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the anti-drug abuse act of 1986 set aside 10,000 prison cells to house people arrested for crack offenses. since then, the number of crack offenders in prison has increased 15-fold, from 8,000 to 160,000. while recent studies have shown a decline in crack use, its use continues to be more prevalent than cocaine use among african-americans. the law's harshest penalties for crack offenses have also had a chilling effect on drug users of color. as a result, they are less likely to seek treatment and rehabilitation.

treatment programs can have the most beneficial impact on a person with drug abuse problems, including cocaine and crack users. they may have to detox from the drug, have a medical exam and a medical screen, attend group therapy sessions, have individual therapy, and, in some cases, attend anger management classes. after treatment, they may still have to attend monthly or quarterly checkups to make sure that their drug use has been eliminated. after treatment is complete, they may also need to attend aftercare and follow-up groups, and may need to be in the area of their residence to monitor their progress.

with the recent law changes, people are being sent to jail for having crack in their pockets. in fact, it is now an offense to be found with less than 50 grams of crack in a person's pocket. however, people are still arrested for crack offenses if they carry the drug on their person. these arrests are not justified as the amount of crack needed to trigger a mandatory minimum five-year sentence is 500 grams. this means that police are arresting people for carrying drugs for personal use.




“our findings are consistent with a growing body of literature that highlights the need for systemic and comprehensive approaches to addressing the significant health disparities seen in our nation and communities,” said dr. palamar. “addressing the public health impact of crack-cocaine use is a critical component of our efforts to eliminate health disparities and improve health for all.” implications for public health: with reports of the rise in cocaine use in the past 30 years, it is important to understand the impact of cocaine use on individuals and communities. our findings indicate that health services need to address the risk for blood/sexually transmitted diseases and other harms associated with crack cocaine use. additionally, health services need to focus on increasing efforts to identify and offer hiv prevention and care services to crack-cocaine users. an important difference between crack and cocaine is that the former's effects are temporary and the latter's are not. the desire to engage in drug use is usually triggered by life circumstances, such as loneliness, depression, or stress. one's level of tolerance to drugs also plays a role. a person may be able to tolerate more than one gram of cocaine a day, for example, but not five grams a day. once tolerance is established, the person may be unable to stop once he or she starts using. as the law stands, possession of at least 5 grams of crack means the person will be sentenced to at least five years in prison. this minimums is mandated by the anti-drug abuse act of 1986. crack's appearance in street markets in the 1980s was an indicator of the law's failure to effectively deter drug use, said dr. palamar. 5ec8ef588b


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