It has been determined that over 70% of people seeking treatment for cocaine use are crack smokers and use other drugs at the same time. The large-scale use of cocaine has stimulated the development of cocaine rehabilitation programs throughout the country.

Treatment for cocaine addiction, as with any other substance abuse problem is a complex and multilayered problem. Good treatment needs to address the chemical dependency itself, psychological, physiological, familial, and environmental areas in a comprehensive and holistic fashion.

It is more common than not for patients to have co-occurring mental health problems in addition to the chemical dependency. Anxiety disorders, depression, posttraumatic stress disorder, and eating disorders often coexist with cocaine addiction. The drug addiction often must be treated concurrently with the mental health problems to maximize chances of a positive outcome.

At the present time, federal drug administration does not endorse or recognize any drugs or pharmacological interventions that have been proven to be effective for treating cocaine. There is no magic pill. Research continues in this area to develop a medical intervention for both cocaine and other drug use. Some drugs have shown promise, but they are not endorsed and have not been empirically proven to be effective at this time.

Behavioral interventions, specifically cognitive behavioral therapy (CBT) has been proven to be effective in various treatment settings. The principles can be applied in both in outpatient and inpatient therapeutic setting. Terence Gorski has developed cognitive behavioral relapse prevention therapy which has been proven to be affected in preventing relapse of drug addicted people.

The fundamental concepts here are identifying relapse triggers and views him identifying automatic and addictive thinking, feelings and urges, and developing realistic plans to deal with them when they occur. In a nutshell, it relies on the principle of recognizing dangers avoiding them when possible or learning to cope with them. This particular type of therapy is significant because if he can be used in combination with 12 step programs, and in various treatment settings.

Another type of cocaine rehabilitation involves the use of spare key communities. These are long-term residential programs generally six months to 18 months in length that use a community approach. The entire living environment is carefully controlled and monitored to reinforce good behavior.

The length of time and comprehensive nature of this there he often involves vocational retraining, family support, and life skills training. The focus is twofold to work on the substance abuse problem and to learn skills necessary to become a positively contributing member of society.