triangle Institute, Research Triangle Park, North Carolina 27709.
Journal of Substance Abuse Treatment
|January 1, 1991
Summary
Cocaine use among methadone clients hinders treatment success. This review examines the problem and evaluated behavioral interventions for reducing cocaine use in this population.
Area of Science:
- Addiction Medicine
- Public Health
- Behavioral Science
Background:
- Cocaine use among individuals in methadone treatment programs is a significant issue.
- This widespread drug use compromises treatment goals, including reduced illicit drug use, decreased criminal activity, and prevention of human immunodeficiency virus (HIV) transmission.
Purpose of the Study:
- To review the scope of cocaine use by methadone clients.
- To examine the effectiveness of behavioral interventions for this population.
Main Methods:
- Literature review of studies on cocaine use in methadone clients.
- Analysis of evaluated behavioral interventions for reducing cocaine use.
Main Results:
- Many behavioral interventions for cocaine users have not been specifically evaluated for methadone clients.
- Methadone clients may respond differently to interventions compared to the general cocaine-using population.
Conclusions:
- There is a critical need to evaluate interventions tailored to the unique characteristics of methadone clients.
- Effective management of cocaine use is essential for improving methadone treatment outcomes.