Abstract
Risk factors for early termination of substance abuse treatment has been identified in previous
studies, however assessment of non-compliance to treatment programme from service user's
perspective is partially researched. Data was collected through semi structured interviews from 10
service users who prematurely terminated their substance abuse treatment programme. In
exploring and describing the subjective reasons of these service users for dropping out of treatment,
or their behaviour that lead to expulsion, association of those reasons with clinical factors were
considered. Qualitative studies specifying client motivation problems or conflicts with staff in the
programme were mostly cited. In this study, relationship problems recorded 80%, which highlighted
significant contribution towards non-compliance of service users to treatment programmes. A lack
of support, lack of recreational facilities, poor communication, and deficiencies in academic
development of staff members were estimated at 30% and are linked to negative relationships
between service users and family members, and service users and staff members. Treatment
Centre’s structural organization and the staff’s lack of skills in dealing with users of illicit substances,
and motivational stage indicators were rarely connected to service users’ reasons for not complying
with treatment programme. In contrast, poor relationships with staff and family members were
intensely connected to higher number of dropouts or for encouraging behaviour that lead to noncompliance,
especially concerns regarding emotional and financial support issues within the
programme. This study’s results will lead to the development of a tool and intervention strategies
focused on non-compliance risk factors and treatment re-engagement.
M.A. (Clinical Social Work)