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AIMS: To see if prescribed heroin could reduce the use of cocaine. Investigate the variables affecting cocaine misuse. To see if a drug maintenance programme was successful on poly drug users.
Participants were followed up after 18 months in the programme and were taken from an existing treatment programme where they had been addicted for over 2 years.
Participants were interviewed every 6 months to measure their illegal substance misuse.
Urine tests were used
After 18 months: cocaine use decreased from 84% to 48%. 51% self reported not using cocaine- 2% lying. 21% some use. cocaine fell from 30% to 6%. Non users went from 16% to 52%.
Results: At the start 75% injected both heroin and cocaine. 1/3 drunk alcohol at 30g or more each day. 23% didn't use cannabis. 31 considered themselves daily cocaine users, 54% occasional and 16% didn't use it.
Conclusion: Didn't stop people using cocaine. Large impact if not stopping. Cocaine use had decreased considerably. Effects on behaviour- cocaine users linked to prostitution and illegal income in the drug scene.
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