Thèses : « Substance abuse – South Africa – Soshanguve »

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Jarman, Lennon. « Parental management of adolescent substance abuse ». Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/17625.

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The incidence and consequences of adolescent substance abuse for the health and well-being of adolescents, their significant others and society at large, have become an increasing concern. The early onset of substance use further enhances the potential for addiction, thus emphasizing the need for early identification and intervention. The literature and practice observations suggest that parental management, which includes parenting practices such as parental monitoring, clear rules about substance use and the modelling of protective, constructive behaviours, protects adolescents from the onset of substance use and interrupts the adolescent’s progression to substance abuse. This qualitative study aimed to explore and describe parental management of adolescent substance abuse in the Nelson Mandela Metropole. An exploratory- descriptive and contextual research design was employed in this study. Furthermore, non-probability purposive sampling, in conjunction with snowball sampling techniques, was employed to recruit parents who have or continue to manage their adolescents (between the ages of 13-18 years) substance abuse and the associated impact that it has of on the family in the past year. Semi-structured individual interviews were conducted with ten parents, and data collection ceased upon reaching data saturation. The generated data was analysed using thematic data analysis. The trustworthiness of the research process and the findings was enriched by engaging in a variety of data verification strategies. The following main themes emerged from the data analysis process: Participants’ perspective of adolescent substance use in their community; Participants’ experiences of their own child’s substance use; Impact of substance use on the family system; Participants’ perspective of their role in managing adolescent substance use; and, Participants’ support needs in relation to adolescent substance use. The findings contribute to a greater understanding of what parents require to effectively prevent and/or manage substance abuse by their adolescent children. The findings furthermore recommend preventive interventions at both primary and secondary level.

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Makhura, Machaba James. « An investigation of the causes of substance abuse by learners in the Waterberg District of Limpopo Province : a case study ». Thesis, University of Limpopo (Turfloop Campus), 2011. http://hdl.handle.net/10386/551.

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Mboniswa, Hlangalwethu. « Best practices in dealing with substance abuse in the workplace ». Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/8542.

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The research study was to identify what strategies could be used by organizations in managing or containing substance abuse in the workplace. In solving the research problems, the following actions were taken: A literature study was conducted to identify the scope and impact of substance abuse in the workplace; A literature study was also conducted to identify the strategies to prevent and contain substance abuse in the workplace;The findings from the literature studies were integrated into a model of best practices for the management of substance abuse in the workplace; The model was used as a basis for the development of a survey questionnaire to determine which strategies and wellness activities the surveyed companies were using. The questionnaire survey was administered at 25 companies in Port Elizabeth. The empirical results revealed that substance abuse was common at all organizations and the size of the organization had no bearing on the extent of the substance abuse problem. The majority of the participants in the study indicated that they experienced substance abuse problems in their organizations with alcohol consumption being the main problem at these organizations. The results also revealed that companies were not doing enough in terms of education and awareness campaigns. The lack of campaigns and education material could pose a difficult challenge to deal with and could result in companies experiencing adverse performance. Another contributing factor in the prevalence of substance abuse in the workplace was that alcohol and tobacco were referred to as socially acceptable substances.

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Rakubu, Kholofelo Annah. « A study of substance abuse amongst a group of high school learners in the Eisleben (Botlokoa) area of the Limpopo Province ». Thesis, University of Limpopo, 2007. http://hdl.handle.net/10386/2616.

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Vythilingum, B., A. Roos, S. C. Faure, L. Geerts et D. J. Stein. « Risk factors for substance use in pregnant women in South Africa ». HPMG, 2012. http://hdl.handle.net/10019.1/82324.

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Vythilingum, B. et.al. 2012. Risk factors for substance use in pregnant women in South Africa. South African medical journal, 102(11):851-854
ENGLISH ABSTRACT: Objectives. To study the prevalence of alcohol and substance use in a South African antenatal population and its correlates with sociodemographic factors, depression and perceived stress. Methods. A prospective self-report study on all women presenting for their first antenatal visit who consented to the study at a midwife obstetric unit (MOU) in the East Metropole district, Cape Town, using the Alcohol Use Disorders Identification Test (AUDIT), Drug Use Disorders Identification Test (DUDIT), Edinburgh Depression Scale (EDS) and Perceived Stress Scale (PSS). Statistical analyses using the chi-square test, separate one-way analyses of variance (ANOVA) and logistic regression analyses were performed as appropriate. Outcome measures were depression, alcohol use and substance use. Results. The questionnaire was completed by 323 women. During pregnancy 36.8% of women smoked, 20.2% used alcohol and 4% used substances. Using EDS cut-off scores of 12 and 15, respectively, 48.9% and 33.6% of the sample had scores consistent with major depression. An EDS cut-off score of 12 was significantly associated with both alcohol use (25.9% v. 15.2%, p=0.019) and risky drinking (76.9% v. 36.8%, p=0.04), while an EDS cut-off score of 15 was significantly associated with substance use (8.2% v. 1.4%, p=0.004) as well as alcohol dependence (23.1% v. 3.1%). Conclusions. We found high rates of both alcohol abuse and antenatal depression, and a significant association between depression, substance use and alcohol abuse; EDS scores greater than 12 could be used to identify women at risk of alcohol dependence and/or substance abuse.
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Mawoyo, Tatenda. « An assessment of the sustainability of substance abuse organisations in South Africa ». Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11453.

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This research study sought to explore the sustainability of organisations in the field of substance abuse in South Africa. The rationale of this study was based on the premise that the number of substance abusers is increasing, therefore the organisations have to remain functional to deal with the increased demand of services. The study explored the financial position of organisations in the field, perceptions regarding policy and legislation, staff related effects of working in the field, factors that make organisations vulnerable to closure and sustainability threats.

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Van, Zyl Arthur Leon. « Substance abuse practices and Intervention programmes for male youth offenders in Pollsmoor – Department of Correctional services ». Thesis, University of Zululand, 2011. http://hdl.handle.net/10530/1088.

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A dissertation submitted in partial fulfilment of the requirements for the degree of Magister Educationis in the Department of Educational Psychology and Special Education, University of Zululand, South Africa, 2011.
Substance use is on the increase among the youth in South Africa. Traditional concern about the youth (as the future of South Africa), and the portrayals in the media of severe drug and alcohol use among the country‟s youth have contributed to the need for research into this issue. Drugs and alcohol also have a close link to crime. The aim of this study is to investigate and report the prevalence of substance use and the need for intervention among male youth offenders at the Pollsmoor Youth Centre, in the Western Cape Province. The research has attempted to create an understanding of male youth drug abusers‟ attitudes towards intervention and rehabilitation programmes and also the Correctional Service‟s role in managing substance abuse. A survey research methodology using questionnaires has been employed. The data was analysed using descriptive and inferential statistics. The sample population consisted of the sentenced male youth offenders at the Pollsmoor Youth Centre. The results of the survey indicated that “Tik” (methamphetamines or crystal meths) was the most popular substance of choice in this sample. Tik was 23 % more popular than its nearest rival, cannabis. Tobacco was the most widely used drug owing to it being legal and obtainable at the Centre‟s shops. The majority of male youth offenders (74 %) believed that an intervention programme was necessary as part of their rehabilitation. The findings indicated that a department or unit needs to be established to handle the increasing drug abuse problem. The unit should identify substance abusers on admittance and place them on a rehabilitation programme. If necessary this programme should continue in their community after release from the correctional centre.

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Hayman, Abraham Burger. « Risk and protective factors associated with substance abuse amongst adolescents ». Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1008297.

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Substance abuse remains one of the critical challenges facing South Africa. Research studies conducted locally and internationally, reflect a sharp increase in the number of young people that are falling prey to substance abuse (with the age of onset decreasing rapidly). These rising statistics, as well as the guidelines for evidence based practice suggest that drug prevention interventions need to be tailored to the needs of specific recipients of the service. The aim of the present study was therefore to understand the needs of a specific group of adolescents from a designated community in the Northern Areas of Port Elizabeth. This community has been riddled by gang violence, high levels of unemployment, teenage pregnancies, school dropout and in particular, large numbers of adolescent drug users. The goal of the study was therefore to enhance an understanding of the risk and protective factors associated with substance abuse amongst adolescents from this specific neighbourhood in the Northern Areas of Port Elizabeth. The study was imbedded in a socio-cultural and systemic theoretical framework. A qualitative research approach was adopted, employing an exploratory, descriptive and contextual research design to address the primary research question. A purposive sampling method was used to recruit eight non users and a snowball sampling technique was used (with the assistance of two gatekeepers) to identify eight substance users from the identified neighbourhood in the Northern Areas. An in-depth, semi-structured individual interview was used as the method of data collection with each of the 16 research participants. The data was analysed according to the steps for qualitative data analysis, as proposed by Tesch (in Creswell, 1994:155). The trustworthiness was enhanced by employing the four criteria proposed by Guba (in Krefting, 1991:214-222). The findings of the study indicate that the dominant risk factors for substance use are located at a family and community level. These included the absence of family structure, poor parental discipline and supervision, the presence of parental substance abuse, neglect of children and family disharmony. At a community level the risk factors included: the prevalence of drug outlets, normalization of substance use in the community, prevalence of gangsterism as a way life and source of income and apathy of community members in protecting their community. Protective factors were mutually exclusive and additional protective factors were discussed at length in the report. The findings which point to the adoption of an integrated community based approach to effect meaningful drug prevention strategies for substance abuse amongst adolescents in the studied community, are disseminated here in the form of a written report and will be prepared for submission to a journal for publication.

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Viviers, Lizèl. « Best practices of employee wellness programme affiliates in South Africa in managing substance abuse ». Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/65622.

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Bowles, Steven. « Attitudes and perceptions towards organizational functioning in substance abuse treatment facilities across South Africa ». Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/10237.

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Includes bibliographical references (leaves 61-65).
This study examined the attitudes and perceptions of directors and treatment staff towards organizational functioning within substance abuse treatment facilities across South Africa. In South Africa a history of socio-political factors have hindered substance abuse treatment. Large disparities existed between racially defined population groups and the quality and allocation of resources to substance abuse treatment services across South Africa have not been equitable. Understanding organizational functioning within substance abuse treatment facilities is essential to identifying and prioritizing treatment facility issues that both directors and staff believe need attention. The identification and examination of these issues facilitate the development of appropriate strategies to promote treatment facility improvements and the adoption of evidence-based treatment practices. Cross-sectional surveys of substance abuse treatment facilities were conducted in the Western Cape (2005) and in the Eastern Cape, Gauteng, and Kwa-Zulu Natal (2006). Forty-four treatment facilities participated in this study from a population of 89 facilities. The Texas Christian University survey of Organizational Functioning (TCU ORC) was used to assess directors' and staff's attitudes and perceptions towards organizational functioning within their treatment facilities. One-way analysis of variance tests were used to examine whether certain contextual and demographic variables influenced directors' and staff's attitudes and perceptions. Results indicated that directors and staff displayed favorable attitudes and perceptions towards the TCU ORC domains organizational climate and staff attributes, and indecisive attitudes and perceptions towards the motivation for change domain. Demographic variables including: ethnicity, levels of education, amount of work experience, and provincial location were found to influence directors' and staff's attitudes and perceptions towards organizational functioning.

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Kader, Rehana. « The relationship between substance abuse, health status and health behaviours of patients attending HIV clinics ». Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79891.

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Thesis (PhD)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: HIV infection, substance abuse, and psychiatric disorders are major public health issues in South Africa. Psychiatric disorders and substance-use disorders together have a negative impact on the health outcomes of people living with HIV and AIDS (PLWHA), such as poor adherence to anti-retrovirals (ARVs), HIV disease progression, lower CD4 counts, vulnerability to opportunistic infections, high viral loads, possible drug resistance, and an earlier onset of death. The overall aim of this study was to investigate the relationship between substance abuse practices and the health status and health behaviour of patients attending HIV clinics in the Cape Metropole. The study used a cross-sectional study design for collecting data on hazardous or harmful use of alcohol and problematic drug use, demographic information and health status among patients attending eight HIV clinics in the Cape Metropole. A sub-sample of patients were assessed on the following domains: depression, psychological distress, psychopathology, post-traumatic stress disorder (PTSD), risky sexual behaviour, adherence to ARVs, levels of resilience, levels of social support and patient’s work, family and social functioning. Of the 608, 10% of consecutively selected patients completed an additional psychiatric diagnostic interview (Mini International Neuropsychiatric Interview). The main findings to emerge from this study are: 1. Patients reporting hazardous or harmful use of alcohol and/or drug use are significantly more likely to be non-adherent to ARVs and have lower CD4 counts than their non-substance abusing counterparts 2. Hazardous or harmful use of alcohol has a direct influence on CD4 count resulting in lower CD4 counts and participants being less likely to be on ARVs. 3. Hazardous or harmful use of alcohol has a direct relationship in predicting tuberculosis (TB). 4. Hazardous or harmful users of alcohol and/or problematic drug users are more likely to report psychological distress (anxiety and depression), depression and low levels of family support than their non-using counterparts. 5. Participants who met the criteria for major depression are significantly more likely to be non-adherent to ARVs. 6. Gender, depression, psychological distress, and PTSD were found to be significant determinants of hazardous or harmful use of alcohol. 7. Psychological distress (anxiety and depression) is significant in directly predicting ARV non-adherence. 8. Male participants and those who stopped taking their ARVs were more likely to have lower CD4 counts than female participants and those who did not stop. 9. PTSD was found to predict psychological distress indicating that participants who experienced trauma were more likely to suffer from psychological distress (anxiety and depression) compared to those who did not experience any PTSD. Participants with lower levels of family support were more likely to suffer from psychological distress than those with high levels of family support.
AFRIKAANSE OPSOMMING: MIV infeksie, dwelmmisbruik en geestesversteurings is groot gesondheidskwessies in Suid-Afrika. Geestesversteurings en dwelmmisbruik het gesamentlik 'n negatiewe uitwerking op die gesondheid van mense wat met MIV en VIGS saamleef (PLWHA), soos byvoorbeeld nie-nakoming in die gebruik van antiretrovirale (ARV’s), MIVsiekteverloop, laer CD4-tellings, vatbaarheid vir opportunistiese infeksies, hoë virale ladings, moontlike weerstand teen medikasie en 'n verkorte leeftyd. Die oorkoepelende doel van hierdie studie was om die verhouding tussen dwelmmisbruik en die gesondheidstatus en -gedrag van pasiënte wat MIV klinieke in die Kaapse Metropool besoek, te bestudeer. Die studie het 'n deursnee-ontwerp gebruik om data in te samel oor die nadelige en gevaarlike gebruik van alkohol en problematiese dwelmgebruik, demografiese inligting, en die gesondheidstatus onder pasiënte wat agt MIV klinieke in die Kaapse Metropool besoek het. 'n Subgroep pasiënte geassesseer op die volgende gebiede: depressie, psigologiese angsversteuring, psigopatologie, posttraumatiese stresversteuring (PTSV), riskante seksuele gedrag, nakoming in die gebruik van ARV’s, weerstandigheidsvlakke , vlakke van sosiale ondersteuning, asook pasiënte se werk, familie en sosiale funksionering. Van die 608 deelnemers is 10% van die pasiënte opeenvolgend geselekteer om 'n addisionele diagnostiese psigiatriese onderhoud te ondergaan (Mini International Neuropsychiatric Interview). Die vernaamste bevindinge wat uit die studie gekom het, is: 1. Pasiënte wat nadelige en gevaarlike gebruik van alkohol en/of dwelms rapporteer is beduidend meer geneig om nie die gebruik van ARV’s na te kom nie, en het laer CD4-tellings as hulle eweknieë wat nie dwelms misbruik nie. 2. Die nadelige en gevaarlike gebruik van alkohol het 'n direkte invloed op CD4- tellings wat lei tot laer CD4-tellings en dat pasiënte minder geneig is om op ARV’s te wees. 3. Die nadelige en gevaarlike gebruik van alkohol hou direk verband met die voorspelbaarheid van tuberkulose (TB). 4. Nadelige en gevaarlike gebruikers van alkohol en/of problematiese dwelmgebruikers, is meer geneig om psigologiese angsversteurings (angs en depressie), depressie, en laer vlakke van familieondersteuning te rapporteer as hul niegebruiker-eweknieë. 5. Deelnemers wat aan die kriteria vir ernstige depressie voldoen, is aansienlik meer geneig tot nie-nakoming in die gebruik van ARV’s. 6. Daar is gevind dat geslag, depressie, psigologiese angs en PTSV beduidende bydraende faktore is tot die nadelige en gevaarlike gebruik van alkohol. 7. Psigologiese angsversteurings (angs en depressie) is beduidend om direk die nie-nakoming van ARV’s te voorspel. 8. Manlike deelnemers en diegene wat hul ARV’s gestaak het, was meer geneig om laer CD4-tellings te hê as vroulike deelnemers en diegene wat nie die gebruik van medikasie gestaak het nie. 9. Daar is gevind dat PTSV psigologiese angs voorspel het wat aandui dat deelnemers wat trauma ondervind het, meer geneig was om aan psigologiese angsversteurings (angs en depressie) te ly in vergelyking met diegene wat geen PTSV ervaar het nie. Deelnemers met laer vlakke van familieondersteuning was meer geneig om aan psigologiese angsversteurings te ly as diegene met hoë vlakke van familiebystand.

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Rungani, Judith. « Drug abuse in selected Grahamstown schools ». Thesis, University of Fort Hare, 2012. http://hdl.handle.net/10353/d1004784.

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The study explores drug abuse by learners in selected Grahamstown high schools. The study`s main concern is that drug abuse by learners is on the rise but yet there is less research on the drugs which are being used and the factors which motivate the learners to use such drugs. There are several drug abuse prevention strategies which are being implemented but yet they seem not to be very effective. It is in this frame of reference that this study saw it vital to focus on drug abuse by high school learners in Grahamstown. The study aims to identify the most commonly abused drugs by learners in the high schools of Grahamstown and the reasons why they use these drugs. The study made use of the mixed method research that is making use of both qualitative and quantitative research. The questionnaire was the instrument of data collection in quantitative data and interviews for the qualitative data. The packages which were used for the analysis of data include the Statistical Analysis System (SAS) V8 which was used to provide descriptive analysis and correlations. The findings of the study establish that the commonly abused drugs by learners are: alcohol with 58%, followed by cigarettes 22%, hookah-pipe 9%, dagga 7%. The main reasons why learners use drugs are: peer pressure, role models, availability, environment, and curiosity. Differences in drug use between male and female learners were noted. Twenty-five percent of the male learners and 16% of the female learners reported to be using drugs. In the view of these results, the researcher recommends that a comprehensive drug abuse prevention framework be formulated which focuses on preventing drug abuse at individual, family and community levels.

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Orwa, Titus Okello. « Modelling the dynamics of alcohol and methamphetamine co-abuse in the Western Cape Province of South Africa ». Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/95982.

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Thesis (MSc)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Clinical results have indicated that abuse of multiple drugs/substances has devastating health and social consequences. The combined abuse of alcohol and the highly addictive methamphetamine has worsened the drug epidemic in South Africa, especially in the Western Cape Province. Using non-linear ordinary differential equations, we formulate a deterministic mathematical model for alcohol-methamphetamine coabuse epidemic. We prove that the growth of the co-abuse epidemic is dependent on the threshold parameters of the individual substances of abuse. The substance with the maximum reproduction number dominates the epidemic. We also prove that the equilibria points of the co-abuse sub-models are locally and globally asymptotically stable when the sub-model threshold parameters are less than unity. Using parameters values derived from the sub-model fittings to data, a population estimate of co-users of alcohol and methamphetamine under treatment is estimated with a prevalence of about 1%. Although the results show of a small proportion of co-users of alcohol and methamphetamine in the province, the prevalence curve is indicative of a persistent problem. Numerical simulation results reveal that co-abuse epidemic would persists when both reproduction numbers are greater than one. Results from sensitivity analysis shows that the individual substance transmission rates between users of methamphetamine and/or alcohol and the general susceptible population are the most vital parameters in the co-abuse epidemic. This suggests the need to emphasise on preventive measures through educational campaigns and social programs that ensure minimal recruitment into alcohol or methamphetamine abuse. Model analysis using the time-dependent controls (policies) emphasizes the need to allocate even more resources on educational campaigns against substance abuse and on effective treatment services that minimizes or eliminates rampant cases of relapse into substance abuse.
AFRIKAANSE OPSOMMING: Kliniese resultate toon dat die misbruik van meer as een dwelmmiddel verwoestende gesondheids-en sosiale gevolge het. Die gekombineerde misbruik van alkohol en die hoogsverslawende methamphetamine het die dwelm-epidemie in Suid-Afrika vererger, veral in die Wes-Kaapse provinsie. Deur van nie-lineere gewone diffensiaalvergelykings gebruik te maak, formuleer ons ’n deterministiese wiskundige model vir epidemie van die gesamentlike misbruik van alkohol en methamphetamine. Ons toon aan dat die groei van die sogenaamde mede-misbruik epidemie afhanklik is van die drumpelparameters van die individuele middels wat misbruik word. Die middels met die grootste voortbringende syfer domineer die epidemie. Ons bewys ook dat die ekwilibriumpunte van die mede-misbruik submodelle plaaslik en globaal asimptoties stabiel is wanneer die sub-model drumpelparameters kleiner as een is. Deur die submodelle op werklike data te pas word waardes vir die drumpelparameters afgelei en word daar beraam dat daar ongeveer 1% van die populasie mede-misbruikers van alkohol en methamphetamine onder behandeling is. Alhoewel die data ’n klein persentasie van mede-misbruikers van alkohol en methamphetamine in die provinsie toon, dui die voorkomskurwe op ’n groeiende endemie en voortdurende probleem. Resultate uit numeriese simulasie toon dat die mede-misbruik epidemie sal voortduur indien beide reproduserende syfers groter as een sal wees. Resultate van sensitiwiteitsanalise toon dat die individuele middeloordragkoerse tussen gebruikers van methamphetamine en/of alkohol en die gewone vatbare populasie die mees noodsaaklike parameters in die mede-misbruik epidemie is. Dit stel voor dat daar meer klem gelê moet word op voorkomingsmaatreëls deur opvoedkundige veldtogte en sosiale programme om te verseker dat minder alkohol en/of methamphetamine misbruik sal word. Model-analise wat gebruik maak van tyd-afhanklike kontroles (beleide) lê verder klem op die feit dat selfs meer hulpbronne aan opvoedkundige veldtogte teen dwelmmisbruik toegewy moet word, asook die effektiewe behandeling wat gevalle van terugval in dwelmmisbruik sal minimeer of elimineer.

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Hendrickson, Blake Edward. « Personality traits of alcohol and other drug users in Cape Town, South Africa ». Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16568.

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Includes bibliographical references
The Substance Use Risk Profile Scale (SURPS) is a relatively new questionnaire that assesses individual personality risk for substance-related problems. Preliminary findings have indicated that the SURPS is a useful measure for identifying characteristics predisposing some individuals to alcohol and other drug (AOD) use. High levels of hopelessness, anxiety sensitivity, sensation seeking, and impulsivity are each associated with specific patterns of substance use caused by underlying motivational susceptibilities. Furthermore, incorporating these traits into tailored prevention and treatment efforts have shown value in other countries. The present study enrolled a community sample in Cape Town, South Africa and asked respondents about their demographics, history of AOD use, personality as measured by the SURPS, and other mental health indicators. This information was used to identify personality risks in the local population and validate the utility of the SURPS for the first time in Sub-Saharan Africa. Results found that sensation seekers had a significantly higher risk for alcohol, tobacco, cannabis, cocaine, and hallucinogen use compared to other personality groups and controls. As expected, respondents demonstrating anxiety sensitivity also showed high-risk use of alcohol, but less high-risk illicit drug use . Finally, the hopelessness group exhibited a higher risk for opioid use but overall, hopelessness and impulsivity had little impact on concurrent substance use, which contrasts with other literature. Unlike findings from mostly European and North American samples that indicate generalizability, this study did not find structural or concurrent validity for the SURPS. This provides evidence against it being adopted as a culturally appropriate assessment tool in a diverse South African population.

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Muusha, Prudence. « Substance abuse by women and its effects on family cohesion in rural villages in the Nkonkobe municipality, Eastern Cape ». Thesis, University of Fort Hare, 2012. http://hdl.handle.net/10353/d1005997.

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There is a paucity of research in the area of women abusing substances and the effects thereof on family cohesion. Lameman (2008:83) has claimed that “women substance abuse is surrounded by secrecy owing to the societal position and history of women in South Africa and worldwide”. Because women abuse substances in private it is reasonable to assume that there is little known on the effects of such abuse on especially the family and society at large. Mammam (2006:55) points out that “families continue to evolve like any other system as a way of adapting to the environment and responding to the changes around it”. Families continue to survive because of the attractiveness the family has to its members. Studies on family cohesion such as by Grisham and Adele (2008) reflect some of the most important reflectors of family cohesion as respect, sharing values and beliefs, emotional support, trust, intimacy and the ability to confide in each other. The survival of the family therefore rests on cohesion. Since a family is a unit there are different roles played by each member and in rural settings where roles, status and perceptions in terms of gender are slow to change, the question was how substance abuse by a woman would possibly affect family cohesion. The United Nations Office on Drugs and Crime (UNODC) 2011 World Drug Report indicated that South Africa is a major African hub for certain drugs such as heroin and cannabis (marijuana), as well as a major producer of others, including methamphetamines. Large numbers of South African citizens also abuse drugs and alcohol, and the country has one of the world’s highest alcohol consumption levels per drinker. Possibly the greatest negative effect of drug and alcohol abuse is that it slows down or stops emotional and psychological development, preventing people from reaching their full potential, (UNODC, 2011). Added to this is the burden placed on society by health care and criminal justice costs related to substance abuse, as well as the costs associated with decreased productivity in the workplace, increased HIV transmission, domestic violence, injury and death (UNODC, 2011).

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Masilo, Daniel Tuelo. « The impact of substance abuse on learners from dysfunctional families at Ipelegeng Location in Schweizer-Reneke ». Thesis, University of Limpopo (Turfloop Campus), 2012. http://hdl.handle.net/10386/772.

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Rich, Edna Grace. « Alcohol use and unsafe sex practices among students (17-25 year olds) at the University of the Western Cape ». Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Young people have high rates of risk-taking, including alcohol use/abuse and high risk sex. The main purpose of this study was to gain insight into the drinking patterns and sexual behaviour of young UWC students. The aim was to investigate the relationship between alcohol use and unsafe sex practices (such as unplanned sex, multiple partners, and non/inconsistent condom use) and to identify any shifts in sexual practices in response to the HIV/AIDS crisis.

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Mhlongo, Cynthia Nonhlanhla. « The experiences of high school educators in dealing with substance abuse at uThungulu District Schools ». Thesis, University of Zululand, 2018. http://uzspace.unizulu.ac.za:8080/xmlui/handle/10530/1636.

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A dissertation submitted to the Faculty of Education in fulfillment of the requirements for the Degree of Masters in Educational Psychology in the Department Of Educational Psychology and Special Needs Education at the University of Zululand, 2018
The study examined the experiences of high school educators in dealing with substance abuse at uThungulu District schools. Data for the study was gathered through survey. A structured questionnaire was designed and used to obtain information from school educators who served as teachers and principals in selected schools. The descriptive design approach was employed in this study. Purposive sampling technique was employed to select five secondary schools in uThungulu Districts, while simple random sampling technique was used to select 176 educators from the five schools. The quantitative data collected through questionnaire were analysed using descriptive statistics of percentage and frequency counts. The results of the quantitative data were displayed as tables and graphs, followed by discussions of each result. The overall results revealed that substance abuse affects both mental and psychological wellbeing of learners, which later develops into poor academic performance. The Educators that participated in the study attested to this when they responded affirmatively that excessive use of drug affects physical coordination of learners in classes, mental disconnection, and permanent brain damage. The study recommends the inclusion of Education for Substance Abuse Avoidance and Treatment as part of the core subjects in South African schools, and such should be offered in local languages. In addition, interactive teaching methods such as brainstorming, open discussions, and role-playing are recommended for all learners, including those who abuse substance and those addicted. Lastly, the study recommends the engagement of the professional Guidance and Counsellors in the South African schools whose primary assignment would be to counsel learners not only on substance abuse but also on career choice and future professional guidance.

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Whiting, Sean Allen. « An evaluation of the effectiveness of the institutional mechanism to manage substance abuse in South Africa ». Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13004.

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Includes bibliographical references.
This mixed method study of the effectiveness of the management of substance abuse in South Africa explored the way policies are formulated and implemented. A governance lens used coordination and public participation as indicators to measure the efficacy of the coordinating substance abuse structures (the Central Drug Authority, Provincial Substance Abuse Forums and Local Drug Action Committees) to implement the National Drug Master Plan 2006-2011. Coordinated governance, which include empowerment and resourcing of structures at the provincial and municipal levels will be helpful to provide necessary resources, expertise and skills to the "whole of society" for the implementation of future strategies.

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Voskuil, Ruschda. « Identifying relapse indicators in a state-subsidised substance abuse treatment facility in Cape Town, South Africa ». University of the Western Cape, 2015. http://hdl.handle.net/11394/4714.

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Magister Psychologiae - MPsych
Substance abuse has been identified internationally and in South Africa as an escalating problem that has harmful effects on the substance user and on society. The cost of treating substance-related disorders places a strain on the allocation of financial resources to treat the problem. When relapse occurs in substance users who have already undergone rehabilitation, it increases the costs of treatment. Waiting lists at treatment centres are also negatively affected for first-time admissions when relapsed substance users are re-admitted. The study aimed to identify relapse indicators by post-discharge follow-up of adult substance users in a registered, non-profit, state-subsidised treatment facility in Cape Town. Marlatt’s Dynamic model of relapse was used to explore the individual and socio-cultural factors which were potentially associated with relapse. A quantitative research design using archival data and purposive sampling was used to identify possible relapse indicators. The participants were ex-patients who had undergone an inpatient treatment programme and who had been followed up post discharge. Ethical clearance was obtained from the University of the Western Cape Higher Degrees Committee. Written permission was granted by the treatment centre who is the original data owner.The majority of participants were male. More than half of the sample reported polysubstance use and, for more than half of them, the age of onset of substance use was between 11 and 15 years. Severe depression was present for more than a third of the participants, whilst the majority of the sample was assessed as being substance dependent. A large proportion of patients had family members who also used substances. The majority of the sample was unemployed and more than half had received previous substance abuse treatment. Significant associations were not established between the identified variables within the groups of factors. Additional studies are required to explore the factors contributing to relapse in this patient population.

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Voskuil, Ruschda. « Identifying relapse indicators in a state-subsidised substance abuse treatment facility in Cape Town, South Africa ». University of the Western Cape, 2016. http://hdl.handle.net/11394/4987.

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Substance abuse has been identified internationally and in South Africa as an escalating problem that has harmful effects on the substance user and on society. The cost of treating substance-related disorders places a strain on the allocation of financial resources to treat the problem. When relapse occurs in substance users who have already undergone rehabilitation, it increases the costs of treatment. Waiting lists at treatment centres are also negatively affected for first-time admissions when relapsed substance users are re-admitted. The study aimed to identify relapse indicators by post-discharge follow-up of adult substance users in a registered, non-profit, state-subsidised treatment facility in Cape Town. Marlatt’s Dynamic model of relapse was used to explore the individual and socio-cultural factors which were potentially associated with relapse. A quantitative research design using archival data and purposive sampling was used to identify possible relapse indicators. The participants were ex-patients who had undergone an inpatient treatment programme and who had been followed up post discharge. Ethical clearance was obtained from the University of the Western Cape Higher Degrees Committee. Written permission was granted by the treatment centre who is the original data owner.The majority of participants were male. More than half of the sample reported polysubstance use and, for more than half of them, the age of onset of substance use was between 11 and 15 years. Severe depression was present for more than a third of the participants, whilst the majority of the sample was assessed as being substance dependent. A large proportion of patients had family members who also used substances. The majority of the sample was unemployed and more than half had received previous substance abuse treatment. Significant associations were not established between the identified variables within the groups of factors. Additional studies are required to explore the factors contributing to relapse in this patient population.
Magister Artium (Psychology) - MA(Psych)

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Jönsson, Lisa, et Therese Stensson. « Professional Responsibility Within Substance Abuse Treatment : In the Perspective of the Ubuntu Philosophy ». Thesis, Linnaeus University, School of Education, Psychology and Sport Science, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-2445.

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The Aim of this study is to interpret and analyse what is considered to be professional responsibility within substance abuse treatment in the unique perspective of Ubuntu philosophy. The Method is of hermeneutic tradition, which is based upon qualitative research with five interviews. Result: Ubuntu philosophy can be seen as a perspective when interacting with clients, professionals and surrounding community. Ethical responsibility is by the professionals considered as a positive attitude, different approaches and respect for the profession, co-workers and clients. The Discussion enlightens the importance of education, ethical responsibilities and how the Ubuntu philosophy creates a holistic perspective in treatment. Conclusion: There will always be differences when working with people but the differences should not be considered as dilemmas more as challenges.

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Smith, Janine. « Employees' perceptions of the South African Police Service's employee substance abuse prevention programme in Port Elizabeth ». Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1021183.

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Substance abuse is a major social issue within the South African Police Service (SAPS). To address this issue, the SAPS implement an Employee Assistance Programme (EAP) as an intervention to address problems that may affect the work performance of employees. Despite the existence of this programme, substance abuse is still occurring and has a negative impact on work performance. This concern has fuelled the researcher to initiate this study. The goal of this study is to gain an understanding of Port Elizabeth SAPS employees’ perceptions regarding the effectiveness of the EAP substance abuse prevention programme. A qualitative research methodology, with a descriptive, exploratory and contextual research design was implemented. The researcher elected to use non-probability sampling, specifically, purposive sampling for this study. A sample of ten employees was chosen from an area demarcated for the purpose of the study, within the SAPS in Port Elizabeth. Data was collected through semi-structured, individual interviews. Interviews were continued until saturation point was reached. The interviews were analyzed according to the detailed guidelines set out by Tesch (in Creswell, 2003:192). The data was verified according to Guba’s principles (in De Vos, Strydom, Fouche & Delport, 2002:351). The researcher also employed the services of an independent coder in order to enhance the trustworthiness of the study. The perceptions of EAP as a substance abuse prevention programme, by employees of the SAPS in Port Elizabeth, have not been highlighted adequately within the South African context. The researcher’s study will hence contribute to the existing body of knowledge of the discipline.

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Mabasa, Matimba Allan. « Impact of socio-cultural practices on substance abuse amongst the rural youth : towards the development of a school-based intervention programme ». Thesis, University of Limpopo, 2018. http://hdl.handle.net/10386/2391.

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Thesis (Ph.D. (Social Work)) -- University of Limpopo, 2018
The scourge of substance abuse globally amongst the youth today is probably one of the most talked about risky health behaviours in history, and is increasing at an alarming rate. Socio-cultural practices contribute towards the use and abuse of substances by the youth in rural areas. The “Ke Moja” programme that dealt with youth substance abuse was rarely received in these areas. The researcher sought to study the impact of socio-cultural practices towards substance abuse amongst the youth to develop a school-based intervention programme. The researcher’s research methodology included a mixed methodological approach that is, exploratory-descriptive design. Stratified-systematic and purposive sampling methods were used to draw a sample from learners, educators, social workers and SGB members. The data collection methods employed was semi-structured interview schedule and questionnaires. Data was analysed using thematic analysis. The results reveal that alcohol and drugs serve as agents of socialisation in socio-cultural events. It was found that there are different types of traditional home-brewed beers that the youth abuse almost daily because they are cheap, easily accessible and available. The findings also reveal that socio-cultural events contribute towards substance abuse in rural areas. The study reveals that sociocultural events take place almost every weekend where the youth use substaces as agents of socialisation. The findings reveal that the need for socio-culturally appropriate substance abuse prevention programmes amongst the youth is important in rural areas. The programme is called “Hambanani” which literally means doing away with the use and abuse of substances. The researcher concludes that socio-cultural practices contribute towards the abuse of substances by the youth in rural areas. The researcher recommends that social workers implement a school-based intervention programme on the impact of socio-cultural practices towards substance abuse amongst the rural youth.

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Gana, Thandeka Christine. « The influence of peer, community and religion on adolescent substance use in the Cape Metropolitan area ». Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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The aim of this study was to investigate the impact of peer, community and religious influences on alcohol and tobacco use among high school adolescents from three different dominant groups of South Africa i.e. African, coloured and white adolescents. The investigations were based on two perceived major factors such as their familiy structure and their family's socio-economic status, which may either increase or decrease the likelihood of adolescent substance use.

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Mudavanhu, Naome N. « An exploratory study on the reasons for substance abuse among the youth in Grabouw, Western Cape Province, South Africa ». University of the Western Cape, 2013. http://hdl.handle.net/11394/4079.

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Masters of Science
Substance abuse among the youth is one of the main social challenges in South Africa and around the world. The purpose of this study was to explore the reasons of substance abuse among the youth in Grabouw, Western Cape Province of South Africa. The reason why this research was conducted was because the Interdisciplinary Teaching and Learning Unit (ITLU) of the University of the Western Cape approached the Department of Social Work with research topics that emerged from the Faculty of Community and Health sciences involvement in the Theewaterkloof communities. One of the concerns expressed by the community of Grabouw is the high prevalence of substance abuse in this community. This study therefore explored the reasons for substance abuse amongst the youth of Grabouw. The research was conducted using the ecological approach as a theoretical framework. A qualitative research methodology was used to explore the phenomenon under study. The research project followed an explorative, descriptive and contextual research design and with this the researcher sought to understand the reasons for substance abuse. The data was gathered through semi-structured one-on-one interviews and focus group discussions and was later analyzed using qualitative thematic analysis. The findings showed that the reasons for substance abuse among the youth in the rural area of Grabouw are contextual reasons in which the family plays a major role in influencing substance use and also peer pressure, lack of recreational facilities, low religious involvement, experimenting and negative role models within the family and community, the ‘dop’ system, unemployment, availability and affordability were identified as the major reasons for substance abuse. The second major theme that emerged from the study was the psychological reasons for substance abuse. This includes low self-esteem, relieving stress, sexual stimulation, motivation to do unlawful things and boosting performances in sporting activities. The researcher has put forward various recommendations that will contribute towards solving substance abuse.

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Swartz-Filies, Sylnita. « Reflections on the life-world experiences of the adolescent "tik" use ». Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5195_1237510831.

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Substance abuse among adolescents is a global problem and South Africa is no exception. In the Western Cape there is an alarming popularity and increased use of an illicit highly addictive substance, locally known as 'tik-tik'/methamphetamine. Adolescents are particularly vulnerable to the neurotoxic effects of this substance and there is an urgent need to address the 'tik-tik' problem in the Westen Cape. Tik/methamphetamine has thus become a great concern to educators, social workers and health practitioners in the province. The goal of this study was to explore the life-world of the adolescent methamphetamine/'tik-abusers' in order to describe their experiences of personal, social and environmental issues in the process of tik-addiction.

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Herman, Colleen. « Clients’ experience of substance abuse recovery in a faith-based programme in the Western Cape ». Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80310.

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Thesis (MCurr)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: The focus of the study is on clients’ experiences of substance abuse recovery in a faith-based programme in the Western Cape. In describing the nature and extent of the substance abuse problem at an Imbizo on substance abuse, the speech of the Minister of Social Development, Benjamin (2006:1) stated that there are major challenges in rendering services to people who abuse substances. These challenges exist particularly with regard to prevention, rehabilitation and treatment of abusers. Baumann (1998: 238) stated that drug misuse is widespread and a growing problem in Southern Africa. This epidemic will have an increasing impact on mental and physical health. The focus of the literature review is to highlight the escalation of the problem over the last decade or so. Substance abuse is classified as a mental health illness, which could be healed in the application of various modalities of care. Little is understood and documented about the role of FBO programmes in substance abuse recovery in the Western Cape. The researcher hopes to add to the body of nursing research knowledge by conducting the study to answer the research question by understanding the experiences of clients accessing this level of care. The objective of the study is to explore, describe and interpret clients’ experiences of substance abuse recovery in a faith-based (FBO) programme in the Western Cape. An explorative, descriptive, interpretive, phenomenological, qualitative research design was chosen for this study. The population for this study comprised males and females, aged 18 years and older, who were admitted as in-patients in the 6-month residential substance abuse recovery facility, who followed the programme. The researcher used purposive sampling to recruit 7 participants who met the inclusion and exclusion criteria, until saturation of data was reached. The primary data collection tool used was in-depth semi-structured recorded interviews and field notes. The researcher used Nola Pender’s (1996) Health Promotion model (HPM) as the conceptual framework for the study as described The Braun and Clarke’s inductive thematic analysis (2006) was used to conduct the data analysis which yielded two overarching themes, namely, the positive recovery experience and the modified future experience. Recommendations were made based on the HPM assumptions and the thematic analysis. Ethical principles were followed in conducting the study and participants were advised that they are helping researchers to answer the research questions by participating in the study.
AFRIKAANSE OPSOMMING: Die studie fokus op kliënt-ervaringe van dwelmmisbruik-herstel in 'n geloof-gebaseerde programme in die Wes-Kaap. In die beskrywing van die aard en omvang van die dwelmmisbruikprobleem by 'n Imbizo op dwelmmisbruik tydens ‘n toespraak van die Minister van Maatskaplike Ontwikkeling (2006:1), is verklaar dat groot uitdagings heers met betrekking tot die lewering van dienste aan persone wat dwelmmidels misbruik. Hierdie uitdagings het veral betrekking op die voorkoming, rehabilitasie en behandeling van misbruikers. Baumann (1998: 238) verklaar dat dwelmmisbruik tans ‘n wydverspreide en groeiende probleem in Suider-Afrika is. Hierdie epidemie hou 'n toenemende impak op die geestelike en fisiese gesondheid van misbruikers in. Die fokus van die literatuuroorsig is om die verhoogde effek van die probleem uit te lig wat oor die laaste dekade voorgekom het. Die misbruik van dwelmmiddels word geklassifiseer as 'n geestesgesondheidsiekte wat gebruik kan word in die toepassing van verskeie modaliteite van gesondheidsorg. Daar is tans onvoldoende inligting beskikbaar om die rol van die FBO programme in die herstel van dwelmmisbruik in die Wes- Kaap behoorlik te kan ontleed en verstaan. Die navorser beoog om met die uitvoer van die studie die navorsingsvraag te kan beantwoord en sodoende ‘n meer ingeligte en in-diepte oorsig te kan vorm oor die ervaringe van kliente wat toegang het tot hierdie vlak van sorg. Die doel van die studie is om kliënt-ervaringe van dwelmmisbruik-herstel in 'n geloof-gebaseerde (FBO) programme in die Wes-Kaap te verken, beskryf en te interpreteer. Daar is besluit op 'n ondersoekende, beskrywende, verklarende en fenomenologiese kwalitatiewe navorsingsontwerp vir die studie. Die populasie vir hierdie studie het mans en vrouens in die ouderdom van 18 jaar en ouer ingesluit wat as kliente in die 6-maande residensiële dwelmmisbruik-herstel fasiliteit se progam toelating verkry het en wat deelgeneem het aan die programme. Die navorser het gebruik gemaak van ‘n doelgerigte steekproeftrekking en sodoende 7 deelnemers gewerf wat aan die insluitings en uitsluitings kriteria voldoen het. Die proses is gevolg totdat ‘n versadigingvlak van die data bereik is. Die primêre data insamelingsinstrument het die gebruik van ‘n in-diepte, ongestruktureerde onderhoud-metode behels, wat die neem van veldnotas en bandopnames ingesluit het. Die navorser het gebruik gemaak van die Pender se ‘Health Promotion Model’ (HPM) as die konseptuele raamwerk vir die studie. Die Braun en Clarke’s induktiewe tema-analise (2006) is gebruik om die data analise uit te voer wat twee oorkoepelende temas ingesluit het, naamlik, die positiewe herstelervaringetema en die gewysigde toekomstige ervaringe tema. Aanbevelings is gemaak wat op die HPM aannames en die tema analise gebaseer is. Etiese beginsels is streng gevolg en deelnemers is in kennis gestel dat hul deelname aan die studie die navorser instaat sou stel om die nodige data in te samel om sodoende die navorsingsvraag van die studie te kan beantwoord.

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Felkers, Karen. « Exploring the role of the parent in the aftercare of their adolescent children who participated in a treatment programme for substance abuse ». University of the Western Cape, 2019. http://hdl.handle.net/11394/7078.

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Magister Artium (Social Work) - MA(SW)
Substance abuse remains a debilitating social issue for many people in South Africa. It generally has a devastating effect on family life, and especially so when adolescents become dependent on substances, as it can have an adverse impact on their development. Interventions with adolescents include dealing with often complex developmental issues, dependence on family, and their support, which requires therapists to have special skills and patience to engage them in often complex treatment outcomes. The parent of a substance abusing adolescent is considered a role player in the aftercare of a substance abuse treatment programme as defined by the Prevention of and Treatment for Substance Abuse Act, 70 of 2008. The role of the parent is defined by their ability to monitor and supervise the adolescent and susceptible they are to adapt their parenting style to the suit the developmental needs of the child. The study sought to explore and describe the dynamics involved with parents and adolescents who have been through such a programme and how that can be utilised to influence their sobriety. This qualitative study, embedded in an exploratory descriptive research design, explored the role of the parent in the aftercare of their adolescent children who participated in a treatment programme for substance abuse. The population for this study included parents of adolescents who participated in a treatment programme for substance abuse and living in Port Elizabeth, Uitenhage and Despatch, in the Eastern Cape Province of South Africa. Purposive sampling was utilised to access 17 participants, and focus group, group and individual interviews were conducted as the data collection methods. The research interviews were transcribed and thematically analysed according to Moustakas (1994), and nine main themes emerged. The findings of the study will inform service providers and organs of State regarding the services needed to ensure continued support for adolescents who have been abusing substances. The main themes relating to the goal of the study were understanding the term ‘aftercare’, reflections on why adolescents were abusing substances, reflecting on experiences while the adolescent was abusing substances, parents’ experiences after the adolescent returned home, expectations of adolescents after treatment, parents’ views of what the adolescent in recovery needs, parental roles and responsibilities in recovery, informal support to the adolescent and his/her parents and descriptions of social workers in aftercare.

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Kok, Elana. « Voorkomingsprogramme vir middelmisbruik deur hoerskoolleerders : riglyne vir maatskaplike werkers ». Thesis, Stellenbosch : University of Stellenbosch, 2004. http://hdl.handle.net/10019.1/16372.

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Thesis (MA(MW))--University of Stellenbosch,2004.
ENGLISH ABSTRACT: An exploratory study was done on prevention programmes of substance abuse by high school learners. This was done in order to: explore the factors leading to substance abuse by high school learners; explore the conditions for successful substance abuse programmes and compare it with existing programmes; and to determine how prevention programmes for high school learners can be used in South-African schools. The motivation for this study emerged as a result of the researcher’s involvement in prevention programmes for adolescents in schools and on farms at the South-African Council for Alcohol and Drug Dependency (SANCA) in the Paarl area. The objective of this study is to provide guidelines to social workers for the effective implementation of substance abuse prevention programmes for high school learners. The literature study confirmed the need for effective prevention programmes and highlighted the focus om the factors which leads to substance abuse. Emphasis is placed on risk and protection factors involved with substance abuse. SANCA in Paarl’s adolescent community’s risk and protective factors was investigated, because of the necessity to identify these factors before a prevention programme can be designed. The universum is the grade 10 learners of six schools in the Paarl area. One learner out of each class represented the sample of 48 respondents. The study was done trough a structured questionnaire. A combination of qualitative and quantitative information, through the use of open and close-ended questions, was gathered. The results of this study confirmed the results of the literature study, namely that the most important factor leading to substance abuse, is peer group influence. However, a combination of strategies and programmes are needed to develope a suitable programme for the specific community. The recommendations focus on four areas. Firstly the conditions are described for an effective prevention programme regarding the role of social workers, the use of assessment, evaluation, models, theories and approaches. Secondly, recommendations are made for techniques and general approaches. The third area gives directions for programme content. The last area recommends a possibility for future research: the process, roles and type of training needed to implement an effective and sustainable support group system in schools, must be tested.
AFRIKAANSE OPSOMMING: ’n Verkennende studie vir voorkomingsprogramme vir middelmisbruik deur ho¨erskoolleerders is gedoen ten einde: die faktore wat tot middele-misbruik deur ho¨erskoolleerders aanleiding gee, te ondersoek; die voorwaardes vir suksesvolle middele-misbruikvoorkomingsprogramme te verken en met bestaande programme in verband te bring; en te bepaal hoe voorkomingsprogramme aan ho¨erskoolleerders in Suid-Afrikaanse skole benut kan word. Die motivering vir die studie het gespruit uit die navorser se betrokkenheid by die Suid- Afrikaanse Raad vir Alkohol- en Dwelmafhanklikes (SANRA) met die aanbied van voorkomingsprogramme vir adolessente, op plase en in skole in die Paarl-omgwing. Die doel van hierdie studie is dus om riglyne vir maatskaplike werkers daar te stel vir die effektiewe implementering van voorkomingsprogramme vir middelmisbruik deur ho¨erskoolleerders. Die literatuurstudie het die behoefte aan effektiewe voorkomingsprogramme bevestig en die faktore wat lei tot middelmisbruik is ook uitgelig. Daar is veral gefokus op die risikoen beskermingsfaktore hierby betrokke. Die studie is ingelei deur ’n ondersoek na die risiko- en beskermingsfaktore wat ’n rol speel in die adolessente gemeenskap van SANRA (Paarl), aangesien dit noodsaaklik is om hierdie faktore te identifiseer voordat ’n voorkomingsprogram ontwerp word. Die universum is graad-10 leerders van ses skole in die gebied. Een leerder uit elke klas het die steekproef, van 48 respondente, verteenwoordig. Die ondersoek is aan die hand van ’n gestruktureerde vraelys gerig. Kwalitatiewe en kwantitatiewe inligting is deur middel van ’n kombinasie van oop en geslote vrae ingesamel. Die resultate van hierdie ondersoek het die literatuurstudie bevestig, naamlik dat die hoof faktor wat aanleiding gee tot middelmisbruik, portuurgroepinvloede is. ’n Kombinasie van verskeie strategie¨e is nodig om geskikte programme vir spesifieke gemeenskappe te ontwerp. Die aanbevelings fokus op vier areas, naamlik die voorwaardes vir ’n effektiewe voorkomingsprogram rakende die rol van die maatskaplike werker, die gebruik van assessering, evaluering, modelle, teorie¨e en/of benaderings en aanbevelings ten opsigte van tegnieke, programvoorstelle en programinhoud. Die vierde en laaste area maak ’n aanbeveling vir verdere navorsing: ’n Ondersoek na die proses, rol van en tipe opleiding nodig om ’n effektiewe en volhoubare ondersteuningsgroepstelsel in skole te implementeer.

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Nord, Sofie, et Frida Mattebo. « A comparison in substance use among learners in four schools in Port Elizabeth, South Africa – T.A.D.A vs. non-T.A.D.A ». Thesis, Mittuniversitetet, Institutionen för socialt arbete, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-11267.

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Research conducted in USA says that drug prevention is a successful method against chemical dependency and should be a part of the curriculum in all schools. The need for evidence based methods is increasing. Little research has been done on the subject in South Africa and other third world countries, hence the need for this research. There is unquestionably substance abuse amongst South African students. The organisation SANCA provides a school based prevention program called T.A.D.A. A quantitative study was made where questionnaires were used to collect data from 4 schools in Port Elizabeth, South Africa to see, if T.A.D.A was effective. The results of the study were not sufficient enough to draw any conclusions about the efficiency of the T.A.D.A program. However an overview was given on the substance use amongst adolescents.

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Matthews, Brenda Marian Frederica. « An exploratory study of aspects on environmental conditions associated with alcohol and drug abuse and criminal behaviour ». Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Universally it has been reported that the fundamental change in or breakdown of traditional patterns of family living is a major cause of juvenile crime around the world. Researchers argue althought sequential violence may originate from certain important social and historical conditions - substance abuse primarily fules the cycle of violence. The major causes of delinquency in various countries are related to each nation's economic and social environment. The present study took place in the Correctional Services of the Boland Overberg region. The study aimed to examine the impact of risk factors (environmental conditions) and it's contribution to substance abuse and to determine how these risk factors and the prevalance of substance abuse contributes to criminality.

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Jacobs, Lee-Ann. « The role of the school management in addressing the problem of drug abuse in the northern areas of Port Elizabeth ». Thesis, Nelson Mandela Metropolitan University, 2008. http://hdl.handle.net/10948/675.

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Drug abuse by teenagers is a problem encountered by educators in South African schools. This study focuses on the reasons for, and the consequences of teenage drug abuse in one school in the Northern Areas of Port Elizabeth. The main aim of this study was to formulate strategies which school managers can use to alleviate the problem of drug abuse among learners. A naturalistic approach was followed to conduct qualitative research. The research design used is a case study. Data-collection techniques consisted of semi-structured and unstructured interviews, observations and questionnaires. Respondents consisted of 150 learners, 5 parents, 10 educators from the school, 2 social workers and 1 auxiliary social worker, 2 priests involved in Youth Ministry, 1 adult involved in running a drug rehabilitation centre, and 1 ex-addict who is involved in arranging drug awareness campaigns and rehabilitation programs. This study found family aspects and family dynamics, personal aspects and the self-concept of the teenager, and societal or environmental aspects to be the main reasons for teenage drug abuse. Drugs have an adverse effect on the community within which the abuse is occurring. It also has a negative effect on the health, psychological state, behaviour and the family of the teenager. Strategies to alleviate the problem emphasise the role which the school can play in terms of drug education for educators, learners and parents; the role of the Government in allocating additional funds for drug education; the role which the church can play in terms of drug education and providing opportunities for positive interactions with peers; and the role which the media can play in influencing the decisions of teenagers.

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Brown, Natasha Carmen. « An exploration of the gendered constructions of ‘stoner’ identity on a Western Cape campus ». University of the Western Cape, 2019. http://hdl.handle.net/11394/6935.

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Magister Artium - MA
This study employed a social constructionist understanding of ‘identity’ to identify key markers of gendered ‘stoner’ identity and to consider how gendered ‘stoner’ identity is performed on a Western Cape campus. The aim was not simply to consider how they see themselves, but also how they are considered through the lenses and perception of non-smoking students at campus. In trying to understand the gendered experiences of ‘stoners’, this research was grounded in a feminist theoretical perspective and feminist methodological approaches to explore gendered constructions of ‘stoner’ identity at this Western Cape campus. The data for this study was collected through conducting two focus group discussions, and six semi structured, in-depth interviews with six male and six female students from a range of locations across campus. The participants in this study who smoke marijuana/weed did not reject the term ‘stoner’, rather, they claimed this identity, labelling themselves ‘stoners’. My research shows that ‘stoner’ identities both transgress and reinforce normative femininities and masculinities.

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M'Buka, Attlee Charles. « Methamphetamine addiction : towards a prevention strategy in a ministerial approach to substance abuse during mid-adolescence within the Lavender Hill setting ». Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86356.

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Thesis (MTh)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Motivated by the observation that children living in the Western Cape face challenges relating to methamphetamine (tik) abuse, this research attempts to develop and propose a strategy that can be used in preventing mid-adolescents from engaging in tik use. To develop this strategy, a contextual analysis and hermeneutical process of the life of mid- adolescents and the environment in which tik abuse is occurring was initially undertaken. Through a contextual analysis of children living in Lavender Hill and surrounding areas, it was discovered that most children were attracted to tik due to the influence of modern technology, rampant poverty, the cheap cost of the drug, dysfunctionality of families, influence of gangs and lack of recreation facilities. Acknowledging that adolescence is an important stage in the formation of the character of any individual, this research attests that adolescents who use and abuse tik are those who do not have an enabling family and societal environment. It is suggested in this research that the Church can play a pivotal role in creating a socio-spiritual environment that would enable adolescents to develop themselves in such a manner that they do not need to use tik, or any other drug for that matter. This research thus develops a prevention strategy for dealing with tik abuse during mid- adolescence. This preventive strategy centres on the Church being of service to others. Based on a literature research conducted on the Lavender Hill community of the Cape Flats, this research proposes practical recommendations that could help different Christian churches in the fight against methamphetamine use by mid-adolescents. These recommendations attempt to involve different members of the community in the spirit that John Mbiti encapsulates in the proverb ―We are therefore I am‖. In this all- inclusive endeavour, this research supposes that if a community is properly functioning, it is possible for it to weed out unwanted elements in a manner that protects all its members, particularly the young.
AFRIKAANSE OPSOMMING: Die studie fokus op die vraagstuk van Metamfetamien-verslawing onder jeuggroepe binne die konteks van die Kaapse Vlakte met ‘n besondere fokus op die Lavender Hill- area. Daar is besluit om op middel-adolessensie te fokus omdat dit die fase is waarin jongmense uiters broos is en veral vatbaar is vir buite-invloede. Dit is ook die fase waarin vaste gedragspatrone binne identiteitsvorming vasgelê word. Die oogmerk was om veral op voorkomingstrategieë binne gemeentelike verband te fokus ten einde die pastorale bediening van die problematiek bewus te maak. Omdat verslawing ingebed is binne plaaslike kultuurkontekste, is besluit om aan te sluit by ‘n sosiaal-kontekstuele analise. Metamfetamien (of tik) raak betekenisraamwerke asook die mens se soeke na erkenning en aanvaarding. Vandaar die keuse vir ‘n kwalitatiewe benadering in aansuiting by ‘n pastoraal-hermeneutiese metodologie. Die sosiaal-kontekstuele analise in die Lavender Hill-area het aangetoon dat veral die sopsiale media en tegnologie ‘n groot rol speel in die gebruik van tik onder kinders. Binne ‘n armoedekultuur en die impak van gesinsverbrokkeling op jongmense se identiteitsontwikkeling, veral binne die bruingemeenskap, word ‘n teelaarde vir dwelmisbruik geskep. Tik is bekostigbaar en die situasie word deur bendes (gangsters) uitgebuit. Daar is ook bevind dat omgewingsfaktore ‘n bydraende rol speel, veral die gebrek aan doeltreffende ontspanningsgeriewe. As gevolg van die gebrek aan voldoende sosiale en familiale ondersteuningstrukture, word persoonslikheidsontwikkeling en karaktervorming hierdeur nadelig beïnvloed. Teen hierdie agtergrond stel die studie voor dat die kerk binne gemeenteverband as ‘n soort ‘familie‘ gestruktureer moet word. Die kerk is die skakel tussen die sosiale dimensie en spirituele raamwerke. Die gemeentelike bediening moet derhalwe by identiteitsontwikkeling betrokke wees ten einde voorkomend op te tree. Kerklike voorkomingstrategieë moet gekoppel wees aan die ekklesiale modus van diakonale uitreik ondanks religieuse and kulturele grense. In dié verband moet verskillende denomenasies hande vat en ook intensief saaamwerk met plaaslike gemeenskapsleiers. Dit is hier waar die Afrika-spiritualiteit , soos onder andere deur John Mbiti geformuleer, ‘n deurslaggewende rol kan speel, naamlik: ons bestaan vir mekaar, daarom leef ek as individu en bestaan ek as mens. Hierdeur word ‘n inklusiewe benadering geprofileer wat die gemeenskap inskakel ten einde die euwel van tik doeltreffend te bestry.

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Bester, Kyle John. « The external validity of South African substance use contextual risk instrument : predictive validity ». University of the Western Cape, 2017. http://hdl.handle.net/11394/5689.

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Magister Psychologiae - MPsych
The purpose of the present study was to gather further external validity evidence towards the validity argument for an instrument designed to measure individual and contextual factors associated with adolescent substance use in low socio-economic status communities in the Western Cape, South Africa. The South African Substance Use Contextual Risk Instrument (SASUCRI) measures adolescents' subjective experiences of their own psycho-social and their communities' functioning. The present study uses secondary data analysis in order to further evaluate its external validity. Both content and structural evidence for the instrument has been gathered in the larger study in which the present study is located. Validity theory was used as the theoretical framework for the gathering of the different types of evidence in support of the validity argument for this instrument. The study employed non-probability purposive sampling to select schools from three education districts from which twenty-six schools were selected where the sample total was N=1959. English and Afrikaans versions of the instrument were administered to English- and Afrikaans home language, school-going adolescents, aged 12 to 21 years. All ethical standards were maintained throughout the research process. External evidence procedures were conducted using Discriminant Function Analysis (DFA) to evaluate the extent to which the instrument could discriminate between substance using and non-using adolescents. The DFA revealed that nine SASUCRI sub-scales totals can act as significant predictors to substance use among adolescents based on the predictive validity of sub-scales.

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Noble, Shimonay Eunice. « Die gesin se rol in die voorkoming van adolessente se middelemisbruik : 'n maatskaplikewerk-perspektief ». Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50322.

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Thesis (MA)--Stellenbosch University, 2005.
ENGLISH ABSTRACT: During the researcher's work at the South African National Council for Alcohol and Drug Dependence (SANCA), based at the Paarl-office, it was obvious that adolescent substance abuse was growing into a huge governmental concern. During the first half of 2004 the average age of patients at drug rehabilitation centres who used crystal methamphetamine (streetname: "tik-tik") as their primary substance of abuse were between the ages of 15-19 years. Crystal methamphetamine is the latest drug that has taken the Western Cape by storm. It is obvious that the root of the problem is not being addressed since the number of adolescents abusing drugs seems to increase rather than decrease. The goal and aims of the study focuses on the factors contributing to adolescent substance abuse, parenting styles and -roles that contribute to adolescent substance abuse, and providing guidelines to social workers regarding the role of the family in the prevention of adolescent substance abuse. Adolescents have to deal with the new changes that occur, together with aspects such as, peer pressure, negative self-image, irresponsibility by the community and parents, poor parent-child relationships as well as socio-cultural variables that often lead tot substance abuse. Parents were found to be the role-models for their children and their parents' values, attitudes and behaviour regarding alcohol and/or drugs influence the values, attitudes and behaviour of their children. Therefore it seems that parents are primarily responsible for the prevention of adolescent substance abuse and the research study aims at providing facilitation skills on prevention strategies to social workers in order to successfully starting prevention of adolescent substance abuse. The quality of a family-system seems to have an important influence on adolescents in their growing up years, since adolescents experience a variety of changes and have to learn how to handle and accept these changes. During the literature study it was found that a negative family environment and negative experiences contribute to negative behaviour of adolescents, because the family is the primary unit where children learn their values, attitudes and processes that regulate their actions throughout their lives. A paradigm shift should be facilitated by social workers on maintaining healthy family relationships regarding the prevention of adolescent substance abuse. Supportive family-centred services therefore provide the best in adolescents' positive development, as well as identifying the most important needs of adolescents.
AFRIKAANSE OPSOMMING: Die navorser was gedurende die navorsingstudie as 'n maatskaplike werker by Die Suid Afrikaanse Nasionale Raad vir Alkohol en Dwelmafhanklikheid (SANRA) te Paarl aangestel. Na aanleiding van die werkslading kon die navorser tot die gevolgtrekking kom dat adolessente se middelemisbruik groot bekommernis vir die staat beteken. Gedurende die eerste helfte van 2004 was die gemiddelde ouderdom van pasiënte in dwelmrehabilitasiesentrums wie crystal methamphetime (straat naam: "tik-tik") as hul primêre middel van misbruik aangedui het, tussen die ouderdomme van 15-19 jaar. Na aanleiding van statistieke is dit duidelik dat die kern van die probleem nie aangespreek word nie, aangesien die hoeveelheid adolessente wie middele misbruik toeneem anders as om af te neem. Die doel en doelstellings van die studie fokus op die faktore wat bydra tot adolessente se middelemisbruik, ouerskapstyle en -rolle wat bydra tot adolessente se middelemisbruik, en die bied van riglyne aan maatskaplike werkers rakende die rol van die gesin tot die voorkoming van adolessente se middelemisbruik. Adolessente moet leer om die nuwe veranderinge in hullewens te hanteer, tesame met aspekte soos groepsdruk, negatiewe selfbeeld, onverantwoordelikheid deur die gemeenskap, swak ouer-kind verhoudings en sosio-kulturele veranderlikes wat telkens tot middelemisbruik bydra. Daar is gevind dat ouers die rolmodelle vir hul adolessente moet wees en dat ouerlike waardes, houdings en gedrag rakende alkohol en/of dwelms die waardes, houdings en gedrag van hul adolessente beïnvloed. Daarom blyk dit dat die primêre verantwoordelikheid op die ouers berus tot die voorkoming van adolessente se middelemisbruik en die navorsingstudie poog om die fasilitering van voorkomingstrategieë aan maatskaplike werkers te bied ten einde die voorkoming van adolessente se middiemisbruik aan te spreek. Die kwaliteit van die gesinsisteem het 'n belangrike invloed op adolessente in hul grootwordjare, aangesien adolessente 'n verskeidenheid veranderinge ervaar en moet leer hoe om die veranderinge te hanteer en te aanvaar. Gedurende die literatuurstudie is bevind dat 'n negatiewe gesinsomgewing en negatiewe ervarings bydra tot negatiewe gedrag van adolessente, omdat die gesin die primêre eenheid is waar adolessente hul waardes, houdings en prosesse aanleer wat hul aksies gedurende hullewens reguleer. 'n Paradigmaverskuiwing moet vervolgens deur maatskaplike werkers gefasiliteer word tot die handhawing van gesonde gesinsverhoudings ten opsigte van adolessente se middelemisbruik. Ondersteunende gesinsgesentreerde dienste bied vervolgens die beste opsie vir adolessente se positiewe ontwikkeling, sowel as om die mees belangrikste behoeftes van adolessente te identifiseer.

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Isaksson, Emelie, Caroline Ståhl et Emma Bertilsson. « Children's uncontrollable behaviour : A qualitative study of how social workers in Heidedal, South Africa works with the issue ». Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för beteendevetenskap och socialt arbete, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-37670.

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The preconditions for social work changes rapidly in South Africa and the country is characterized by pervasive inequality with extremes of wealth and poverty. Access to employment is difficult in rural areas and this leads to large-scale unemployment and poverty in the country. One area with these problems is the community Heidedal in Bloemfontein, South Africa. Uncontrollable behaviour with children is also a big and increasing issue in the community. The aim of this thesis is to investigate what the term uncontrollable behaviour implicates and how social workers within Heidedal work towards children’s uncontrollable behaviour in the community. This through our chosen theoretical framework, the theory of individual- and community empowerment. The study was carried out through an microethnographic approach, based on semi-structured interviews with social workers coming from four different organisations in Heidedal, together with observations in the area. The focus of the analysis was on separating the material into themes that answer the research aim by using influences from a qualitative content analysis. Uncontrollable behaviour was therefore investigated through specific themes connected to the theory. The findings presented five overlooking themes: Uncontrollable behaviour, Influencing factors on uncontrollable behaviour, Main methods, Main approaches and Work environment. The main findings within this study reveals that uncontrollable behaviour can devolve upon several different things and therefore the social workers in Heidedal are dealing with the issue with many different methods and approaches which will be revealed and discussed in this thesis. From the findings the term “uncontrollable” will furthermore be discussed and questioned. In conclusion the result showed upon the importance of a combination of the two types of empowerment addressed in this thesis; personal empowerment and community empowerment as an alternative way to deal with the issue with uncontrollable behaviour regarding children. This to reach a long term solution, in relation to environmental and socio-economical vulnerable areas that these children operate in.
Förutsättningarna för socialt arbete är ständigt föränderliga i Sydafrika och landet kännetecknas av genomgripande ojämlikhet med ytterligheter av rikedom och fattigdom. Tillgången till sysselsättning är begränsad i områden på landsbygden och detta leder till storskalig arbetslöshet och fattigdom i landet. Ett område med dessa problem är samhället Heidedal i Bloemfontein, Sydafrika. Okontrollerbart beteende hos barn är också ett stort och ökande problem i samhället. Syftet med denna studie är att undersöka vad termen okontrollerbart beteende innebär och hur socialarbetare i Heidedal arbetar med barns okontrollerbara beteende i samhället. Detta genom vår valda teoretiska referensram, teorin om individuell- och community empowerment. Studien genomfördes med ett mikro-etnografiskt förhållningssätt och baserades på semistrukturerade intervjuer med socialarbetare från fyra olika organisationer i Heidedal, samt observationer i området. Fokus i analysen var att dela in materialet i olika teman som besvarar syftet med studien genom att använda influenser från en kvalitativ innehållsanalys. Okontrollerbart beteende hos barn undersöks vidare genom specifika teman kopplade till denna teori. Upptäckterna i denna studie visade på fem övergripande teman: Okontrollerbart beteende, Påverkansfaktorer på okontrollerbart beteende, Huvudsakliga metoder, Huvudsakliga förhållningssätt och Arbetsmiljö. De huvudsakliga upptäckterna i denna studie visar att okontrollerbart beteende hos barn kan vara en följd av flera olika faktorer och därför arbetar socialarbetare i Heidedal med frågan genom många olika metoder och tillvägagångssätt, vilka kommer att belysas och diskuteras i denna studie. Utifrån resultatet kommer också termen “okontrollerbar” vidare att diskuteras och ifrågasättas. Sammanfattningsvis visade resultatet på vikten av en kombination mellan de två typer av empowerment som nämns i denna studie; personlig empowerment och community empowerment, som ett alternativt sätt att hantera problemet med okontrollerbart beteende hos barn. Detta för att nå en långsiktig lösning, i relation till de miljömässigt och socioekonomiskt sårbara områden som dessa barn befinner sig i.

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Noganta, Nandi Manako. « Perspectives of communities on use of alcohol among children in rural areas ». Thesis, University of Fort Hare, 2013. http://hdl.handle.net/10353/d1005631.

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Globalisation raises hopes that communities will become self reliant through development success and thus become an integrated whole (Offiong 2001). But the creation of global village leads to fragmentation of communities, a loss of norms and local values. This study focuses on communities of the Eastern Cape Province, exploring the nature of and extent to which children use alcohol as a consequence of cultural rituals. The researcher aims to develop a culturally sensitive psycho-social approach to address alcohol use among children. The purpose of the research was to investigate the extent to which certain cultural practices contribute towards alcohol use among children in the rural areas of the Eastern Cape Province. Thus exploring the nature and extent to which children use alcohol as a consequence of cultural rituals and to explore whether families and communities are aware of the impact of alcohol use by children in the community. The research was qualitative in nature and through semi-structured interview schedules the researcher was able to gain insight in the area of substance use amongst children in the rural areas of the Eastern Cape Province. Community members, learners from schools, educators and probation officers formed part of the research sample. The research findings suggest that community members are aware that the traditional rituals that are carried out in the rural areas have been contributing to the issue of children using alcohol. However, the community members feel challenged as they become conflicted by their traditional rituals and this impacts upon children using alcohol.

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Masombuka, Jan. « Children's addiction to the drug "nyaope" in Soshanguve township : parents' experiences and support needs ». Diss., 2013. http://hdl.handle.net/10500/11903.

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Substance abuse amongst children is a major problem in South Africa and world-wide. The trend of new drugs entering the drug market has increased in South Africa. Currently in South Africa, there is a new drug on the market known as “nyaope” being abused mostly by adolescents in the Townships. The negative consequences of substance abuse affect not only individuals who abuse substances but also their parents and significant others. The researcher observed that most literature in the field of substance abuse focuses on the children addressing issues such as causes, effects, psychological impact and others. Very little is documented on parents‟ experiences and coping capabilities as well as the support they need or receive. This further contributed to the researcher‟s purpose of conduct this study to explore parents‟ experience and support needs with regard to their children‟s addiction to nyaope.
MA (Social Work)

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Machimana, Eugene Gabriel. « Perceptions of the association between alcohol misuse and the risk of HIV-infection among male youths in Soshanguve, Gauteng Province ». Diss., 2012. http://hdl.handle.net/10500/9129.

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AIDS-related illnesses are the leading cause of deaths in South Africa. Alcohol misuse among male youths fuels the risk of Sexually Transmitted Infections (STIs), including HIV. Literature review was conducted on the association of alcohol misuse and the risk of contracting HIV among male youths. In this qualitative study fourteen male youths, all from Soshanguve in Gauteng province, participated in face-to-face interviews. The male youths who misuse alcohol show greater signs of indulging in risky sexual intercourse. In addition, the male youths who find their sexual partners at taverns were less likely to use condoms during sex. Other factors linked to alcohol misuse that hinder HIV-prevention include multiple sexual partners, transactional sex, men who have sex with men (MSM), young men’s dominance over young women and non-use of condoms. The findings of this research project indicate the need of deliberate focus on alcohol misuse during HIV-prevention education. HIV-prevention interventions should pay attention to reducing sexual risk behaviour associated with alcohol misuse among young men.
Sociology
M.A. (Social Behaviour Studies in HIV/AIDS)

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Mohasoa, Irene Patience. « Substance abuse among male adolescents ». Diss., 2010. http://hdl.handle.net/10500/3551.

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Adolescent substance abuse is a major problem facing the world today. In order to understand the reasons for adolescent substance abuse behaviour, various theoretical perspectives were utilised and strategies to curb substance use were also identified. The study was conducted in the rural areas of Zeerust, North West province of South Africa. The participants included 12 male adolescents, whose ages ranged from 12 to 15 years. A qualitative, explorative research design was employed. Data was gathered using semi-structured interviews, genograms and observations. Thematic analysis was used to analyse audio-taped data. The study found that substances abused by the participants include alcohol, nicotine, cannabis and heroin. Their reasons for using these substances include individual, family and environmental factors. However, peer group pressure was identified as the primary factor for adolescent substance use. This study emphasises the painful nature of substance abuse among adolescents, yet at the same time it succeeds in highlighting the strategies that can be employed to address substance abuse among adolescents. In addition, this study recommends a concerted effort by all the stakeholders in addressing the substance abuse problem.
Psychology
M.A. (Psychology)

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Blore, Lynda Gail. « The relationship between adolescent depressive symptomology and substance abuse ». Diss., 2002. http://hdl.handle.net/10500/947.

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This study examines the relationship between adolescent depressive symptomology and substance abuse. From a literature study six hypotheses were developed. A quantitative empirical study, undertaken in a South African high school, investigated the level of adolescent depressiVe symptomology and substance abuse, as well as the relationship between the two. The influence of various moderator variables was also examined. In line with most international studies, the relationship between adolescent depressive symptomotogy and substance abuse was found to be significant. This research has shown that adolescent depressive symptomology is significantly and positively correlated with earlier age at onset of substance abuse as well as frequency of usage. There appear to be gender differences in the way adolescents deal with their depression in terms of substance abuse. In addition, risk factors for depression and substance abuse were confirmed. Recommendations have been made based on these results
Educational Studies
M.Ed.

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Booyens, Welmi. « Evaluation of the substance abuse programme of the South Coast Recovery Centre, focusing on patients' satisfaction ». Thesis, 2009. http://hdl.handle.net/10413/498.

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Sweidan, Allan. « MCMI profiles of South African substance abusers ». Thesis, 2012. http://hdl.handle.net/10210/6100.

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M.A.
There is a critical lack of local, clinical research into this growing problem which threatens to affect all of our lives, either directly or indirectly. The last government-sanctioned study on substance abuse in South Africa was conducted in 1970, and very limited research reports have been published that have reflected on the etiology, maintenance and treatment of the problem, either from a social or therapeutic perspective. This dissertation sets out to address the clinical, therapeutic issues of Substance Abuse disorder, including alcohol, within a South African context. The assumption of the author is that pathological personality styles and disorders underlie the problem of substance abuse in South Africa, as has been established in countries with similar substance abuse issues around the world. As will be seen in the following chapter, a distinct relationship has been established between the disorder of substance abuse, on Axis I and the personality disorders of Axis II, according to the DSM III-R. 4 A review of the literature will demonstrate the different findings surrounding this relationship, and describe the role that pathological personality patterns play in the development and maintenance of Substance Abuse disorder. These pathological personality styles and disorders are then discussed in detail, from the perspective of Millon's theory of personality. It is felt by this author that Millon's theory of personality provides a comprehensive framework for the discussion of the underlying personality issues associated with addiction. The extensive description of Millon's personality styles and disorders, their close association to the personality disorders described in the Diagnostic and Statistical Manuals, and their easy quantification through the MCMI II make Millon's theory, coupled with his test of personality the most well suited theory to form a foundation for the discussion and integration of an understanding of the problems associated with substance abuse in South Africa. In order to determine the relevance of foreign- based studies in a South African context, a study into the personality profiles of South African substance abusers was conducted at three rehabilitation centers within the Gauteng province of South Africa.

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Ashdown, Deborah Anne. « "Dancing with change" : evaluating an ecosystemic substance abuse intervention programme for youth ». Diss., 2006. http://hdl.handle.net/10500/1649.

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The "Dancing with Change" Programme (DWCP) is an ecosystemically informed substance abuse intervention programme that was developed by the participants and myself with the aim of building resilience towards substance abuse among youth. The DWCP was conducted in the school setting, with ten volunteer Grade 7 learners over a ten-week period for an hour a week. The learners' parents participated in an initial needs assessment and in a feedback session at the end of DWCP, together with the life skills teacher and headmaster who observed and contributed to the process. An independent observer, present at each session, served to increase the dependability and confirmability of the evaluation findings. The DWCP appeared to have achieved its goals as defined by the participants. The evaluation findings are presented as a guide for people working in the field of adolescent substance abuse that synthesises best practice and lessons learnt in the field.
Psychology
M.A.(Clinical Psychology)

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Twala, Khanyisile. « Evaluation of primary prevention of substance abuse program amongst young people at Tembisa ». Thesis, 2008. http://hdl.handle.net/10210/1313.

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M.A.
The objective of the study was to evaluate the effect of a substance abuse primary prevention programme and ascertain its influence on three variables namely; attitude behaviour and knowledge of grade eight learners. The literature review revealed that there is a possibility that substance abuse awareness talk changes the behaviour and attitude of learners thus improving their knowledge about substance abuse effects. Whereas the United Nations indicated that for the success of the prevention programme it should be coupled with life skills. It was also revealed in the literature that the evaluation of prevention programmes was rarely done in South Africa due to lack of funding. The Elim Clinic as the organisation that deals with substance abuse treatment and prevention maintains that prevention is better than cure, therefore, all young people must be exposed to their substance abuse awareness talks. Peer educators of the secondary school presented the programme for grade 8 learners. A sample of thirty grade eight learners was systematically selected for this study in one of the secondary schools at Tembisa. The data were collected by means a of questionnaire based on background information of respondents, attitude, knowledge and behaviour of substance abuse. Due to the quantitative approach employed the Statistical Package for the Social Sciences (SPSS) was utilized to determine the difference between the pre-test and post-test results. The findings of the study clarified that the program had an effect on knowledge and no statistical significance on attitude and behaviour. It was concluded, too, that information given to young people cannot determine change in behaviour and attitude, and increasing their knowledge does not mean they will not abuse substances in the future.
Prof. B. Mitchell

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Gelebe, Nkhetheni. « Substance abuse among teenagers in the Tshisaulu Community : challenges faced by parents ». Diss., 2016. http://hdl.handle.net/11602/810.

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Govender, Cassandra P. « Back to basics : an exploration of relationship experiences in adults recovering from substance dependence ». Thesis, 2016. http://hdl.handle.net/10539/21822.

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A research report submitted to the Faculty of Humanities, University of the Witwatersrand, Johannesburg, in partial fulfillment of the requirements for the degree of Master of Arts in Clinical Psychology. Johannesburg, 2016
Substance dependence is a global issue that is becoming significantly more problematic. This is due to the fact that it does not just have a devastating effect on the individual but results in profound spin-off effects, which impact society as a whole. Much research has been conducted within this area and contemporary research has seemed to focus on the link between attachment styles and substance abuse. Since its conception by John Bowlby, attachment theory has achieved an empirical authority that has contributed to its popularity in modern times. However, despite this renewed interest there still exists a gap in the literature around the role that relationships, throughout the lifespan, play in areas such as pathology and recovery. Consequently, this research embarked on an interpretive phenomenological exploration of the way relationships impact the lives of individuals suffering from substance dependence. Adults in recovery from substance dependence were individually interviewed about their experiences of their relationships during and after their years of abusing substances. Hermeneutical phenomenological analysis was used to analyse this data and it revealed a typical model of pathology where a negative childhood experience had cascading effects that culminated in the later dependence on substances. Participants all highlighted relationships with themselves or others as pivotal to either seeking substances or to going into recovery. These themes were then located within Bowlby’s (1976, 1980) developmental pathways framework in order to make sense of the progression of substance dependence along the lifespan as it manifested in these participants.
MT2017

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Hoosen, Suheima. « Substance abuse treatment and rehabilitation programmes in South Africa : implications for social policy ». Thesis, 2005. http://hdl.handle.net/10413/5455.

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THIS STUDY EXAMINES SUBSTANCE ABUSE IN SOUTH AFRICA WHICH POSES MAJOR CHALLENGES IN THE AREAS OF ASSESSMENT, TREATMENT, REHABILITATION AND AFTER-CARE. THIS HAS A DIRECT IMPACT ON A NUMBER OF POLICIES DEALING DIRECTLY WITH RESOURCES, BUDGETS, NORMS AND STANDARDS OF / FOR SERVICE DELIVERY. THIS STUDY FOCUSSES ON THE AGENCIES AND THE INDIVIDUALS BECAUSE BOTH ARE CRUCIAL IN THE INTERVENTION, PLANNING OF TREATMENT AND REHABILITATION PROGRAMMES AS WELL AS IMPLEMENTING POLICY. THIS RESEARCH INVESTIGATED THE TYPES OF TREATMENT AVAILABLE, THE MULTI-DISCIPLINARY TEAM, ITS FUNCTIONS, AREAS OF NEED AND CONCERNS REGARDING THE CURRENT POLICIES. THE ASSESSMENT OF THE SERVICE DELIVERY ORGANISATIONS REVEALED, DEDICATION BUT ALSO A NUMBER OF ISSUES THAT NEEDED TO BE DEBATED UPON. FEW AGENCIES CHANGED OR USED MORE UP TO DATE INTERVENTION MODELS, WHICH GIVES THE CLIENT FREEDOM OF CHOICE AND ALLOWED HIM/HER TO BE THE MAJOR CHANGE AGENT IN HISIHER BEHAVIOUR CHANGES. A LACK OF KNOWLEDGE OF CHEMICAL SUBSTANCES AND SUBSTANCE ABUSE LEADS TO INAPPROPRIATE TREATMENT PLANS WHICH IN MANY INSTANCES LEADS TO THE RELAPSE RATES REMAINING HIGH. A STUDY OF THE MULTI DISCIPLINARY AND INDIVIDUAL TEAM MEMBERS OF GOVERNMENTAL, NON-GOVERNMENTAL AND PRIVATE REHABILITATION AND TREATMENT CENTRES WAS CONDUCTED TO ASSESS THEIR KNOWLEDGE BASE AND ISSUES THEY FACED. AN EXAMPLE WOULD BE THE DUAL DIAGNOSED CLIENTS, WHO HAVE FALLEN THROUGH THE NET BECAUSE OF LACK OF TRAINING THEORY AND PRACTICE 0N THE PART OF THE MULTI-DISCIPLINARY TEAM. THE STUDY REVEALED THAT THE GAP BETWEEN POLICY AND PRACTICE NEEDS TO BE MORE INTEGRATED TO ACHIEVE THE DESIRED DRUG FREE INDIVIDUALS. AGENCIES DO NOT HAVE THE TIME OR THE ENERGY TO DEAL WITH AND IMPLEMENT NEW AND OTHER POLICY CHANGES. THIS RESULTS BECAUSE OF OVERLOAD, LACK OF FUNDS AND LACK OF HUMAN RESOURCES. THROUGH THE LITERATURE STUDY A COMPREHENSIVE PROGRAMME FOR TREATMENT AND REHABILITATION IS RESEARCHED TO MEET THE UNIQUE INDIVIDUAL NEEDS OF THE SUBSTANCE ABUSER AND ALSO THE TEAM /INDIVIDUALS WHO PLAN THE TREATMENT. A LARGE NUMBER OF MODELS ARE DISCUSSED SO THAT THE PLANNING TEAM CAN CHOOSE APPROPRIATE ONES TO MEET THE NEEDS OF CLIENTS. ANOTHER AREA OF ASSESSMENT WAS THE INDIVIDUAL TEAM MEMBERS OPINIONS ON TREATMENT TIME FRAMES AND TREATMENT STRATEGIES. THIS THESIS RESEARCHED EVERY COMPONENT TREATMENT PROGRAMMES AND STRATEGIES AND SHOULD BE USED AS A REFERENCE AND TRAINING GUIDE BY ALL THOSE INVOLVED IN SERVICE DELIVERY IN THE FIELD OF SUBSTANCE ABUSE IN SOUTH AFRICA AND GLOBALLY. OF SPECIAL EMPHASIS WOULD BE THE UNDERSTANDING OF DUAL DIAGNOSIS AND THE PROVISION OF A SUITABLE TREATMENT PROGRAMME. THE INVESTIGATION INTO SOCIAL POLICIES PROVIDES FOR A MORE COMPREHENSIVE PARTNERSHIP BETWEEN AGENCIES AND GOVERNMENT TO MEET THE NEEDS FO SUBSTANCE ABUSERS IN SOUTH AFRICA AND WORLD WIDE.
Thesis (Ph.D)-University of KwaZulu-Natal, 2005.

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