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Thesis (MA)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Families are often confronted with some type of crisis during their family life cycle, and the presence of an adolescent substance abuser in the family could result in a family crisis. Most studies focus on the negative implications of substance abuse (Flisher, Parry, Evans, Muller, & Lombard, 2003; Parry et al., 2004). More recently, however, researchers have begun to move away from the pathogenic approach to a more strengths-based approach. Therefore the aim of this study was to investigate which factors are associated with family resilience in families with an adolescent substance abuser. Given the complexity of resilience, the Resiliency Model of Family Stress, Adjustment and Adaptation (McCubbin & McCubbin, 1988) was operationalised in this study to identify which variables could be associated with family resilience. A combination of quantitative and qualitative methods were used to gather data from a convenience sample of 50 families drawn from the Western Cape, South Africa. In order to control for gender effects, mothers who had in their families an adolescent substance abuser were encouraged to represent their respective families. A biographical questionnaire and seven quantitative self-report questionnaires were completed by each participant. Pearson product-moment correlations were calculated for the quantitative data in order to determine which independent variables (family factors) were associated with the dependent variable (family adaptation). A best-subsets multiple regression analysis was done to determine the linear combination of family characteristics (indicators) that correlates maximally with family adaptation (outcome variable). Thematic analysis was used to identify patterns or themes within the qualitative data during the qualitative data analysis. The results indicate that the level of family adaptation is better the higher the supportive patterns of communication in the family unit; and that the level of family adaptation is lower the more negative communication patterns are present. The results also indicate that family hardiness, the degree to which families use problem-solving and behaviour strategies during crises, and the use and maintenance of different routines and activities facilitate family adaptation. The qualitative results indicate that spirituality or religion, support from extended family, friends or neighbours, clear positive family communication, maintaining hope and a positive outlook, and the acceptance of the adolescent as part of the family contribute the most to family adaptation. The findings of this study could be used to improve the understanding of qualities that help families to adapt, and interventions and services based on these results may provide a meaningful contribution in the adaptation of families who find themselves in similar situations. This study not only is important to broaden the current literature on family resilience in this development phase, but also to help fill the void in current research. / AFRIKAANSE OPSOMMING: Dit gebeur gereeld dat gesinne gedurende een of ander ontwikkelingstadium met ʼn krisis gekonfronteer word. So sal die teenwoordigheid van ’n adolessente middelmisbruiker in ’n gesin op moontlike gesinskrisisse dui. Die meerderheid studies fokus op die negatiewe implikasies van middelmisbruik (Flisher, Parry, Evans, Muller, & Lombard, 2003; Parry et al., 2004). Navorsers het egter onlangs begin weg beweeg vanaf die patogeniese benadering na ’n meer sterkte-gebaseerde benadering. Die doel van hierdie studie was dus om ondersoek in te stel na faktore wat geassosieer kan word met gesinsaanpassing in gesinne met ʼn adolessente middelmisbruiker. Gegee die kompleksiteit van veerkragtigheid is die Veerkragtigheidsmodel van Gesinstres, Verstelling en Aanpassing (McCubbin & McCubbin, 1988) in hierdie studie geoperasionaliseer om veranderlikes te identifiseer wat met gesinsveerkragtigheid geassosieer kan word. ʼn Kombinasie van kwantitatiewe en kwalitatiewe metodes is gebruik om data vanuit ’n doelgerigte steekproef van 50 gesinne woonagtig in die Wes-Kaap, Suid-Afrika in te samel. Om vir die effek van geslag te kontroleer, is ma’s aangemoedig om namens die gesinne as verteenwoordigers aan die studie deel te neem. ʼn Biografiese vraelys en ook sewe selfbeskrywingsvraelyste is deur elke deelnemer voltooi. Vir die kwantitatiewe data is Pearson produkmoment-korrelasies bereken om te bepaal watter onafhanklike veranderlikes (gesinsfaktore) met die afhanklike veranderlike (gesinsaanpassing) verband hou. ʼn Beste substel regressieontleding is gedoen om die liniêre kombinasie van gesinskenmerke (voorspellers) wat maksimaal met gesinsaanpassing (uitkomsveranderlike) korreleer, te bepaal. Tematiese ontleding is in die kwalitatiewe data-ontleding gebruik om patrone of temas binne die kwalitatiewe data te identifiseer. Die resultate dui daarop dat die vlak van gesinsaanpassing beter is hoe hoër die ondersteunende patrone van kommunikasie in die gesinseenheid is; en dat die vlak van gesinsaanpassing laer is hoe meer opruiende patrone van kommunikasie in die gesin teenwoordig is. Verder dui die resultate ook aan dat gesinsgehardheid, die mate van probleemoplossings- en gedragstrategieë wat die gesin gedurende krisisse gebruik, en die gebruik en handhawing van verskillende roetines en aktiwiteite ook gesinsaanpassing fasiliteer. Die kwalitatiewe resultate dui daarop dat spiritualiteit of geloof, ondersteuning van die uitgebreide familie, vriende of bure, duidelike positiewe gesinskommunikasie, die behoud van hoop en ’n positiewe uitkyk, en aanvaarding van die adolessent as deel van die gesin die meeste tot gesinsaanpassing bygedra het. Die bevindinge kan nuttig gebruik word om begrip te verbeter van kwaliteite wat gesinne help om aan te pas. Intervensies en dienste wat op hierdie bevindinge gebaseer is, behoort ʼn betekenisvolle bydra te lewer in die aanpassing van gesinne wat hulle in soortgelyke omstandighede bevind. Die studie is nie net belangrik om die kennisbasis oor gesinslewe in hierdie ontwikkelingsfase te verbreed nie, maar ook om ʼn leemte in bestaande navorsing aan te vul.

This research project addresses the substance abuse cycle intervention and prevention strategies used amongst individuals who are a part of generational substance abuse. Participants were recruited from an inpatient drug rehabilitation center in Southern California. Qualitative interviews were conducted in order to gain additional knowledge on this topic. The interviews were audio recorded, transcribed, and then analyzed by the researcher. Participants’ first hand experiences contributed to a better understanding of effective ways to address this cycle. The results consisted of the following themes: childhood substance abuse, environmental influence, Child Protective Services involvement, problem recognition, structure, counseling, relationships, higher power, positive attitude and hope for the future. Contributions to social work practice are discussed along with recommendations for future research. Findings were given to California State University, San Bernardino and were provided to the drug rehabilitation center used in this study.

Substance abuse has a severe impact on the South African population. Various organizations, governmental and non-governmental, take on the challenge to assist in the treatment of substance abuse. Several gaps have been identified in dealing with substance abuse in South Africa. One of these gaps includes regular audits of treatment services and prevention programmes. One of the major concerns is that most primary prevention programmes appear to be implemented in the absence of evidence on their effectiveness and are mostly implemented on an ad hoc basis. The respondent organizations appear to display a poor understanding of evaluation. It was evident that there is a need for a systematic review of what works in the context of substance abuse prevention among the South African population as well as the development of an effective regulatory regime regarding primary prevention activities. Evaluation can be an important tool to provide monitoring, as well as a tool to identify strengths and weaknesses in treatment programmes. In light of the above, the South Coast Recovery Centre, a substance abuse treatment centre that operates in the private sector, was approached to evaluate the effectiveness of its treatment programme. The research focused on gaining insight into and exploring the strengths and weakness of the programme based on how patients experienced the programme and how satisfied they were with it. The use of multimethod approach which included positivist and interpretative approaches to evaluation was viewed as an appropriate method to use for the study in facilitating an understanding of the patient’s experience of the programme and how satisfied they were with the intervention they received. The study is both qualitative and quantitative in nature and used questionnaires and focus group interviews as data sources. All participants in the study were inpatients at the South Coast Recovery Centre. Frequency distributions, chi square analysis, as well as a thematic analysis were used to analyze the data of the study. The study concluded that patients were in general satisfied with the treatment programme. The programme provided opportunity for behavior changes and introspective learning. They were satisfied with professionals’ skills and behaviours, 6 types of interventions provided, efficacy and accessibility. Areas that patients were not satisfied with included: the facilitated involvement of relatives, the provision of information, and the large amount of residents in the programme. Recommendations were made with regards to programme improvement. The recommendations included the following: a. A coherent programme with clear links between outcome objectives and programme activities should be created. b. The number of counsellors in the programme should be reconsidered. c. The number of patients that should be allowed in the programme should be reconsidered. d. A platform for counsellors to deal with their personal emotions and counter transference should be created. e. Counsellors’ emotional involvement with patients should be addressed and exposed. f. More structured leisure activities that use interactive learning styles could be implemented in order to facilitate the learning of social skills. g. An awareness of possible comorbid mental disorders should be developed. h. Patients can be more involved with the cost aspect of the programme in order to facilitate more ownership of their treatment process. i. Provision should be made in the programme to allow for more involvement of relatives. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

Substance use among adolescents in South Africa is a growing concern. While a growing body of research is outlining the ability of parents to influence and moderate the uptake of risk behaviours, limited literature is available in South Africa on the links between parenting practices and substance use. The present study explored adolescents’ perceptions of parenting practices with respect to their substance use behaviours. Eight focus group discussions were conducted with grade 8 and 9 school-going learners from four purposively selected public high schools in the eThekwini region of KwaZulu-Natal. The discussions were informed by constructions of the Integrated Model of Change (I-Change Model) and appropriate literature. Data was analysed thematically. This study provides further evidence that parenting behaviours can influence adolescent behaviour. The findings suggest that specific parenting practices pertaining to parent-child communication, parental support, warmth, and monitoring can have an influence on adolescent alcohol and tobacco use. Negative parenting may lead to disruptive behaviour, vulnerability to peer pressure and subsequent substance use. It is recommended that early intervention and prevention programs for substance use include aspects of parenting practices that influence adolescent substance use. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2008.

Thesis (M.S.)--University of North Texas, Dec., 2007. / Title from title page display. Includes bibliographical references.

Thesis (M.A.)--Carleton University, 2004. / Includes bibliographical references (p. 134-144). Also available in electronic format on the Internet.

M.A. / According to Edmonds and Wilcocks (1995:1-2), South Africa is in the grip of a major drug boom. If this is not taken seriously, South Africa could lose as much as 30% of its future generation in terms of health, happiness, functioning and even life. Drug abuse is an important factor that can affect the quality of life of not only the drug abuser, but also all those connected with them (Edmonds and Wilcocks, 1995:1-2). Substance abuse is a problem that influences the family system. Models such as Bell and Khantzian (1991) and Cooks' (1988) description of the Minnesota model define substance abuse as a disease. This model also known as the medical model, can be attributed to the work of Jellinek (1960). It focuses on individual biological factors with little consideration for familial, social or psychological variables. On the other hand, a family systems perspective indicates that the family system enables the substance abuser towards abusive patterns of behaviour. The family plays an important role in the process of dependency as well as in the rehabilitation process. These models are brought together in the study, as this combination is valuable in understanding the complexity of substance abuse and its effects on the family system. The aim of the study is to explore the families understanding of substance abuse and their role in the treatment process. A qualitative methodology is used to understand the life events, experiences and beliefs of family members, from their point of view. The focus of the research is on family members who have attended the family program at Stepping Stones Rehabilitation Center. Exploring the understanding they have of substance abuse and their role in the treatment process, from their frame of reference. The theoretical basis for the study is formulated within the medical model and a systems perspective. A nonprobability, purposive sample is utilized to seek information rich cases. Eleven respondents are interviewed. Different members within the family system are selected to illuminate the question under investigation. An interview schedule formulated from literature, is utilized to create consistency in the face-to-face interviews. The in depth interviews facilitate exploration. Data is gathered by means of a literature review, field notes and audiotapes transcribed by the researcher. Analysis of the data is done manually according to a schedule. The schedule I developed according to coding categories that are identified when working with raw data. The information from the data gathered is analysed and used to identify themes, which are offered as results. An extensive literature control is conducted, in order to further the validity of the research. From the study, methodological and theoretical conclusions can be made. Methodological conclusions indicate the effectiveness of using a qualitative methodology and face-to-face interviews in exploring the question under study. The theoretical conclusions indicate families understanding of substance abuse and their role in the treatment process. Recommendations in terms of intervention with families affected by substance abuse and future research, are drawn from the research process and context of the study ensure the link between results and conclusions and aims and objectives. The research indicates that families have an intellectual understanding of the disease concept of substance abuse. Their searching for alternative solutions and use of defence mechanisms, indicate that this concept has not been internalized. Respondents acknowledged the long term nature of recovery that is facilitated by the use of support groups.

Evaluating the psychofortology of adults recovering from a substance-use disorder has been identified as a research priority in South Africa. This is in line with calls from researchers in diverse fields of psychology for more attention to the resilience, strengths, resources and capacities of people. This study therefore aimed to explore and describe the coping resources, sense of coherence, happiness and satisfaction with life of adults recovering from a substance-use disorder within the Nelson Mandela Metropole. The sample consisted of 99 voluntary participants from various managed recovery centres within the Nelson Mandela Metropole. Participants were given a package of questionnaires to complete under the supervision of the researcher. The assessment consisted of a biographical questionnaire and four standardized paper and pencil measures namely; the Coping Resources Inventory (CRI), the Sense of Coherence Scale (SOC-29), the Affectometer 2 (AFM-2) and the Satisfaction with Life Scale (SWLS). A quantitative, non-experimental exploratory-descriptive research method was used. Data was analysed using descriptive statistics and the Pearson product-moment correlation coefficient. Key findings include the following: Results on the CRI revealed low average mean scores on both the Coping Resources Inventory and within all the five subscales. Results of the SOC-29 revealed a high average mean score for sense of coherence. Results of the AFM-2 revealed that more positive affect than negative affect is present, resulting in happiness. Results of the SWLS revealed an average level of satisfaction with life, with most participants’ reporting neutral levels of satisfaction with life. There were significant positive correlations between the coping resources, sense of coherence, happiness and satisfaction with life of the sample. This implies that these constructs can be categorized under the subdiscipline of psychofortology. Overall, these findings emphasized the need for more research into adults recovering from a substance-use disorder.

This study explores the dual diagnosis substance abuse phenomenon within the context of Vancouver area mental health boarding homes. The target population consisted of thirty-nine mental health boarding homes used by Greater Vancouver Mental Health Services, Mental Health Residental Services. An attempt was made to survey directors (n=37), staff (n=unknown), and residents (n = 422), to: estimate the prevalence of dual diagnosis substance abuse within these homes; look for associations between substance use/abuse and the demographic characteristics of staff, directors, and residents; examine boarding home policies; and to establish what, if any, services should be developed. Questionnaires were completed by twenty-nine directors (78%), twenty staff members (% unknown), and ten residents (3%), from twenty-nine boarding homes with a total resident population of 358. Results indicated that one hundred and fifteen residents (32%) consumed alcohol, and 57 residents (16%) had consumed alcohol during a specified two week period. Only eight residents (2%) out of a potential 358 (from four different facilities) reportedly had substance related problems during the specified two week period. However, substance abuse was identified in eleven facilities (38%), without referrence to the two week time limitation. Further, staff and directors from fifteen facilities (52%) had at some time tried to get help for a resident with a substance abuse problem. Thus, while very few residents reportedly had dual diagnosis substance abuse problems, a considerably greater number of boarding homes reportedly had problems related to dual diagnosis substance abuse. Twenty-four directors (86%) and thirteen staff (68%) were interested in receiving a workshop on dual diagnosis substance abuse. It is the recommendation of this author that a drug education program/workshop for boarding home directors and staff be developed through the Greater Vancouver Mental Health Services "dual diagnosis program." / Arts, Faculty of / Social Work, School of / Graduate