Quick answer
Cocaine appears in roughly one in five Kentucky overdose deaths, usually alongside fentanyl. There is no FDA-approved medication for cocaine use disorder, but contingency management and cognitive behavioral therapy work. Kentucky River Community Care runs treatment in Hazard. Here is how to start.
Cocaine has no medication the way opioid use disorder does, which is why so many people in eastern Kentucky feel stuck after a first attempt to stop. The honest answer is that behavioral treatment is effective for stimulant use disorder — and Hazard has a provider that treats it. If you are ready to change something, the first step is one conversation.
What Perry County's numbers show
The Kentucky Office of Drug Control Policy counts 12 Perry County overdose deaths in 2024, an age-adjusted rate of 43.6 per 100,000 — down from 24 deaths and a rate of 93.3 in 2023.
Statewide, cocaine was identified through toxicology in 284 overdose deaths in 2024 — 20.1% of the total. In most of those deaths cocaine was not alone: cocaine and fentanyl appeared together in 250 deaths, making that pair one of the most common combinations in the state.
What treatment for cocaine actually looks like
The National Institute on Drug Abuse is direct: there is no FDA-approved medication for cocaine use disorder, but behavioral treatments work.
- Contingency management — tangible rewards (vouchers, prizes, or gift cards) for verified drug-free tests. This is the strongest-performing approach for stimulant use disorder in clinical trials.
- Cognitive behavioral therapy — recognizing the situations, moods, and thoughts that trigger use, and building practical ways through them.
- Structured outpatient programs — a regular schedule, groups, and case management.
One honest caveat: program listings do not flag contingency management, so ask the question directly when you call — does this program offer contingency management for stimulant use, and how quickly can it start?
Where to get help in Hazard
Kentucky River Community Care (KRCC) is the community behavioral health provider for Perry and seven neighboring counties, with outpatient substance use treatment, crisis services, and recovery support such as housing and peer mentoring. Crossroads Crisis Services is at 310 Roy Campbell Drive in Hazard.
KRCC's open-access model lets people walk in for an initial visit rather than waiting on a referral — useful when you have decided to act today.
The polysubstance reality
Cocaine in this region usually travels with fentanyl, often pressed into pills that look like something else. Two practical consequences:
- Tell any program everything you use, not just cocaine. A plan that ignores the opioid part misses the most dangerous part.
- If opioids are anywhere in the picture, carry naloxone. Certified Kentucky pharmacies can dispense it without a separate prescription under the state's standing physician protocol, and KRCC provides naloxone and overdose education.
Paying for treatment
Kentucky Medicaid covers medically necessary behavioral health treatment for substance use disorders, including intensive outpatient programs and counseling, for eligible members. If you are uninsured, a community behavioral health provider can still serve you — ask about the sliding fee scale.
How to start today
- If someone shows chest pain, a seizure, or severe agitation after using, call 911 now. For a crisis, call or text 988.
- Call or text (800) 653-9376 to talk through options with a person — no pressure, no commitment:
Calling is free; the referral service is paid for by treatment providers.
- Call or walk in to KRCC and ask for a substance use assessment.
- When you call a program, ask specifically about contingency management, and mention everything you use so the plan fits reality.
Stimulant use disorder is treatable, and Hazard has providers who treat it. The first call is the hard part.
Emergency and crisis lines
Call 911 first if someone is unresponsive, seizing, overheated, or having chest pain after using. For a mental health or substance use crisis that is not a medical emergency, call or text 988, the national Suicide and Crisis Lifeline.
This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.
Last updated: Mon Oct 19 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
Is there a medication for cocaine addiction?
No FDA-approved medication exists for cocaine or other stimulant use disorder. Per the National Institute on Drug Abuse, treatment is behavioral: contingency management, cognitive behavioral therapy, and structured outpatient programs.
How common is cocaine in Kentucky overdoses?
The Kentucky Office of Drug Control Policy identified cocaine through toxicology in 284 overdose deaths in 2024 - 20.1% of the total. Cocaine and fentanyl appeared together in 250 deaths, so cocaine is rarely the only drug involved.
What is contingency management and does it work?
Contingency management gives concrete rewards - vouchers, prizes, or gift cards - when drug tests come back negative. It has the strongest evidence base for stimulant use disorder. Programs do not always advertise it, so ask directly when you call.
Where can I get help with cocaine use in Hazard?
Kentucky River Community Care (KRCC) is the community behavioral health provider for Perry and seven neighboring counties, with outpatient substance use treatment, crisis services, and recovery support. Crossroads Crisis Services is at 310 Roy Campbell Drive in Hazard.
What should I do in a stimulant emergency?
Call 911 if someone has chest pain, a seizure, very high body temperature, severe agitation, or is unresponsive. For a mental health or substance use crisis, call or text 988, or call or text (800) 653-9376.