AFRIKAANS: Hierdie navorsingstudie het ten doel gehad om 'n nasorgprogram te ontwikkel vir die benutting deur maatskaplike werkers in die hantering en behandeling van substansafhanklike adolessente. Die misbruik van afhanklikheidsvormende middels word erken as een van die grootste gesondheids- en maatskaplike probleme in Suid¬Afrika. Die eskalerende patrone van dwelmmisbruik en die impak daarvan op die individu en ook op die groter samelewing benodig gespesialiseerde vaardighede om die probleem te verstaan en aan te spreek. Met hierdie behoefte in gedagte is daar besluit om hierdie studie te doen en 'n nasorgprogram te ontwikkel om aan die maatskaplike werker in die praktyk 'n hulpmiddel te verskaf om eff'ektiewe nasorgdienste aan die substansafhanklike adolessent te lewer. Die doel van hierdie ondersoek is om verkennende- en beskrywende navorsing uit te voer na substansafhanklikheid by adolessente. Die kwantitatiewe navorsingsproses is gevolg in die navorsing, alhoewel navorsingsmetodes uit beide die kwantitatiewe- en kwalitatiewe benaderings gebruik is. Daar is twee stellings vir die navorsingstudie geformuleer, naamlik: Daar bestaan 'n leemte aan bestaande bruikbare nasorgprogramme vir die benutting deur maatskaplike werkers in die praktyk vir hulpverlening aan die substansafhanklike adolessent; en dwelmmisbruik neem toe onder adolessente en moet dringend aangespreek word. Die stellings was deur middel van die verkennende navorsingsontwerp en met behulp van persoonlike vraelyste (kwantitatiewe data¬insamelingsmetode) en semi-gestruktuurde aangesig-tot-aangesig onderhoudsvoering (kwalitatiewe data-insamelingsmetode) ondersoek. AIle kwalitatiewe- asook kwantitatiewe data het 'n ooreenkomstige bevestiging op die stellings verskaf. Hierdie data het aangedui dat daar 'n groot leemte aan effektiewe nasorgdienste ten opsigte van die substansafhanklike adolessent bestaan en dat substansafhanklike adolessente as gevolg van oneffektiewe hulpverlening telkens 'n terugval beleef. Verdere navorsing deur middel van die benutting van narratiewe terapie met 'n gesin waar 'n adolessent dwelms gebruik is gedoen. 'n Suid-Mrikaans geformuleerde meetinstrument wat substansafhanklikheid binne die adolessente kultuur en leefwyse, asook eietydse eise en probleme kan vervat en meet, word gevolglik aanbeveel. ENGLISH: The purpose of this research study is the development of an aftercare programme for social workers to use in the handling and treatment of substance dependant adolescents. The abuse of dependant substances is recognised as one of the greatest health and social problems in South Africa. The escalating patterns of drug abuse and the impact thereof on the individual as well as the greater community asks for specialised skills to understand and solve these problems. With this need in mind the researcher decided to develop an aftercare programme, which would serve as a practical guideline for social workers in practice in order to supply effective aftercare services to the substance dependant adolescent. The aim of the study was to investigate substance dependency by adolescents through exploratory- and descriptive studies. The quantitative research process was followed although both the qualitative and quantitative methods were used. Two suppositions were formulated for the research study: A huge gap currently exists for aftercare programs for the assistance of social workers in practice to substance dependant adolescents. These suppositions were investigated through the use of exploratory research design and with the assistance of personal questionnaires (quantitative date gathering method) and semi-structured face-to-face interviewing (qualitative data gathering method). Both quantitative and qualitative data confirmed the formulated suppositions. The data clearly indicated the need for effective aftercare services for substance dependant adolescents, which frequently experience a relapse due to the lack of assistance. Further research can be done through the use of narrative therapy within a family in which an adolescent used drugs. A South African formulated measurement scale, which is able to measure substance dependency within the adolescent culture and way of life, are recommended. / Dissertation (MA (SW))--University of Pretoria, 2006. / Social Work and Criminology / unrestricted

Research has consistently demonstrated strong relationships between high levels of adherence to traditional masculinity ideology and poor health and behavior outcomes (e.g., Levant & Richmond, 2007; O'Neil, 2008). Though recent studies have demonstrated support for theories of multiple masculinities or the idea that one's masculinity ideology is developed, maintained, and restructured according to one's social and environmental contexts (e.g., Smiler, 2004), understanding how male gender contributes to social problems within diverse communities, social groups, and contexts is not well established (Mankowski & Maton, 2010). The current study examined how individual and contextual variables predict change in level of adherence to traditional masculinity ideology among a diverse sample of incarcerated adolescent males convicted of felony crimes in the state of Ohio. In particular, while literature has described prison settings as an environment that ignores gender (e.g., Lutze & Murphy, 1999; Messerschmidt, 1993), the current study assessed the effectiveness of a strength-based program at successfully decreasing adherence to traditional masculinity within two of the four participating juvenile justice facilities in ODYS. Using hierarchical linear modeling informed by a qualitative follow-up sequence design, study found younger adolescents and African American youth with low levels of ethnic pride to have higher levels of adherence to traditional masculinity at the beginning of the study compared to older adolescents and White youth or African American youth with high levels of ethnic pride. Interestingly, age did not predict changes in levels of adherence to traditional masculinity ideology over time, however, White youth's level of adherence increased over time and African American youth's level of adherence remained relatively stable. Moreover, youth with good attendance in the program experienced less dramatic increases in adherence to traditional masculinity compared to those with poor attendance. Thematic analysis of qualitative data supports the study's finding that program participation predicts changes in levels of adherence to traditional masculinity ideology over time. In addition to providing support for quantitative findings, the thematic analysis highlights some potential gaps in the quantitative assessment of masculinity ideology that must be considered in future research. For example, youth describe an alternative ideal form of masculinity, sometimes characterized by the youth as "man up," that provides a level of flexibility that is counter to that of traditional masculinity. Moreover, the qualitative findings also raise questions about the validity of the survey measure of masculinity (AMIRS; Chu, 2005) for use with African American and incarcerated youth. Finally, the study supports theories of multiple masculinities and offers preliminary evidence that gender specific, strengths-based programming can influence adherence to traditional masculinity ideology among youth in juvenile justice facilities.

Addiction to drugs is a widely acknowledged problem in South Africa. Newer developments in the study of addiction include behaviours such as gambling and sex as part of a broader syndrome. International research has established that most people with one addiction are at risk for co-occurring addictions which are frequently undiagnosed and untreated. Multiple addictions (MA) have been shown to combine in specific patterns to produce addiction interaction disorder (AID) resulting in a more complex, treatment- resistant illness. This was the first study South Africa to investigate if people with substance use disorders had other addictions. The research had three aims: to establish if in-patients admitted to three drug rehabilitation centres had other addictions, to investigate the extent of the MA and AID and to determine whether the treatment programmes managed them appropriately. The study employed the mixed methods research design and was located at three in-patient facilities in Durban, KwaZulu-Natal. During the first phase, discussion groups were held with professionals that explored their perceptions of MA, AID and current treatment programmes. The second phase involved a survey of 123 participants screened for poly-substance abuse, sex (including internet) addiction and problem gambling. The third phase utilised in-depth interviews with 25 participants displaying MA to understand the development of addiction, AID and treatment received. The data were analysed utilising descriptive and statistical analysis for the survey data, and thematic analysis for the in-depth interviews and discussion groups. The study found a high incidence of MA within the survey population of 54%; 37% of participants tested positive or at risk for problem gambling and 41% tested positive for sex addiction with 24% of the participants being positive for both. In-depth interviews revealed high rates of trauma, especially for the female participants and demonstrated the complex interrelationship between addictions. AID was identified in all 25 participants. In KwaZulu- Natal, it appears that MA and AID are currently not being assessed or treated. The study highlights the need for a broader conceptualisation of addiction which would improve current assessment and treatment and has implications for further training of professionals and addiction policy in South Africa. / Ph.D. University of KwaZulu-Natal, Durban 2013.