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)

South Africa has experienced a notable increase in adolescent drug use during the country’s transition from apartheid to democracy (Central Drug Authority [CDA], 2006). These findings are verified by epidemiological studies and two national youth risk behaviour surveys, highlighting the need for effective drug prevention interventions. Whilst drug use spans across age, gender and social strata, the rapid increase in both legal and illicit drug use among adolescents in the Northern Areas communities of Port Elizabeth has been particularly pronounced. The South African Community Epidemiology Network on Drug Use (SACENDU) statistics, which reflects on racial demographics in accordance with the Population Registration Act of 1950 (South Africa, 1950), reports that, in the year 2011, the ‘Coloured’ population constituted 62 percent of those individuals seeking treatment for drug abuse, compared to 15 percent ‘African’ treatment seekers in Port Elizabeth (Dada, Plüddemann, Parry, Bhana, Vawda & Fourie, 2012:44). Furthermore, methamphetamine use by persons under the age of 20 years in Port Elizabeth increased fivefold in a three-year period, i.e. from 7 percent in 2008 to 39 percent in 2011 (Dada et al., 2012), with the ‘Coloured’ population group accounting for the majority of methamphetamine users. These statistics reinforce a long-standing racial stereotype that associates ‘Coloured’ racial identity with an enhanced susceptibility to drug use. The National Drug Master Plan (South Africa, 2012a), and the Prevention of and Treatment for Substance Abuse Act (Act no 70 of 2008) propose that drug prevention programmes should address the values, perceptions, expectations and beliefs that the community associates with drug abuse (South Africa, 2008b). This view emphasises the importance of drug preventions interventions that are culturally sensitive and contextually relevant. The current study was guided by two conceptual frameworks, i.e. the Social Constructionist Framework and the Ecological Risk/Protective Resilience Framework, and focused on the Northern Areas of Port Elizabeth, a historically marginalised community inhabited by a predominantly ‘Coloured’ indigenous/ethnic group. The goal of the study was to enhance understanding of the socio-cultural meaning attributed to cultural identity, drug use, non-use and drug prevention in the Northern Areas of Port Elizabeth, with the view to developing guidelines for drug prevention interventions that are culturally sensitive and contextually relevant. The following objectives were formulated in order to achieve the goal of the study: • To explore adolescent narratives regarding the constructs ‘Coloured’, drug use, non-use and drug prevention programmes of three distinct groups of adolescents (drug users, non-users, and TADA peer mentors) from the Northern Areas. • To explore and describe the social service practitioners’ (social workers and social auxiliary workers’) constructions of drug use, non-use and drug abuse prevention in relation to adolescents from the Northern Areas, and how such constructions inform the drug prevention services rendered to adolescents from these communities. • To review the data collected from the adolescent narratives and the social service practitioners’ reflections on their drug prevention programmes against existing theory and models for drug prevention. • To synthesise the above information with a view to developing guidelines for culturally sensitive drug prevention programmes relevant and responsive to the specific social constructions of adolescents from the Northern Areas. A qualitative research approach, located in a narrative tradition of inquiry research design, was employed to achieve the goal of the study (Riessman, 2008). The study was conducted in two phases. The first phase involved an empirical study with the four sample groups (i.e. adolescent drug users, adolescent non-drug users, Teenagers against Drug Abuse [TADA] peer mentors and social service professionals (i.e. social workers and social auxiliary workers)). Phase two involved the co-construction of the practice guidelines for culturally sensitive and contextually relevant drug prevention interventions. Phase one started with the informal exploration of community stakeholders’ views on the identified research problem and the process of gaining access to the research population. Several gatekeepers (i.e. teachers, social workers, the Families Against Drugs [FAD] Support Group representatives, a minister of religion and a community stakeholder) were engaged to assist in recruiting participants from the four sample groups. A non-probability purposive sampling method was employed to purposively recruit 29 adolescent non-drug users and ten adolescent peer mentors (via the TADA Programme at one school). The same sampling method, followed by a snowball sampling technique, was employed to recruit the two remaining sample groups of ten adolescent drug users (in the recovery process) and nine social workers and social auxiliary workers respectively. The sample sizes were determined by the principle of data saturation.The data generation method used in respect of the non-users took the form of semi-structured written narratives, administered in a group context during school time, followed by a second round of data generation. The life-grid (Wilson, Cunningham-Burley, Bancroft, Backett-Milburn & Masters, 2007:144), a qualitative visual tool for mapping important life events, was employed to guide the co-construction of the biographical narratives generated during the individual semi-structured interviews with the sample of adolescent drug users. Focus group interviews were used to enhance an understanding of the peer mentors and social service practitioners’ views on the construct ‘Coloured’ and their existing drug prevention programmes. Each of the individual and focus group interviews was audio-recorded, transcribed and complemented by the field notes. Informal data gathering occurred through participant observation of two drug prevention programmes, attendance of a FAD Support Group meeting, and interviews with community volunteers and the South African Police Services (SAPS) Youth Development Forum. Both the content and the context of the narratives were analysed to arrive at the research themes, sub-themes and categories. The content of the narratives was analysed by employing categorical content analysis, whilst the form of the narratives (i.e. how the stories were told) was analysed by using the socio-cultural approach to narrative analysis (Grbich, 2007:130). The journey metaphor emerged from the adolescent drug users’ narratives, depicting a prototypical storyline of a drug use journey, starting with experimentation and culminating in abuse and dependence for some and an early exit from the journey for others. The conclusions that can be drawn from these findings illuminate key protective factors and processes at a multisystemic level that can be strengthened to enhance the adolescents’ resistance to drug use and/or delay the onset of use. Embedded in the participants’ narration of the drug use journey were nuances relating to internalised stereotypes of ‘White’ supremacy and ‘Coloured’ inferiority as an explanatory framework for venturing onto and prolonging the journey.The two themes that emerged during the process of content and narrative analysis of the qualitative data (from both adolescent drug users and non-users) were as follows: Constructing drug use as a ‘Coloured’ phenomenon and reconstructing ‘Coloured’ identity; Risk and protective factors located at individual, family, peer, school, community and societal domains. The four themes that emerged during the data analysis of the peer mentors and social service practitioners’ narratives were as follows: Construction of ‘Coloured’ identity; socio-cultural meaning construction about the reasons for drug use amongst adolescents from the Northern Areas; description of drug prevention services rendered in the Northern Areas; and reflection on barriers to rendering drug prevention interventions.

A mixed methodological approach with two different analytic procedures and multiple data sources was used to examine narcotics hot spots. The first phase compares two methods of hot spots identification; the prediction model and the actual crimes. The second phase involves an intensive study to better understand the phenomenon of drug hot spots areas consistently shown to be repeat hot spots.

Thesis (M Social Work)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: The Western Cape is notorious for its high prevalence of gangs and resulting gang violence. This is confirmed in the multitude of frequent reports of homicides attributed to gangs. This area of South Africa further has elevated substance abuse statistics. Literature clearly states that gangs and drugs are inextricably linked. The nature of the interaction is however unclear, although the effects of the interaction is significantly apparent as the consequences of gang activities is often felt by innocent bystanders. It is concerning that gangsterism and drug usage is normalised and ceases to be viewed as deviant in some communities. The consequences of the interaction between gangs and drugs has ramifications for community safety and further places much strain on the health, social welfare, as well as defence sectors. Effective interventions need to be informed by insight into the interaction between gangs and drugs. The best source of reliable information in this regard would be gang members. A dearth of research with regards to the gang members‟ perspective on the connection between gangs and drugs thus motivated the study. The study was conducted with male gang members within the setting of a substance treatment centre, where drug usage is normalised. An empirical study with a combination of a qualitative and quantitative approach was used, where a semi structured questionnaire was administered with individual participants as well as a focus group. The study illustrated that gangs attract members through their ability to meet the individuals‟ needs. These needs are linked to those indentified within motivational theory. Gangs met physiological needs through access to drugs, safety needs through providing protection, and self esteem needs through the provision of money and status. Significantly, gangs were identified as meeting individuals‟ belonging needs. Commonality was established in risk factors for involvement in a gang and as well as in the usage of substances. The study showed unstable home environments with absent fathers and multiple stressors such as exposure to high levels of violence and abuse. Disconnectedness within families was further highlighted. The participants were exposed to elevated levels of substance misuse within their families as well as elevated levels of familial involvement in the sale of drugs. Familial involvement in gangs was also high within participants. The findings of the study indicate that drugs are enmeshed within gang activities. Drug usage occurs before and after going out and committing crimes. Drugs were used to heighten gang members‟ fortitude, diminishing inhibitions. Participants spoke about being incapable of undertaking violent acts, without first using drugs. Gang members used drugs to quieten the conscience and in self medicating after completing a task, in order to cope with flashbacks and intrusive thoughts and images. Gang norms with regards to the sanctioning of drugs is a complex issue. The study demonstrated that gangs make a distinction between drugs, for example heroin usage is not encouraged by all gangs due to the associated tolerance and severe withdrawal symptoms. Gangs tread a thin line between condoning and discouraging drug usage. Supporting drug usage may benefit the gang, as it encourages and motivates gang activities. Gang members who become dependent on drugs are however a risk for the gang, as they become unreliable and disloyal, as their absolute devotion to the gang is challenged by their physiological needs. Gang members however perceive the gangs‟ prohibition of certain drugs, as motivated by a concern for their wellbeing rather than self interest. The temporal order of drug usage and gang membership illustrated that drug usage preceded involvement in a gang. Drug usage however significantly increased and progressed after inclusion in a gang. Recommendations emphasised a need to acknowledge the link between drugs and gangs. Insight provided by gang members is needed in order to inform effective interventions. Within the substance dependence field, the gang member presents with unique treatment needs, which must be understood in order to gain optimum results. Ill-informed, generic treatment is ineffective, irresponsible and costly for service providers, communities affected by gangsterism, and those gang members with some willingness to change. / AFRIKAANSE OPSOMMING: Die Wes-Kaap is berug vir dié provinsie se hoë voorkoms van bendes en gepaardgaande bendegeweld. Dít word bevestig deur die menigte gereelde berigte van moord waarby bendes betrek word. Hierdie gebied van Suid-Afrika toon boonop verhoogde middelmisbruik-statistieke. Literatuur stel dit onomwonde dat bendes en dwelmmiddels op onlosmaaklike wyse verbind is. Die aard van hierdie wisselwerking is onduidelik, hoewel die uitwerking daarvan onmiskenbaar is: Veral onskuldige omstanders word dikwels deur die gevolge van bendebedrywighede geraak. Dit is kommerwekkend dat bendes en dwelmmisbruik oënskynlik genormaliseer en in sommige gemeenskappe nie meer as afwykend bestempel word nie. Die wisselwerking tussen bendes en dwelms hou ernstige gevolge in vir gemeenskapsveiligheid, en plaas daarbenewens heelwat druk op die gesondheid-, maatskaplikewelsyn- sowel as verdedigingsektor. Doeltreffende intervensies moet gerig word deur insig in die wisselwerking tussen bendes en dwelms. Die beste bron van betroubare inligting in hierdie verband is natuurlik bendelede self. Tog is daar ‟n gebrek aan navorsing oor bendelede se eie beskouings van die verband tussen bendes en dwelms, en dít het dus as beweegrede vir hierdie studie gedien. Die studie is onder manlike bendelede in ‟n behandelingsentrum vir middelmisbruik onderneem, waar dwelmgebruik genormaliseer word. ‟n Empiriese studie met ‟n kombinasie van ‟n kwalitatiewe en kwantitatiewe benadering is gebruik, en ‟n semigestruktureerde vraelys is onder individuele deelnemers sowel as ‟n fokusgroep afgeneem. Die studie toon dat bendes lede werf deur hul vermoë om in die individu se behoeftes te voorsien. Hierdie behoeftes stem ooreen met die behoeftes wat in motiveringsteorie uitgewys word. Bendes voorsien in sielkundige behoeftes deur toegang tot dwelms te bied; hulle voorsien in veiligheidsbehoeftes deur beskerming te verleen, en hulle voorsien in selfbeeldbehoeftes deur geld en status beskikbaar te stel. In die besonder is bevind dat bendes in individue se behoefte voorsien om iewers tuis te hoort. Daar is ‟n gemeenskaplikheid uitgewys in die risikofaktore vir bendebetrokkenheid en vir middelmisbruik. Die studie lewer bewys van onstabiele huislike omgewings met afwesige vaderfigure en veelvuldige stressors, soos blootstelling aan hoë vlakke van geweld en misbruik. ‟n Gebrek aan familiebande kom voorts aan die lig. Die deelnemers is in hulle families aan verhoogde vlakke van middelmisbruik sowel as verhoogde vlakke van betrokkenheid by dwelmhandel blootgestel. Familiebetrokkenheid by bendebedrywighede blyk ook algemeen te wees onder deelnemers. Die bevindinge van die studie toon dat dwelms en bendebedrywighede ineengevleg is. Dwelmgebruik vind plaas voor sowel as nadat misdaad in bendeverband gepleeg word. Dwelms word gebruik om bendelede moed te gee en hul inhibisies te laat verdwyn. Deelnemers noem dat hulle nie geweld kan pleeg sonder om eers dwelms te gebruik nie. Bendelede gebruik dwelms om hul gewete te sus en hulself ná die voltooiing van ‟n taak te behandel om terugflitse en aanhoudende gedagtes aan die gebeure te kan hanteer. Bendenorme met betrekking tot die goedkeuring van dwelms is ‟n komplekse saak. Die studie toon dat bendes tussen verskillende soorte dwelms onderskei: Alle bendes moedig byvoorbeeld nie heroïengebruik aan nie weens die verwante toleransie en ernstige onttrekkingsimptome. Vir bendes is daar ‟n baie fyn lyn tussen die kondonering en ontmoediging van dwelmmisbruik. Die ondersteuning van dwelmgebruik kan tot voordeel van die bende wees, want dit dien as aansporing en motivering vir bendebedrywighede. Tog hou dwelmafhanklike lede ook ‟n gevaar vir die bende in, aangesien hulle onbetroubaar en ontrou raak wanneer hulle absolute toewyding aan die bende teen hul fisiologiese behoeftes te staan kom. Bendelede beskou egter die bende se verbod op sekere dwelms as ‟n teken van hul besorgdheid oor hulle lede se welstand eerder as selfbelang. Die tydsorde van dwelmgebruik en bendelidmaatskap toon dat dwelmgebruik bendebetrokkenheid voorafgaan. Dwelmgebruik het egter beduidend toegeneem en verhewig ná insluiting by ‟n bende. Aanbevelings beklemtoon die behoefte om die koppeling tussen bendes en dwelms te erken. Insigte wat van bendelede bekom word, is nodig ten einde doeltreffende intervensies te rig. Op die gebied van middelafhanklikheid het die bendelid unieke behandelingsbehoeftes wat verstaan moet word ten einde optimale resultate te behaal. Generiese behandeling sonder die nodige agtergrondinligting is ondoeltreffend, onverantwoordelik en duur vir diensverskaffers, gemeenskappe wat deur bendebedrywighede geraak word, sowel as daardie bendelede wat wél bereid is om te verander.

This study is concerned with drug knowledge and drug abuse attitudes of a sample of pre-adolescent schoolchildren, 90 from an urban community and 204 from two rural communities. The seven hypotheses tested compared drug knowledge levels and drug abuse attitudes with the variables of community of residence, sources of information, racial identity, acquaintance with drug users, and church affiliation. High levels of drug knowledge were found to be related to rural residence, perceived parental disapproval of drug use, frequency of church attendance, and, to a minor degree, to acquaintance with peer group drug users. The sample held negative views of drug abuse and intolerant drug attitudes correlated significantly with rural residence, parental interest in talking about drugs, church affiliation, and frequency of church attendance. High drug knowledge levels and intolerant drug abuse attitudes were related to only the .20 level of significance.

Bakgrund: Drogberoende patienters upplevda förmåga att hantera sitt drogberoende, antas påverka utfallet av vården. Self-efficacy förmodas spela en framträdande roll, tillsammans med sjuksköterskans förhållningsätt och stöd för denna patientgrupp.     Syfte: Att beskriva self-efficacy och dess roll vid påverkan på patienter med drogberoende.  Metod: Genom litteraturöversikt skapa en kunskapsöversikt över self-efficacys roll och påverkan på drogberoende patienter.   Resultat: Resultatet bekräftar self-efficacy som en viktig faktor, men att andra faktorer verkar självständigt och styrande i sitt förhållande till self-efficacy, i en komplex kontext. Andra viktiga faktorer utöver self-efficacy framkommer i resultatet, är socialt stöd och social kontext, kognitiva faktorer och psykisk hälsa, interventioner och behandling.  Slutsats: Self-efficacy är som faktor viktig och ingår i ett komplext sammanhang med andra faktorer. Self-efficacy framstår som en viktig faktor i sin roll för påverkan på de drogberoende patienterna. I detta sammanhang är sjuksköterskans personcentrerade förhållningssätt viktigt, för att genom ett evidensinformerat arbete sammanföra detta med den nödvändiga kunskapen som patienten har om sig själv och för att så stötta patienten på bästa sätt. Vidare omvårdnadsforskning bör göras på drogberoende patienters olika följdsjukdomar, tidiga interventioner och negativt behandlings utfall, med ett focus på self-efficacy. / Background:  Drug dependent patients perceived ability to deal with where drug addiction, are assumed to influence the outcome of care. Self-efficacy is likely to play a prominent role, together with the nurse's attitude and support for this group of patients.  Purpose:  To describe the role of self-efficacy and its effects on patients with drug dependence.  Method:  Through literature overview create a knowledge overview of self-efficacy’s effect on drug dependent patients.  Results:  The result confirms self-efficacy as an important factor, but other factors seems to be autonomous and self-governing in its relationship with self-efficacy, in a complex context. Other important factors that emerge in the result set in addition to selfefficacy are social support and social context, cognitive factors and mental health, interventions and treatment.  Conclusion:  Self-efficacy is as a factor important and are included in a complex context with other factors. Self-efficacy is emerging as an important factor in his role for the impact on the drug dependent patients. In this context, the nurse's personcentered approach is important, because with an evidence informed work combine this with the necessary knowledge that the patient has about himself and in so support the patient in the best way. Nursing research should be done on various sequelae of drug dependent patients, early interventions and negative treatment outcome, with a focus on self-efficacy.

Abstract available through Journal of the American Pharmacists Association.

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This presentation describes (1) the role of communication in prescription drug abuse prevention and treatment and (2) the outcomes of 5 focus groups conducted in the Appalachian Region.

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