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HEHS-95-179R 1 (1995-07-31)

handle is hein.gao/gaobackwz0001 and id is 1 raw text is: N ) United States (3AO General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division B-261705 July 31, 1995 The Honorable William F. Clinger, Jr. Chairman, Committee on Government Reform and Oversight House of Representatives The Honorable Cardiss Collins House of Representatives The Honorable Henry A. Waxman House of Representatives Illicit drug use, particularly cocaine use, continues to be a major national concern because of the associated health, economic, and criminal justice problems that result. Cocaine use'has been related to cardiovascular and respiratory failure, psychiatric disorders, and acquired immunodeficiency syndrome (AIDS), as well as income- generating crimes and homicide. In 1994, cocaine was one of the most frequently reported illicit drugs in emergency rooms, and has been associated with rising mortality rates. The latest National Household Survey on Drua Abuse- results indicate that more than 600,000 Americans continue to use cocaine on at least a weekly basis. As part of congressional efforts to determine the utility of drug treatment funding allocations, you asked us to provide information on the effectiveness of drug treatment for hardcore cocaine users. More specifically, in this letter we: (1) identify those types of clients characterized as hardcore cocaine users and (2) identify recent national cocaine treatment outcome studies from which to evaluate the treatment results for hardcore users. To conduct this work, we examined the clinical literature to assess whether there was a conventionally accepted definition of the term hardcore. In the absence of a 'U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Nional Household Survey on Drua Abuse: Ponulation Estimates 1992 (Rockville, Md.: Oct., 1993), p. 115. 1 GAO/HEHS-95-179R Treatment of Hardcore Cocaine Users

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