The perceived success of selected therapy programmes on mitigating the relapses of patients with substance use disorders in Gauteng, South Africa

This study aimed at evaluating the perceived success of selected therapy programs in mitigating the relapse of patients with substance use disorders at two selected rehabilitation centres in the Gauteng province of South Africa. The methodology used for this study was a mixed-method approach, although more emphasis was on qualitative methods. The qualitative data was collected from four focus groups, and 6 in-depth interviews from key informants. The quantitative data was collected using questionnaires that were completed by 100 primary carers of discharged patients from the selected drug treatment centres. The main findings of the study showed that substance use disorder is a complex disease that requires several factors to be considered to avoid any relapses. The study showed that rehabilitation centres are hugely contributing to efforts of solving substance use in Gauteng and South Africa as a whole. These rehabilitation centres offered various treatment programs to individuals who suffer from substance use disorders. The findings also indicated that the selected therapy programmes at the rehabilitation centres met their objectives. However, some of the programmes were successful in mitigating the relapses of patients recovering from addiction to a lesser extent. The study also found out that the number of individuals who relapse is relatively high, however, the study did not dive into the depth of the causing factors. This may be room for future studies. Findings further indicated that the rehabilitation centres lacked in the application of a holistic approach to addiction treatment, even though there were several treatment programs offered. The issue of exorbitant residential fees in private rehabilitation facilities was also highlighted by the data collected. The research concluded by suggesting several recommendations such as research to improve policy for substance use with a focus on the human rights approach to the drug problem. Recommendations to the Department of Social Development which is responsible for the rehabilitation centres in South Africa. To ensure that all centres that are registered for offering treatment for substance use disorder be mandated to use a comprehensive multidisciplinary approach, diversifying and individualizing treatments for better outcomes. Lastly, recommendations were suggested to the social work practice, to support rehabilitation facilities by providing continuous specialized training to their social workers. Recommendations to social work training and curriculum to include in-depth substance use disorders during education, training, and field placements, for best practice amongst new social work practitioners placed in rehabilitation centres.Thesis (PhD) -- Faculty of Social Sciences and Humanities, 202