Quick answer
Cocaine appears in about one in five Kentucky overdose deaths, most often alongside fentanyl. There is no FDA-approved medication for cocaine use disorder, but contingency management and cognitive behavioral therapy work. The Pennyroyal Center runs treatment in Hopkinsville. Here is how to start.
Cocaine does not have a medication the way opioid use disorder does, which is why so many people who want to stop feel stuck after a first try. The truth is more hopeful: behavioral treatment is effective for stimulant use disorder, and Christian County has a provider that treats it. If you are ready, the first step is one conversation.
What Christian County's numbers show
The Kentucky Office of Drug Control Policy's 2024 report counts 12 Christian County overdose deaths in 2024, an age-adjusted rate of 22.5 per 100,000 — below Kentucky's statewide rate of 32.0.
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, one of the most common drug 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 Hopkinsville
The Pennyroyal Center (now part of CAYA Collaborative Care) is the community mental health center for Christian and seven neighboring counties, with substance use services that start with an assessment and can include individual and group counseling, intensive outpatient, or residential care. Its Hopkinsville office is at 3999 Fort Campbell Blvd, Hopkinsville, KY 42240, and its substance use line is (270) 886-5163.
It also provides court-ordered services for DUI, drug court, and other court-ordered referrals.
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 Pennyroyal can point you to local options.
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. Veterans and military families near Fort Campbell can also ask about TRICARE and VA coverage.
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 the Pennyroyal Center's Hopkinsville substance use line at (270) 886-5163 and ask for a substance use assessment; its 24-hour crisis line is 877-473-7766.
- 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 Hopkinsville 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 Hopkinsville?
The Pennyroyal Center (now part of CAYA Collaborative Care) is the community mental health center for Christian and seven neighboring counties. Its substance use services start with an assessment and can include individual and group counseling, intensive outpatient, and residential care; its Hopkinsville office is at 3999 Fort Campbell Blvd.
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.