Treatment For "Crack" Addicts

"Crack is a highly addictive drug, but there are treatments for people who use it regularly. There are two main types of treatments: medication and cognitive or behavioral therapy. As of November 2004, no medication exists to treat crack addicts, but the National Institute on Drug Abuse (NIDA) is researching several promising options. The drug Selegiline, used to treat Parkinson's disease, is under investigation for its ability to reduce dopamine metabolism. Disulfiram, which has been used to treat alcoholism, is another candidate. The drug creates a negative physical reaction (nausea, vomiting, etc.) whenever the addicted person ingests alcohol. Researchers are hoping that it might help people who are addicted to both cocaine and alcohol. Antidepressants are sometimes prescribed to treat the mood swings associated with the withdrawal process.

Behavioral therapies are currently the most common way to treat crack addiction. Patients may be treated at either inpatient or outpatient centers. In 2002, 176,000 people were admitted to treatment centers for addiction to smoked cocaine, according to the Treatment Episode Data Set produced by the Substance Abuse and Mental Health Services Administration (SAMHSA). Crack admissions represented just under 10 percent of all admissions into drug- and alcohol-related treatment centers in 2002.

One of the most popular behavioral therapies is contingency management, which rewards addicts for staying drug-free by giving them vouchers for everything from movies to gym memberships. Another approach is cognitive-behavioral therapy, which teaches people how to avoid and/or deal with situations in which they might be tempted to use crack. People with severe addictions, mental illness or a criminal record may need to stay at a therapeutic community for a six- to 12-month period while they undergo rehabilitation and learn how to reenter society drug-free."

How "Rehab" Works

"When we hear the term "rehab," we usually think of a residential treatment facility where celebrities go to "dry out." As it turns out, there are a variety of types of programs, and even more methods of treatment.


The success of prison rehab programs has shown that
involuntary treatment can be effective in breaking addiction.

There are several settings where treatment can take place. Hospitals often serve as rehab facilities, treating people who come into the emergency room with an acute drug overdose. This treatment usually doesn't last long; however, some hospitals do offer longer-term and more expansive treatment programs. Rehabs can range in appearance from a very clinical setting in a prison to a luxurious day spa on an exotic island, and everything in between. What most treatment facilities have in common is that they are divided by the length of the service they offer.

Treatment generally takes place as inpatient, outpatient or partial-hospitalization:

* Inpatient treatment (also called residential) - the addict is cared for 24 hours a day, seven days a week. Inpatient rehab can be offered either as short-term (usually 28 days) or long-term, which consists of residential treatment for six months or more. Often, long-term inpatient treatment is court-ordered, and, in addition to treatment, includes resocialization, the process where patients learn to behave as a normally functioning member of society again.

* Outpatient treatment - takes place on a visitation basis. In this setting, a patient may come to a rehab facility to attend support groups, receive medication (such as methadone for the treatment of heroin), and receive counseling. In outpatient treatment, an addict usually goes about his daily life and sleeps at home.

* Partial-hospitalization - a combination of both inpatient and outpatient treatments. The addict receives treatment during the day and goes home at night. This treatment setting somewhat resembles the 9-to-5 work schedule most people keep, but rather than going to work, the addict goes to rehab.

Prison is another place that can serve as a rehab treatment center. In this setting, substance-dependent patients are removed from the general prison population to diminish the possibility that they'll be exposed to drugs or alcohol. Treatment facilities are becoming popular in American prisons, as they have increasingly been shown to be effective.

Regardless of whether treatment is received in prison or in a spa, the treatment programs are similarly structured."

Note: Convicted felons are usually tested, for drug use, before they are sentenced to prison. Son of convicted operative and politician wannabe, Stan "Pampy" Barre, has already expressed fear that his hair follicles will be tested.