This article makes a reflection on drug consumption and care services for drug consumers in France and Colombia. Our conclusions are based on ethnographic observations and semidirective interviews. The findings show that despite the cultural distance between the two contexts, both share common elements concerning the manifestations of the difficulties faced by drug users in their social reintegration. Our aim is to question the why and the what for of interventions on these populations that could give keys to understand its effectiveness or its failure in particular when these care proposals integrate psychosocial care and medical intervention sometimes based on the use of substitution drugs.
