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This article examines the findings that emerged from a study into the needs of crack-cocaine users in two inner city areas of northern England. The findings are contextualized within a review of current research around street use of crack cocaine. The authors argue that the local research indicates that current government policies militate against services being able to provide a comprehensive and flexible response to meeting the needs of crack-cocaine users, by putting an emphasis on criminalizing and medicalizing the problem. The ensuing service developments undoubtedly net some crackcocaine users and address their unmet need, but the authors argue they fall short of addressing the underlying causes of problematic crack-cocaine use. Not only do they fall short but they also mask recognition of the underlying causes-namely the experience of multiple social deprivation.

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