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Home > Cocaine use and dependence in clients attending a drug treatment centre in Dublin.

Thula, Mpho Abel (2009) Cocaine use and dependence in clients attending a drug treatment centre in Dublin. Psychiatric Bulletin , 33 , pp. 88-91. doi: 10.1192/pb.bp.108.020107.

URL: http://pb.rcpsych.org/content/33/3/88.full

AIMS AND METHOD - To assess the number of cocaine-dependent clients attending a typical addiction clinic, using urine drug testing for screening and a structured clinical interview for diagnostic assessment.

RESULTS - Of the 419 clients whose urine records were analysed, 38 were regular users of cocaine (9.1%), with at least half of their urine samples positive for cocaine in a 12-week period; 84.2% of these regular users of cocaine satisfied the criteria for cocaine dependence(7.7% of the total number of those attending the clinic).

CLINICAL IMPLICATIONS - Publicly funded addiction treatment centres in Ireland are mostly designed for the treatment of opiate addiction. There is, however, a significant problem of concomitant cocaine dependence in these centres. Increased availability of psychological/behavioural treatment programmes with proven efficacy in cocaine addiction may help improve overall treatment outcome.

 

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