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Abstract
Indigenous workers were employed to conduct a community survey of crack cocaine use in Trafford, Manchester, and to discover attitudes to drug services. This revealed increasing use, and considerable personal and social problems caused by crack use. Users did not consider services useful, even though 30% were already attending drug services for help with coexistent opiate dependence. Three groups are considered: those in touch with services, those worried about their use but not seeking help, and those who are not worried about their use. Many of those reporting the worst crack-related problems were already attending services. Specific strategies are proposed for dealing with each of these groups. Peer-education has an important role in encouraging safer cocaine use.