Trends and patterns in crack cocaine use in a predominantly rural county in the east of England Available to Purchase

This article reports findings from qualitative research conducted in a rural county. Crack cocaine is often used in combination with heroin with the latter drug acting as a ‘downer’ after the intense experience of crack. Users see their heroin use as a problem but not their crack use. Services are geared to opiate misuse and there is a need to consider provision for crack misuse.