The perceived success of selected therapy programmes on mitigating the relapses of patients with substance use disorders in Gauteng, South Africa
- Authors: Chatikobo, Nyasha
- Date: 2021-12
- Subjects: Substance abuse -- Treatment , Psychotherapy
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/21860 , vital:51833
- Description: This study aimed at evaluating the perceived success of selected therapy programs in mitigating the relapse of patients with substance use disorders at two selected rehabilitation centres in the Gauteng province of South Africa. The methodology used for this study was a mixed-method approach, although more emphasis was on qualitative methods. The qualitative data was collected from four focus groups, and 6 in-depth interviews from key informants. The quantitative data was collected using questionnaires that were completed by 100 primary carers of discharged patients from the selected drug treatment centres. The main findings of the study showed that substance use disorder is a complex disease that requires several factors to be considered to avoid any relapses. The study showed that rehabilitation centres are hugely contributing to efforts of solving substance use in Gauteng and South Africa as a whole. These rehabilitation centres offered various treatment programs to individuals who suffer from substance use disorders. The findings also indicated that the selected therapy programmes at the rehabilitation centres met their objectives. However, some of the programmes were successful in mitigating the relapses of patients recovering from addiction to a lesser extent. The study also found out that the number of individuals who relapse is relatively high, however, the study did not dive into the depth of the causing factors. This may be room for future studies. Findings further indicated that the rehabilitation centres lacked in the application of a holistic approach to addiction treatment, even though there were several treatment programs offered. The issue of exorbitant residential fees in private rehabilitation facilities was also highlighted by the data collected. The research concluded by suggesting several recommendations such as research to improve policy for substance use with a focus on the human rights approach to the drug problem. Recommendations to the Department of Social Development which is responsible for the rehabilitation centres in South Africa. To ensure that all centres that are registered for offering treatment for substance use disorder be mandated to use a comprehensive multidisciplinary approach, diversifying and individualizing treatments for better outcomes. Lastly, recommendations were suggested to the social work practice, to support rehabilitation facilities by providing continuous specialized training to their social workers. Recommendations to social work training and curriculum to include in-depth substance use disorders during education, training, and field placements, for best practice amongst new social work practitioners placed in rehabilitation centres. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2021
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- Date Issued: 2021-12
Characterisation of communal rangeland degradation and evaluation of vegetation restoration techniques in the Eastern Cape, South Africa
- Authors: Lesoli, 'Mota Samuel
- Date: 2011-12
- Subjects: Communal rangelands , Grazing
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/24316 , vital:62624
- Description: This study assessed the social factors influencing poor communal rangeland management, which are assumed to result in rangeland degradation. This was followed by, examination of biophysical characteristics of rangeland degradation in communal areas. To relate social factors featuring in communal rangeland management with rangeland degradation, biophysical factors influencing livestock grazing distribution patterns were studied. To establish the solution to communal rangeland degradation, rangeland restoration techniques were evaluated. The study was conducted at Amakhuze Tribal Authority (ATA) (S32o 38´, E26o56, 763 - 1500 m.a.s.l) composed of six villages and Phandulwazi Agricultural High School (S32o 39´ and E26o 55´, 747 m.a.s.l). Focus group discussions were conducted in six villages and questionnaire surveys in four randomly selected villages to assess social factors influencing communal rangeland degradation. Communal rangeland degradation biophysical characteristics were assessed. Biophysical factors affecting livestock grazing distribution pattern were examined through direct field observations for 12 months. Restoration techniques were evaluated on 26 plots. The social factors influencing communal rangeland management include lack of skills on rangeland management for farmers, lack of individual/community obligation on grazing management, lack of effective policies and/or poor enforcement accompanied by lack of effective institutions governing rangeland utilisation and management. Communal rangelands were more (χ 2 = 2612.07, df = 26, p < 0.01) degraded compared with controlled grazing areas. Within the communal rangelands, land degradation was higher at the low-lying areas, compared to foothills, midslopes, and mountaintop (crest). Rangeland degradation in communal areas was characterised by poor forage productivity and poor vegetation cover , higher soil unconfined compressive strength (UCS) (4.5 kg/cm2) with low hydraulic conductivity (5.21 x 10-3) and physical soil loss characteristics such presence of terracettes, pedestals, rills and gullies. Grazing distribution was higher at valley bottom (r2 = 0.404, p < 0.001), low altitude (r2 = -0.007, p < 0.001), closer to water points (r2 = -0.001, p < 0.001), and on grassland vegetation (r2 = 0.620, p < 0.001). Introduction of seedlings with microcatchment combined with brushpack promoted (p < 0.05) higher number of tillers (13), leaves (42) and reduced seedling mortality (10.4percent). T. triandra produced higher (p < 0.05) number of tillers (12) and leaves (39) but low number of inflorescence (0.7) with higher mortality rates (25.3percent) compared to P. dilatatum. Where plant propagules were introduced as seeds, use of microcatchment promoted higher seed germination (F = 38.84, p < 0.05) and maintained higher plant density (F = 37.43, p < 0.05). E. curvula seeds attained higher germination rate and maintained higher plant density compared to D. eriantha and P. Maximum. Use of microcatchment, brushpack, and water spreading system promoted soil water retention. It is important that any interventions aimed at improving communal rangeland management, controlling rangeland degradation in the communal areas, or restoring degraded rangelands to consider the social factors driving rangeland management and biophysical factors influencing grazing distribution pattern. Rangeland restoration techniques for communal areas should be centred on their ability to collect and retain water to promote restoration performance of introduced plant propagules. , Thesis (PhD) -- Faculty of Science and Agriculture, 2011
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- Date Issued: 2011-12