The development and evaluation of an integrated Christian psychological secondary treatment model for substance abusers
- Authors: Freemantle, Marlene Gerna.
- Date: 2014-01-14
- Subjects: Psychology and religion , Psychology, Religious , Evidence-based psychiatry , Substance abuse - Treatment , Drug abuse - Treatment , Christianity - Psychology , Spirituality - Psychological aspects
- Type: Thesis
- Identifier: uj:7906 , http://hdl.handle.net/10210/8797
- Description: D.Litt. et Phil. (Psychology) , Research shows a consistent increase in substance abuse. Research further states that recovery is a long-term process and that relapse rates are high. Substance abuse has a devastating effect on all dimensions of an abuser's life. Substance abuse research primarily focuses on primary care intervention. This study focuses on secondary phase treatment because of the long-term nature of the disease. Research indicates that a holistic integrated treatment, using a bio-psychosocial spiritual approach, may yield the best treatment outcome. Many treatment models acknowledge the spiritual aspect of substance abuse, but overlook the value of focusing on the spiritual aspect to effect holistic improvement. This study proposes that such a focus, when part of an integrated treatment model, may augment treatment outcome. The researcher set out to develop and evaluate an integrated Christian psychological secondary phase treatment model for substance abusers. The theoretical framework of this study integrates aspects of contemporary models, existing models and a Christian treatment model. Integrative psychotherapy produces treatment models that are more complete and result in more effective treatment. Five treatment components were systematically integrated to form a meta model. These components comprised: contemporary psychological models, professionally developed models, a Christian model, the psychology of religion and Christian psychology. The Christian belief of the study participants was included as the fifth component. This resulted in the development of a Christian-based psychological model that was applied and evaluated for its potential to promote recovery, prevent relapse and maintain abstinence. The developed model consisted of three phases: assessment, intervention and evaluation...
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- Authors: Freemantle, Marlene Gerna.
- Date: 2014-01-14
- Subjects: Psychology and religion , Psychology, Religious , Evidence-based psychiatry , Substance abuse - Treatment , Drug abuse - Treatment , Christianity - Psychology , Spirituality - Psychological aspects
- Type: Thesis
- Identifier: uj:7906 , http://hdl.handle.net/10210/8797
- Description: D.Litt. et Phil. (Psychology) , Research shows a consistent increase in substance abuse. Research further states that recovery is a long-term process and that relapse rates are high. Substance abuse has a devastating effect on all dimensions of an abuser's life. Substance abuse research primarily focuses on primary care intervention. This study focuses on secondary phase treatment because of the long-term nature of the disease. Research indicates that a holistic integrated treatment, using a bio-psychosocial spiritual approach, may yield the best treatment outcome. Many treatment models acknowledge the spiritual aspect of substance abuse, but overlook the value of focusing on the spiritual aspect to effect holistic improvement. This study proposes that such a focus, when part of an integrated treatment model, may augment treatment outcome. The researcher set out to develop and evaluate an integrated Christian psychological secondary phase treatment model for substance abusers. The theoretical framework of this study integrates aspects of contemporary models, existing models and a Christian treatment model. Integrative psychotherapy produces treatment models that are more complete and result in more effective treatment. Five treatment components were systematically integrated to form a meta model. These components comprised: contemporary psychological models, professionally developed models, a Christian model, the psychology of religion and Christian psychology. The Christian belief of the study participants was included as the fifth component. This resulted in the development of a Christian-based psychological model that was applied and evaluated for its potential to promote recovery, prevent relapse and maintain abstinence. The developed model consisted of three phases: assessment, intervention and evaluation...
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Factors contributing to non-compliance of service users to a substance abuse treatment programme
- Authors: Mosoma, Nicollas Hlabishi
- Date: 2018
- Subjects: Substance abuse - Treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/294179 , uj:32001
- Description: 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)
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- Authors: Mosoma, Nicollas Hlabishi
- Date: 2018
- Subjects: Substance abuse - Treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/294179 , uj:32001
- Description: 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)
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Substance abuse among adolescents in the Limpopo province
- Authors: Rikhotso, Tinyiko Nelly
- Date: 2014-05-13
- Subjects: Substance abuse - Treatment , Drug abuse - Treatment
- Type: Thesis
- Identifier: uj:11013 , http://hdl.handle.net/10210/10586
- Description: M.Cur. (Psychiatric Nursing) , Globally, the use of substances which seem to be harmful in all life dimensions appear to be an alarming problem. Recent studies indicate that the use and abuse of these substances is more prevalent among adolescents than any other age group. This is so because there are enormous changes to the physical, psychological and social dimensions at this stage. The use of these substances is a daily occurrence and reality for many people. However, for some individuals, the use of drugs can become overwhelming and be the focus of their lives and their existence. Among all abused substances, alcohol remains the dominant substance of abuse across sites. In South Africa too, adolescents abuse substances than other age groups. Substance abuse is commonly observed among adolescents who dropped out of school before completion of matric, those who completed matric but failed to go for tertiary education due to financial constraints, and those who are already in tertiary institutions thus making it difficult for them to complete their careers. Adding up on alcohol as commonly used substances are marijuana and hallucinogens. Some contributing factors of adolescent substance abuse have been identified as family environment factors, conflicting parental monitoring, peer group influence, psychiatric conditions and attention. To explore this problem of adolescents, the researcher conducted a study on the life stories of adolescents who abuse substances. The objectives of the study were to:- -Explore and describe the life stories of adolescents who abuse substances. -Describe the guidelines for advanced psychiatric nurses to facilitate the mental health of adolescents who abuse substances. This study was undertaken within the framework of Caplan's model of health promotion and prevention of illness based on the resources of community mental health care (Kaplan & Sadock 2003:1376). A qualitative, explorative and descriptive research design was used to answer the research questions. In depth, semi-structured phenomenological interviews were conducted with adolescents who met the sample criteria. Steps were taken throughout the research to ensure trustworthiness. Data analysis was done according to (Cresswell 1994:155) Tech's model. The results of this study indicate that adolescents abuse substances in certain behaviours which lead to substance abuse, face challenges in the physical, social and psychological dimensions. However, positive feelings of determination and courage to quit the substance abuse behaviour are also expressed. Conclusions were drawn and recommendation made concerning psychiatric nursing practice, nursing education and nursing research.
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- Authors: Rikhotso, Tinyiko Nelly
- Date: 2014-05-13
- Subjects: Substance abuse - Treatment , Drug abuse - Treatment
- Type: Thesis
- Identifier: uj:11013 , http://hdl.handle.net/10210/10586
- Description: M.Cur. (Psychiatric Nursing) , Globally, the use of substances which seem to be harmful in all life dimensions appear to be an alarming problem. Recent studies indicate that the use and abuse of these substances is more prevalent among adolescents than any other age group. This is so because there are enormous changes to the physical, psychological and social dimensions at this stage. The use of these substances is a daily occurrence and reality for many people. However, for some individuals, the use of drugs can become overwhelming and be the focus of their lives and their existence. Among all abused substances, alcohol remains the dominant substance of abuse across sites. In South Africa too, adolescents abuse substances than other age groups. Substance abuse is commonly observed among adolescents who dropped out of school before completion of matric, those who completed matric but failed to go for tertiary education due to financial constraints, and those who are already in tertiary institutions thus making it difficult for them to complete their careers. Adding up on alcohol as commonly used substances are marijuana and hallucinogens. Some contributing factors of adolescent substance abuse have been identified as family environment factors, conflicting parental monitoring, peer group influence, psychiatric conditions and attention. To explore this problem of adolescents, the researcher conducted a study on the life stories of adolescents who abuse substances. The objectives of the study were to:- -Explore and describe the life stories of adolescents who abuse substances. -Describe the guidelines for advanced psychiatric nurses to facilitate the mental health of adolescents who abuse substances. This study was undertaken within the framework of Caplan's model of health promotion and prevention of illness based on the resources of community mental health care (Kaplan & Sadock 2003:1376). A qualitative, explorative and descriptive research design was used to answer the research questions. In depth, semi-structured phenomenological interviews were conducted with adolescents who met the sample criteria. Steps were taken throughout the research to ensure trustworthiness. Data analysis was done according to (Cresswell 1994:155) Tech's model. The results of this study indicate that adolescents abuse substances in certain behaviours which lead to substance abuse, face challenges in the physical, social and psychological dimensions. However, positive feelings of determination and courage to quit the substance abuse behaviour are also expressed. Conclusions were drawn and recommendation made concerning psychiatric nursing practice, nursing education and nursing research.
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