Heroin dependence, which is escalating within South Africa, has become a symbol of the social disorder of the times - associated with materialism, poverty, crime, the problems of a society in transition, the disadvantaged, and the inner cities. However, that is not to say that all those who misuse heroin develop a problem or become dependent. In reality, only a small minority of heroin users develop a dependence, but for those who do it can result in unpleasant and potentially terrifying experiences/consequences, that can often be extremely difficult to escape from. That is not to say that recovery from dependence to heroin is not possible. Indeed, contrary to the beliefs of many people, the reality is that many people do eventually recover. Despite the vast sums of money devoted to treatment intervention of heroin dependants in the South Africa and worldwide, the processes by which recovery occur remain fairly unclear. Moreover, relatively little is known about the contribution of interventions and processes in facilitating such recovery. The statistical and content analysis of the data revealed that one of the most important factors identified in allowing successful behaviour modification and promoting recovery was psychosocial and pharmacological intervention, which seemed to produce a range of positive effects that facilitated natural healing processes. However, a range of other factors alongside intervention were also important in promoting behaviour modification. This study has provided important information, from forty recovering heroin dependants themselves, on the many factors that are important in achieving abstinence, in allowing recovery to be maintained in the longer term, and in potentially allowing an eventual exit from heroin dependence. A number of difficulties encountered in intervention were also identified. The statistical findings of the study support the `maturing out' hypothesis of heroin dependence (c² = 16.841; r = 0.001; df = 3). Ethnicity, highest level of education, employment status, marital status, biological parents' marital status or whether biological parents were deceased or not did not relate to any of the identified behavioural indices associated with heroin dependence recovery. A framework for the development of a contextual heroin dependence recovery model is also discussed. / Psychology / (M.A.(Psychology))

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.

The purpose of the study was to explore the experiences of female nyaope injectors residing in City of Tshwane Municipality, Gauteng. The study was conducted at COSUP sites namely; Soshanguve, Pretoria CBD, Sunnyside, Mamelodi, Eersterust, and Attridgeville. The study focused on females who have a history of injecting nyaope, accessing substance use related services at a registered service provider within City of Tshwane Municipality, Gauteng. Research design of the study was exploratory, which is basically used to explore a new topic or learn more about phenomenon where little is known. The research approach was purely qualitative methodology. This permitted the researcher to deeply explore the lived experiences of female nyaope injectors residing in City of Tshwane Municipality, Gauteng. A qualitative in-depth interview method was used to collect data from 24 participants who took part in the study. Questions of the interview were semi-structured, in-depth one-on-one interviews and were used to explore the lived experiences of female nyaope injectors residing in City of Tshwane Municipality, Gauteng. The findings of the study revealed that females who are injecting nyaope, are at risk of contracting HIV and other blood-borne infections. The stigma that is perpetuated by families, intimate partners, communities, health care professionals, and police officers is creating a hostile environment for female nyaope injectors; which increases the risk of contracting HIV and other blood-borne infections. Harm reduction services have the potential to address the needs of female nyaope injectors if fully implemented. It can be concluded that there is a need for substance abuse service providers to implement comprehensive harm reduction services to curb HIV prevalence amongst female nyaope injectors. / Health Studies / M.A. (Social Behavioural Studies in HIV/AIDS)

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)

Risk taking behaviours such as drug use, sexual activities and tattooing are prevalent in the correctional institutions, including those in South Africa. Such behaviours pose a serious challenge as regards health care of inmates. In particular, these behaviours contribute to the transmission of HIV/AIDS which results in morbidity and mortality. Harm reduction components are employed as effective measure to curb the spread of the pandemic. These components are lauded owing to their considerable impact. They consist of needle exchange programmes, substitution therapy, condom provision and education. Various developing (Morocco, Brazil and Egypt) and developed (Scotland and Canada) countries make use of such components to address risk taking behaviours in correctional institutions. Although condom provision and education have been implemented by the South African Department of Correctional Services in state institutions, there is an urgent need to enhance the efforts. This study investigates the extent of risk taking behaviours amongst inmates at the Leeuwkop Correctional Centre. It also determines the level of knowledge of inmates and staff regarding HIV/AIDS. The researcher employed a qualitative form of methodology, collecting data by means of a structured questionnaire. The data was coded and analysed by means of the Statistical Package for the Social Sciences (SPSS) software. The findings reveal that the risk taking behaviours are prevalent at the Leeuwkop Correctional Centre. Furthermore, the analysis of the knowledge items regarding HIV/AIDS indicates that there are certain deficits that require attention. They are also notable differences in the primary sources of HIV information for inmates and staff. It was found that a dire need exists to enhance and expand current harm reduction initiatives in correctional institutions in order to offer health care services that are compliant with international conventions such as the Dublin Declaration on HIV/AIDS as well as the South African Constitution. Reluctance to do so is tantamount to housing inmates in „de facto‟ death chambers. Hence the augmentation of such initiatives is strongly recommended. / Penology / D. Litt. et Phil. (Penology)

The use of methylenedioxymethamphetamine (MDMA) or Ecstasy is a phenomenon that has established itself in the widespread Rave culture. Ecstasy use causes not only physical, social and psychological problems in the development of the adolescent but may also influence his concentration and learning abilities. To prevent these problems educators should be well informed regarding current drug use trends and also be capable of assisting adolescents. Research regarding the nature of Ecstasy use and the characteristics of its users is lacking nationally. The increase in use amongst school going adolescents and young adults and the fact that there are side effects and unknown long term effects has made it imperative that educators learn as much as possible about this drug. The purpose of this research is therefore to furnish the educator with accurate information that will enable him to obtain a reference point from which assistance can be offered to the young Ecstasy user. / Psychology of Education / M.Ed.(Guidance and Counselling)

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)

Risk taking behaviours such as drug use, sexual activities and tattooing are prevalent in the correctional institutions, including those in South Africa. Such behaviours pose a serious challenge as regards health care of inmates. In particular, these behaviours contribute to the transmission of HIV/AIDS which results in morbidity and mortality. Harm reduction components are employed as effective measure to curb the spread of the pandemic. These components are lauded owing to their considerable impact. They consist of needle exchange programmes, substitution therapy, condom provision and education. Various developing (Morocco, Brazil and Egypt) and developed (Scotland and Canada) countries make use of such components to address risk taking behaviours in correctional institutions. Although condom provision and education have been implemented by the South African Department of Correctional Services in state institutions, there is an urgent need to enhance the efforts. This study investigates the extent of risk taking behaviours amongst inmates at the Leeuwkop Correctional Centre. It also determines the level of knowledge of inmates and staff regarding HIV/AIDS. The researcher employed a qualitative form of methodology, collecting data by means of a structured questionnaire. The data was coded and analysed by means of the Statistical Package for the Social Sciences (SPSS) software. The findings reveal that the risk taking behaviours are prevalent at the Leeuwkop Correctional Centre. Furthermore, the analysis of the knowledge items regarding HIV/AIDS indicates that there are certain deficits that require attention. They are also notable differences in the primary sources of HIV information for inmates and staff. It was found that a dire need exists to enhance and expand current harm reduction initiatives in correctional institutions in order to offer health care services that are compliant with international conventions such as the Dublin Declaration on HIV/AIDS as well as the South African Constitution. Reluctance to do so is tantamount to housing inmates in „de facto‟ death chambers. Hence the augmentation of such initiatives is strongly recommended. / Penology / D. Litt. et Phil. (Penology)

The use of methylenedioxymethamphetamine (MDMA) or Ecstasy is a phenomenon that has established itself in the widespread Rave culture. Ecstasy use causes not only physical, social and psychological problems in the development of the adolescent but may also influence his concentration and learning abilities. To prevent these problems educators should be well informed regarding current drug use trends and also be capable of assisting adolescents. Research regarding the nature of Ecstasy use and the characteristics of its users is lacking nationally. The increase in use amongst school going adolescents and young adults and the fact that there are side effects and unknown long term effects has made it imperative that educators learn as much as possible about this drug. The purpose of this research is therefore to furnish the educator with accurate information that will enable him to obtain a reference point from which assistance can be offered to the young Ecstasy user. / Psychology of Education / M.Ed.(Guidance and Counselling)