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Crack cocaine in the Dublin region - Health Research Board

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Many services offer a comb<strong>in</strong>ation of <strong>the</strong>se <strong>the</strong>rapies, or acted as a l<strong>in</strong>k to providers ofsuch services (such as counsell<strong>in</strong>g). Overall, drug-treatment services were enthusiasticabout <strong>the</strong> benefits of an approach which encompasses both counsell<strong>in</strong>g andcomplementary <strong>the</strong>rapies. Acupuncture was thought to be very useful <strong>in</strong> calm<strong>in</strong>g clientswho presented <strong>in</strong> an agitated or chaotic state and it offered an attractive <strong>in</strong>centive forusers to attend services regularly:It’s not realistic to expect <strong>the</strong>m to sit <strong>in</strong> <strong>the</strong> room with you for an hour, and that. So, we wouldhave sort of a holistic side <strong>in</strong> a sense. We have three of our staff tra<strong>in</strong>ed up <strong>in</strong> acupuncture, sowe’d use acupuncture which helps <strong>in</strong> ano<strong>the</strong>r way. Because aga<strong>in</strong> what I found is that clientsdon’t want to get <strong>in</strong>to massive one-to-ones. They just want to f<strong>in</strong>d a way like to chill out andcome back down, to take some k<strong>in</strong>d of edge off <strong>the</strong>ir comedown. And <strong>the</strong> acupuncture is agreat tool to be able to use because you can get it k<strong>in</strong>d of <strong>in</strong> <strong>the</strong> door and maybe for 5 or 10m<strong>in</strong>utes you get to have some k<strong>in</strong>d of <strong>in</strong>tervention…Clondalk<strong>in</strong>, drug-treatment service (October 2007)Acupuncture doesn’t cure anyth<strong>in</strong>g. But for some people it works very, very well. It doesn’tdo anyth<strong>in</strong>g for o<strong>the</strong>r people. You know? And what I would be suggest<strong>in</strong>g is that if you havegood holistic people that can talk <strong>the</strong> talk, you know <strong>the</strong> word that <strong>the</strong>y use is … placebo,placebo effect you know <strong>in</strong> o<strong>the</strong>r words if <strong>the</strong>y feel it’s go<strong>in</strong>g to do someth<strong>in</strong>g for <strong>the</strong>m, <strong>the</strong>nit will. It also gives people a feel<strong>in</strong>g that <strong>the</strong>re’s someth<strong>in</strong>g for <strong>the</strong>m when <strong>the</strong>y’re go<strong>in</strong>g <strong>the</strong>re.They get someth<strong>in</strong>g out of it, <strong>the</strong>y feel good about it.Tallaght, drug-treatment services (October 2007)Four services reported provid<strong>in</strong>g starter or welcome packs to users, which <strong>in</strong>cludecontact <strong>in</strong>formation for different services, relaxation materials such as lavender oil, arelaxation CD and o<strong>the</strong>r products. The philosophy underp<strong>in</strong>n<strong>in</strong>g <strong>the</strong> welcome pack isto provide users with support tools even if <strong>the</strong>y do not present to services on a regularbasis:So, people are f<strong>in</strong>d<strong>in</strong>g bits <strong>in</strong> this pack you know that’ll work for <strong>the</strong>m, so we f<strong>in</strong>d this is areally useful tool ... because if somebody comes <strong>in</strong> you might not see <strong>the</strong>m aga<strong>in</strong>. They mightbe really paranoid, <strong>the</strong>y might go out th<strong>in</strong>k<strong>in</strong>g I’m a head banger. They might th<strong>in</strong>k <strong>the</strong>y don’tlike <strong>the</strong> place, or people saw <strong>the</strong>m com<strong>in</strong>g <strong>in</strong> you know what I mean, but <strong>the</strong>y go away withthis th<strong>in</strong>g that it looks like <strong>the</strong>y’re go<strong>in</strong>g to college, you know what I mean, so <strong>the</strong>y go awaywith it and <strong>the</strong>y can k<strong>in</strong>d of, later on <strong>the</strong>y might pick up <strong>the</strong> card or play <strong>the</strong> CD…that’s howit works.Ballyfermot, drug-treatment service (October 2007)<strong>Crack</strong> <strong>coca<strong>in</strong>e</strong> <strong>in</strong> <strong>the</strong> Dubl<strong>in</strong> <strong>region</strong>: an evidence base for a crack <strong>coca<strong>in</strong>e</strong> strategy93

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