Historique
Périodique
Cocaine misuse treatment in England
(Traitement pour cocaïnomanes en Angleterre)
Auteur(s) :
SEIVEWRIGHT, N. ;
DONMALL, M. ;
DOUGLAS, J. ;
DRAYCOTT, T. ;
MILLAR, T.
Année
2000
Page(s) :
203-215
Langue(s) :
Anglais
Refs biblio. :
48
Domaine :
Drogues illicites / Illicit drugs
Note générale :
International Journal of Drug Policy, 2000, 11, (3), 203-215
Note de contenu :
Tab.
Résumé :
ENGLISH :
Three methods were used to identify the treatments given to cocaine misusers in England, and to make a preliminary assessment of effectiveness. First, a postal survey of all known drug misuse treatment services ascertained approximate numbers of cocaine misusers presenting and receiving a specified range of treatment. Secondly, staff at selected services were interviewed regarding treatment policies, and asked to subjectively rate short-term and long-term effectiveness. Thirdly, a cohort of individuals in treatment were studied prospectively to assess changes in drug usage and associated problems. Fifty percent of services responded to the survey, but there was known to be significant duplication in service listings and it is considered that a representative pattern of clinical activity has been detected. Approximately half those services had recently treated cocaine misusers, mainly using counselling, residential rehabilitation, and pharmacological treatments, in which 32 different medications were identified. Acupuncture was prominent in a minority of services. Staff interviews suggested several principles in managing cocaine misusers, while all treatments were rated as being more effective in short-term relief of withdrawal features than in enabling longer-term abstinence. The treatment cohort were mostly in residential rehabilitation, and marked reductions in drug use and related clinical and social problems were demonstrated. (Review's abstract)
Affiliation :
Subst. Misuse Serv., Community Health Sheffield NHS Trust, Norfolk House, 4 Norfolk St., Sheffield S1 2JB
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.