Crack cocaine in the Dublin region - Health Research Board

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Part 5Towards a crack cocaine strategyCrack cocaine in the Dublin region: an evidence base for a crack cocaine strategy109
11 Discussion and research implications11.0 OverviewThe purpose of this report is to help the ISCCSG and other decision makers andstakeholders to develop an evidence-based crack cocaine strategy. This sectionconsiders some of the issues arising from the research which a new strategy couldaddress.11.1 Improving the evidence base relating to crack cocaine –monitoring and further researchIt is clear that the precise extent of the crack cocaine problem is not known currently.While accurately reporting a hidden activity (which is part of an illicit activity) isalways going to be difficult if not impossible, there are a number of inadequacies inour current data-collection and reporting systems that could be improved upon. Thisresearch has emphasised the general importance of continuously monitoring drugtrends.A drug-trend monitoring system could be of major benefit in terms of providingaccurate data on trends in drug use and the consequences of these trends. A multisourceinformation system could draw on information from both new systems andexisting systems such as the National Drug Treatment Reporting System, the NationalDrug Related Deaths Index (NDRDI), the Garda Síochána information technologysystem Police Using Leading Systems Effectively (PULSE), the Central Statistics Office(CSO), the General Mortality Register (GMR), and the Hospital In-patient data system(HIPE). The new system would feature a method of recording drug seizures by bothCustoms Drug Law Enforcement and An Garda Síochána, data on the type and purityof substances tested by the Forensic Science Laboratory and data on drug prices.In addition, it would include a harm-reduction information system which wouldrecord data on the emergence of new drugs, new ways of using existing drugs, there-emergence of old drugs, and the incidence of and consequences of drug and alcoholuse-related attendances at hospital accident and emergency departments.It is clear from the study that existing data systems could be improved upon in orderto provide a more accurate picture of the extent of crack cocaine use and serviceproviders’ responses to its use. Specific issues highlighted in this study include:• Service providers could ask cocaine users to specify the type of cocaine used andhow they use it, so that clients’ care plans can address the issue of crack use andso that the NDTRS can obtain a more complete record of cocaine use in Ireland.110 Crack cocaine in the Dublin region: an evidence base for a crack cocaine strategy
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HRB Research Series6Crack cocaine i
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This publication should be cited as
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HRB Research Series publicationsto
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ContentsList of tables and figures
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7 Social consequences of crack use
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List of tables and figuresTablesTab
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AbbreviationsADRUGNDUHRBISCCSGLDTFN
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Glossary of termsBenzos: The street
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Executive summaryBackground and stu
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phone and buyers are directed to sp
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Part 1IntroductionCrack cocaine in
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In the light of these concerns, it
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extensive reporting in the US about
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Ten interviews were conducted with
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also offers potential to trace supp
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Part 2Crack cocaine in the Dublin r
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2.2 Criminal justice data - cocaine
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Prevalence of crack use among homel
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Local survey dataA survey in 2006 o
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Respondent 1: I’d say it’s stil
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3 Dublin crack cocaine market3.0 Ov
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sold on the street for as little as
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Like, I was down on M… Street in
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3.4 Marketing crackFour interviewee
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While crack was generally bought al
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• Although a number of dealers, o
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4.2 Crack use and genderAccording t
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From about 16 to 21 I would say - t
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Table 4.4Number of new cases who li
Page 60 and 61: 5.2 Crack and other drugsMany of th
Page 62 and 63: Whether treated cases reported crac
Page 64 and 65: cases of intravenous cocaine use, t
Page 66 and 67: Table 5.5Number (%) of new cases wh
Page 68 and 69: Part 3Consequences of crack useCrac
Page 70 and 71: etween heroin, cocaine and crime. T
Page 72 and 73: So, they would talk about the kind
Page 74 and 75: Crack and prostitutionNine services
Page 76 and 77: On the other hand, reports from two
Page 78 and 79: often with a prevalence of opiate d
Page 80 and 81: The data provided by the NDTRS in S
Page 82 and 83: But you know it would be about kind
Page 84 and 85: So, debt is another significant iss
Page 86 and 87: 7.6 Key findings• A significant p
Page 88 and 89: There are considerable long-term ps
Page 90: 8.3 Psychological consequences of c
Page 93 and 94: 9 Treating crack use9.0 OverviewIn
Page 95 and 96: Some services were in a position to
Page 97 and 98: Both opiate-dependent and non-opiat
Page 99 and 100: • more outreach work to identify
Page 101 and 102: 10 Policing crack markets10.0 Overv
Page 103 and 104: local communities. There is growing
Page 105 and 106: He’d know me, I’d know him, you
Page 107 and 108: Table 10.1 Number of new cases who
Page 109: 108 Crack cocaine in the Dublin reg
Page 113 and 114: 11.2 Responding to crack markets an
Page 115 and 116: 11.3 Reducing the harm that crack c
Page 117 and 118: Shoplifting, burglary and robbery w
Page 119 and 120: Bourgois P (2003b) Crack and the po
Page 121 and 122: Furey M and Browne C (2004) Opiate
Page 123 and 124: Loughran H and McCann ME (2006) A c
Page 125 and 126: San Diego Police Department (1998)
Page 127 and 128: Appendix A:An evidence base for tre
Page 129 and 130: note that providing information on
Page 131 and 132: MedicationsA number of studies have
Page 133 and 134: interpersonal psychotherapy. Americ
Page 135 and 136: Jurisdiction Intervention/Descripti
Page 137 and 138: Jurisdiction Intervention/Descripti
Page 139 and 140: Appendix C:Recent HRB series public
Page 141 and 142: 140 Crack cocaine in the Dublin reg
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Crack cocaine in the Dublin region - Health Research Board

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