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Treatment of Problem Cocaine Use: A Review of the Literature (EMCDDA, 2007)

Treatment of Problem Cocaine Use: A Review of the Literature (EMCDDA, 2007)

  1. Jatelka
    European Monitoring Centre for Drugs and Drug Addiction, 2007
    EMCDDA Literature reviews — Treatment of problem cocaine use: a review of the literature Lisbon: European Monitoring Centre for Drugs and Drug Addiction

    Treatment systems in Europe are increasingly confronted with cocaine use-related problems. After opioids and cannabis, cocaine has become the third most commonly reported reason for entering drug treatment and accounted for about 8 % of all treatment demands across the EU in 2004. This overall figure reflects a wide variation between countries; however, the proportion of new clients demanding treatment for cocaine use is estimated to have grown from 10 % to 20 % during the period 1999–2004 (EMCDDA, 2006). Cocaine use has also become more common among drug users in contact with outreach workers or low-threshold agencies, and new findings with respect to treatment need to be evaluated in order to adapt addiction services to the new demands.
    The aim of this report is to provide an up-to-date summary of research regarding treatment approaches to cocaine dependency, and their effectiveness. New treatment concepts need to be evidence based, calling for a research perspective in the evaluation of treatments for cocaine dependence. Nonetheless, innovations in treatment also result from individual experiments by clinicians, so that a clinical perspective needs to be added in order to obtain a complete overview of developments in the treatment of cocaine dependence.