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



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.


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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


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