Data for this paper are the product of research commissioned by the UK Depa
rtment of Health Task Force to Review Services for Drug Users to reveal the
impediments to effective service delivery to amphetamine users. In a longi
tudinal study amphetamine users presenting for treatment at agencies in the
NorthWest of England were subjected to consecutive semi-structured intervi
ews for a period of between six and nine months. Nearly half of the clients
stopped using street amphetamine and were still abstinent at the end of th
e project. Pre-treatment factors: associated with successful abstinence wer
e, being female, suicidal ideation, and loss of friends through drugs. Post
-treatment factors were, professional help (drug workers, prescribing physi
cians), contact with father, and an improved lifestyle. Motivation to absta
in was driven initially by psychological health problems and severe social
dysfunction and was subsequently maintained through professional support an
d/or informal support from partners, parents and friends during treatment.