Assessment and Treatment Planning for Cocaine-Abusing Methadone-Maintained Patients

Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 1994. Report No.: (SMA) 94-3003.


This Treatment Improvement Protocol (TIP) is intended to examine the physical and psychosocial sequelae associated with the abuse of opioids in combination with cocaine and offer assessment and treatment planning protocols for staff to use in substance abuse treatment programs.

To the extent possible, the document is based on available research information. However, many of the clinical issues facing providers of treatment to concurrently dependent persons have yet to be fully assessed. Few data exist on treating concurrent cocaine abuse, and even less information exists on treating concurrent abuse of other stimulants. This TIP is a reflection of the treatment modalities that are being used in various treatment centers throughout the Nation and should be viewed as such, rather than as a document that purports to have definitive solutions to what has become an extraordinarily difficult problem. Where clinical research is lacking, the TIP makes recommendations for treatment strategies based on clinical models developed by successful treatment programs. These recommendations should be considered guides, and their use should be tailored to the specific needs of an individual program's patient population.

Publication types

  • Review
  • Practice Guideline

Grant support

This publication is part of the Substance Abuse Prevention and Treatment Block Grant technical assistance program. This publication was written under contract number ADM 270-91-0004 from CSAT. Robert Lubran served as the Government project officer. Lynne C McArthur, Yvonne P Goldsberry, Yvonne daSilva, Anita Winters, Rebecca Horton, and Diana Schwartz served as contractor writers.