cocaine guidance - Royal College of General Practitioners

Guidance for working with cocaine and crack users in primary careiContentsExecutive summaryiiIntroduction 1The drug 2What is cocaine? 2How is it used? 2What are the main physical and psychological effects? 2The users 4Caring for the user in the surgery 4Overview 4First presentation 4Assessment for first presentation 5Examination 6Ongoing care in the surgery 7Treatment options in the surgery 7Sharing care outside the surgery 9Psychological interventions 9Formal drug treatment settings 10Group specific issues 12Users of different drugs 12Different types of user communities 13Women, pregnancy and child protection issues 14Cocaine and the sex industry 15Cocaine and the criminal justice system 15Information for patients 15Appendix 1: Cocaine and health 16Appendix 2: Review health check for cocaine users 19Appendix 3: Prescribing 21Appendix 4: Harm reduction 22Appendix 5: Developing protocols for shared care 25Appendix 6: Patient information 26Appendix 7: Additional reading 27Appendix 8: Useful organisations and websites 28References 29