Cocaine Use : Recommendations in Treatment and Rehabilitation

2000
ISBN: 0-662-85453-5
Cat. No.: H49-155/2001E

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(284K)

Table of Contents

• 1. Introduction
• 2. Historical Overview of Cocaine Use
• 3. Distribution of Cocaine Use in Canada
• 3.1 National Surveys of Adults
• 3.2 Women and Cocaine Use
• 3.3 Youth and Cocaine Use
• 3.3.1 Student Surveys
• 3.3.2 Street Youth
• 3.4 Official Crime Statistics
• 3.5 Morbidity and Mortality
• 3.6 Treatment Agency Admissions
• 3.7 Cocaine Injection Drug Use, and Hepatitis C and HIV
• 4. Effects of Cocaine
  • 4.1 Routes of Administration
  • 4.2 Effects of Short-term Use
  • 4.3 Effects of Long-term Use
  • 4.4 Onsets of Long-term Effects
  • 4.5 Tolerance and Dependence
  • 4.6 Lethality
  • 4.7 Reasons for Using and Quitting, and Perceptions of Effects
  • 4.8 Concurrent Cocaine Use and Psychiatric Disorders
  • 4.9 Cocaine and Pregnancy
• 5. Treatment Approaches
  • 5.1 Pharmacotherapy
    • 5.1.1 Antidepressants
    • 5.1.2 Dopamine Regulators
    • 5.1.3 Anticonvulsants
    • 5.1.4 Buprenorphine
    • 5.1.5 Disulfiram
    • 5.1.6 Emerging Pharmacotherapies
  • 5.2 Behavioural Treatments
    • 5.2.1 Contingency Management
    • 5.2.2 Cognitive Behavioural Therapy
    • 5.2.3 Broad-based Behavioural Therapy
    • 5.2.4 Treatment for Women and Pregnant Women
• 6. Other Influences on Treatment Effectiveness
  • 6.1Client Characteristics
  • 6.2Treatment Exposure
  • 6.3Treatment Setting
  • 6.4.Individual Versus Group Treatment
• 7. General Conclusions and Summary of Best Practices
• Selected References
• Resources Available On-line


List of Figures


• Figure 1 : Cocaine Use in Canada
• Figure 2 : Student Self-Reported Drug Use: Canada, Various Years
• Figure 3 : Aboriginal and Non-Aboriginal Students’ Cocaine Use
• Figure 4 : Trends in Cocaine and Marijuana Offence Rate per 100,000 Canada 1977-1996
• Figure 5 : Trends in Cocaine and Marijuana Possession Offences Canada 1977-1996
• Figure 6 : Trends in Cocaine and Marijuana Trafficking Rate per 100,000 Canada 1977-1996
• Figure 7 : Cocaine-Related Hospital Discharges Canada 1995
• Figure 8 : HIV Prevalence Among People who Inject Drugs: Selected Canadian Cities


List of Tables


• Table 1 : Comparison of Antidepressants and Placebo for Treating Cocaine Addiction
• Table 2 : Comparison of Dopamine Regulators and Placebo
• Table 3 : Comparison of Anticonvulsants and Placebo
• Table 4 : Comparison of Buprenorphine and Methadone
• Table 5 : Behavioural Treatment
• Table 6 : Enhanced Treatment Programs