Service providers’ perceptions of substitute addictions in the Western Cape, South Africa

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dc.contributor.authorSinclair, Deborah Louise
dc.contributor.authorSussman, Steve
dc.contributor.authorVantomme, Lize
dc.date.accessioned2023-04-17T09:12:34Z
dc.date.available2023-04-17T09:12:34Z
dc.date.issued2023
dc.description.abstractGlobally little is known regarding substance use service providers’ perceptions of substitute behaviours and this significant gap could hinder service provision and recovery outcomes. Semistructured focus group discussions (including 22 service providers across five sites) were conducted in residential treatment facilities in the Western Cape, South Africa. Service providers recognised substances (e.g. cigarettes and caffeine) and behaviours (e.g. gambling, eating, love, sex, shopping, exercise, and gaming) as potential substitutes. Identified substitute motives included managing cravings; self-medication; filling the experiential void of the primary substance, and time-spending. Concurrent behaviours and addictions were believed to be a key mechanism underlying substitution however, service providers did not uniformly screen for co-occurring behavioural addictions. Substitute behaviours were primarily considered a pathway to relapse and service providers emphasised prevention, detection and family education. To suitably intervene, screening for co-occurring behaviours should be an integral part of the assessment of those presenting for substance use treatment.en_US
dc.identifier.citationSinclair, D. L. et al. (2023). Service providers’ perceptions of substitute addictions in the Western Cape, South Africa. Journal of Drug Issues. 10.1177/00220426231159550en_US
dc.identifier.issn1945-1369
dc.identifier.uri10.1177/00220426231159550
dc.identifier.urihttp://hdl.handle.net/10566/8815
dc.language.isoenen_US
dc.publisherSAGE Publicationsen_US
dc.subjectSubstance useen_US
dc.subjectSelf-medicationen_US
dc.subjectGamblingen_US
dc.subjectWestern Capeen_US
dc.subjectEducationen_US
dc.subjectUnemploymenten_US
dc.titleService providers’ perceptions of substitute addictions in the Western Cape, South Africaen_US
dc.typeArticleen_US

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