PREVALENCE OF MULTIPLE ADDICTIONS AND CURRENT TREATMENT BY DRUG TREATMENT CENTRES IN DURBAN, SOUTH AFRICA

Authors

  • Helen Keen Stellenbosch University
  • Reshma Sathiparsad School of Applied Human Sciences, University of KwaZulu-Natal
  • Myra Taylor

DOI:

https://doi.org/10.15270/51-2-446

Abstract

Substance-use disorders (SUD) cause severe problems both globally and locally. Research suggests that multiple addictions create a more complex illness. This study investigated whether in-patients admitted for SUD at three drug treatment centres in Durban, South Africa had other, undiagnosed addictions. It utilised a three-phase concurrent mixed-methods design and initially screened for gambling and sex addiction. Results showed that, of the sample of 123 participants, 54% had either sex or gambling and 24% had both addictions which current treatment programmes neither assessed for nor treated. Recommendations include suggestions to update current assessment and treatment approaches and the need to train professional staff at drug treatment centres.

Downloads

Download data is not yet available.

Author Biographies

Helen Keen, Stellenbosch University

Social Worker in Private Practice, Durban

Myra Taylor

School of Nursing and Public Health University of KwaZulu-Natal, Durban. South Africa

References

ALCOHOLICS ANONYMOUS. 2001. Big book online. [Online] Available: http://www.aa.org.bigbookon¬line [Accessed: 07.11.2011].

APA (AMERICAN PSYCHIATRIC ASSOCIATION). 2013. Diagnostic and statistical manual of mental disorders (5th ed). Washington, DC: American Psychiatric Association.

BELLRINGER, M., ABBOTT, M., COOMBES, R., GARRETT, N. & VOLBERG, R. 2008. Problem gambling assessment and screening instruments. Phase two: final report. Wellington: Ministry of Health, Wellington, New Zealand.

BOWLES, S., LOUW, J. & MYERS, B. 2011. Perceptions of organizational functioning in substance abuse treatment facilities in South Africa. International Journal of Mental Health & Addiction, 9(3):308-319. doi:10.1007/s11469-010-9285-2.

BRADSHAW, J. 2005. Healing the shame that binds you (2nd ed). Florida: Health Communications Inc.

BRAUN, V. & CLARKE, V. 2006. Using thematic analysis in psychology. Qualitative research in Psychology, 3(2):77-101,101. doi:10.1191/147808706q063oa.

BULWER, M. 2003. Treating gambling addiction: a psychological study in the South African context. Pretoria: UNISA. Master of Arts in Social Science ed. [Online] Available: http://search.ebscohost.com/login.aspx?direct=true&db=awn&AN=NX0 171 431&site=ehost-live [Retrieved: 05.05.2012].

CARNES, P.J. 1991. Don't call it love: recovery from sexual addiction. New York: Bantam Books.

CARNES, P.J. 2008. Facing the shadows. Facing the shadow: understanding multiple addictions. Conference proceedings, Indaba Hotel, Johannesburg.

CARNES, P.J., MURRAY, R.E. & CHARPENTIER, L. 2005. Bargains with chaos: sex addicts and Addiction Interaction Disorder. Sexual Addiction & Compulsivity, 12(2):79-120. doi:10.1080/10720160500201371.

CARNES, P.J., DELMINICO, D. & GRIFFIN, E. 2007. In the shadows of the net: breaking free of compulsive online sexual behaviour (2nd ed). Center City, Minnesota: Hazelden.

CARNES, P., GREEN, B. & CARNES, S. 2010. The same yet different: refocusing the Sexual Addiction Screening Test (SAST) to reflect orientation and fender. Sexual Addiction & Compulsivity, 17(1):7-30. doi:10.1080/10720161003604087.

CRESWELL, J.W. 2009. Research design: quantitative, qualitative and mixed methods approaches (3rd ed). Los Angeles: Sage Publications.

DEPARTMENT OF SOCIAL DEVELOPMENT, 2012. (last update). National Drug Master Plan 2012-2016. First Draft, 2nd Revision. [Online] Available: https://www.daggacouple.co.za [Accessed: 15/02/2013].

DE VOS, A.S. 2005. Combined quantitative and qualitative approach. In: DE VOS, A.S., STRYDOM, H., FOUCHÉ, C.B. & DELPORT, C.S.L. (eds) Research at grass roots: for the social sciences and human service professions (3rd ed). Pretoria: Van Schaik Publishers.

DOWEIKO, H. 2006. Concepts of chemical dependency (6th ed). Belmont: Thomson.

DURES, E., RUMSAY, N. & MORRIS, M. 2011. Mixed methods in health: 2011: Psychology: theoretical and practical considerations of the third paradigm. Journal of Health Psychology, 16:322-341. doi:http://hpqsagepub.com.

ERIKSON, C. 2009. The Neurobiology of addiction. Center City, Minnesota: Hazeldon.

FLORES, P.J. 2004. Addiction as an attachment disorder. Maryland.: Jason Aronson.

FRASCELLA, J., POTENZA, M.N., BROWN, L.L. & CHILDRESS, A.R. 2010. Shared brain vulnerabilities open the way for nonsubstance addictions: carving addiction at a new joint? Annals of the New York Academy of Sciences, 1187(1):294-315. doi:10.1111/j.1749-6632.2009.05420.x.

GREEN, A.B., CARNES, S., CARNES, P.J. & WEINMAN, E.A. 2012. Cybersex addiction patterns in a clinical sample of homosexual, heterosexual and bisexual men and women. Sexual Addiction and Compulsivity, 19:77-98. doi: 10.1080/ 10720162.2012.658343.

GRIFFITHS, M. 2012. Internet sex addiction: a review of empirical research. Addiction Research and Theory, 20(2):111-124. doi:10.3109/16066359.2011.588351.

HERRING, B. 2011. A ‘Sex addict’ by any other name hurts the same. Sexual Addiction & Compulsivity, 18(2):57-60. doi:10.1080/10720162.2011.579037

HODGINS, D.C., STEA, J.N. & GRANT, J.E. 2011. Gambling disorders. The Lancet, 378(9806):1874-1884.

HOFFMANN, B. 2011. Pathological gambling – an example of non-substance related addiction. Trakia Journal of Sciences, 9(4):69-74. [Online] Available: http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=69931454&site=ehost-live.

HOLTGRAVES, T. 2009. Evaluating the Problem Gambling Severity Index. Journal of Gambling Studies, 25(1):105-120. doi:10.1007/s10899-008-9107-7.

HOOK, J.N., HOOK, J.P., DAVIS, D.E., WORTHINGTON, E.L. & PENBERTHY, J.K. 2010. Measuring sexual addiction and compulsivity: a critical review of instruments. Journal of Sex & Marital Therapy, 36(3):227-260. doi:10.1080/ 00926231003719673.

MacLAREN, V.V. & BEST, L.A. 2010. Multiple addictive behaviors in young adults: Student norms for the Shorter PROMIS Questionnaire. Addictive Behaviors, 35(3):252-255. doi: 1010161/j.addbeh2009.09.023.

MAKUYANA, I. 2013. Drugs’ Scary Story. The New Age, 1, 6 June.

McCAULEY, K. 2009. Pleasure unwoven: a personal journey about addiction. Utah: Institute of Addiction Study.

NJUHO, P. & DAVIDS, A. 2011. Extent and influence of recreational drug use on men and women aged 15 years and older in South Africa. African Journal of Drug and Alcohol Studies, 9(1).

ORFORD, J. 2000. Excessive appetites: a psychological view of addictions (2nd ed). Chichester: John Wiley and Sons.

ORFORD, J. 1985. Excessive appetites: a psychological view of addictions. Chichester: John Wiley and Sons.

ORFORD, J., WARDLE, H., GRIFFITHS, M., SPROSTON, K. & ERENS, B. 2010. PGSI and DSM-IV in the 2007 British Gambling Prevalence Survey: reliability, item response, factor structure and inter-scale agreement. International Gambling Studies, 10(1):31-44. doi:org.1080/14459790903567132.

PERL, H.I. 2011. Addicted to discovery: does the quest for new knowledge hinder practice improvement? Addictive Behaviors, 36(6):590-596.

SCHNEIDER, J.P. 2005. Addiction is addiction is addiction. Sexual Addiction & Compulsivity, 12(2-3):75-77. doi:10.1080/10720160500203468.

SEGGIE, J. 2012. Alcohol and South Africa’s youth. SAMJ: South African Medical Journal, 102(7):587-587.

SHAFFER, H., LAPLANTE, D., LABRIE, R., KIDMAN, R., DONATO, A. & STANTON, M. 2004. Toward a Syndrome Model of Addiction: multiple expressions, common etiology. Harvard Review of Psychiatry, 12(6):367-374. doi:10.1080/10673220490905705.

SUSSMAN, S., LISHA, N. & GRIFFITHS, M. 2011. Prevalence of the addictions: a problem of the majority or the minority? Evaluation & the Health Professions, 34(1):3-56. doi:10.117710163278710380124.

TOCHE-MANLEY, L., GRISSOM, G., DIETZEN, L. & SANGSLAND, S. 2011. Translating addictions research into evidence-based practice: the Polaris CD outcomes management system. Addictive Behaviors, 36(6):601-607. doi:10.1016/j.addbeh. 2011.01.019.

UKZN (UNIVERSITY OF KWAZULU-NATAL). 2008. Guidelines for completing the human and social sciences research application form. [Online] Available: www.research.ukzn.ac.za/researchethics/human_social_sciences_ethics.apx [Accessed: 25/05/2011].

VAN HEERDEN, M.S., GRIMSRUD, A.T., SEEDAT, S., MYER, L., WILLIAMS, D.R. & STEIN, D.J. 2009. Patterns of substance use in South Africa: results from the South African stress and health study. SAMJ: South African Medical Journal, 99(5):358-366.

VOS, T., FLAXMAN, A.D., NAGHAVI, M. & MURRAY, C.J. 2012. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the global burden of disease study 2010. The Lancet, 380(9859), 2163-2196. doi:http://dx.doi.org/10.1016/S0140-6736(12)61729-2.

WHO (WORLD HEALTH ORGANISATION). 2014. Global Status Report in Alcohol and Health. [Online] Available: www.who.substance_abuse/publications/ global_alcohol_re¬port/en. [Accessed: 21/07/2014].

Downloads

Published

2015-07-23

How to Cite

Keen, H., Sathiparsad, R., & Taylor, M. (2015). PREVALENCE OF MULTIPLE ADDICTIONS AND CURRENT TREATMENT BY DRUG TREATMENT CENTRES IN DURBAN, SOUTH AFRICA. Social Work/Maatskaplike Werk, 51(2). https://doi.org/10.15270/51-2-446

Issue

Section

Articles

Similar Articles

1 2 3 > >> 

You may also start an advanced similarity search for this article.