Barriers Faced by Social Workers in Providing Substance Use Services to Adolescents
DOI:
https://doi.org/10.25159/2708-9355/18903Keywords:
adolescents, barriers, social workers, substance use, servicesAbstract
Substance use among adolescents is prevalent in South Africa. Social workers are instrumental in the provision of substance use services to adolescents. Among other services, social workers provide counselling and link adolescents to treatment programmes. As frontline workers, social workers face enormous challenges in their efforts to provide effective substance use services to adolescents. The study aimed to identify the barriers faced by social workers providing substance use services to adolescents. The study setting was the 10 service points of the Department of Social Development within the City of Tshwane Metropolitan Municipality. The study employed a qualitative research methodology incorporating both explorative and descriptive research designs. This approach allowed the researchers to gain in-depth insights into the subject matter while providing rich, detailed descriptions of the phenomena under investigation. Data were collected through face-to-face, individual semi-structured interviews with 11 social workers. Thematic analysis was used to analyse data. Established strategies to ensure rigour were applied to enhance the trustworthiness of the findings. Three themes emerged from the study: (1) barriers faced by social workers within the employer organisation, (2) the behaviour of adolescents during professional encounters, and (3) the lack of skills development centres. It concludes that social workers face a range of challenges that limit their ability to provide comprehensive substance use services to adolescents. It addresses a gap in the literature by highlighting the specific barriers that social workers encounter in delivering these services.
References
Babbie, Earl R. 2017. The Basics of Social Research. Cengage Learning.
Caiels, James, Alisoun Milne, and Julie Beadle Brown. 2021. “Strengths Based Approaches in Social Work and Social Care: Reviewing the Evidence.” Journal of Long Term Care, 401–422. https://doi.org/10.31389/jltc.102. DOI: https://doi.org/10.31389/jltc.102
Carelse, Shernaaz, and Sulina Green. 2019. “Social Work Services by Non-Profit Organisations for Adults with Substance Use Disorders.” Southern African Journal of Social Work and Social Development 31 (3). https://doi.org/10.25159/2415-5829/4814. DOI: https://doi.org/10.25159/2415-5829/4814
Carney, Tara, Vimbayinashe Chimbambo, Kim Johnson, Johann Louw, and Bronwyn Myers. 2020. “The Adaptation of an Evidence Based Brief Intervention for Substance Using Adolescents and Their Caregivers.” Psychotherapy Research 30 (6): 728–38. https://doi.org/10.1080/10503307.2019.1656352. DOI: https://doi.org/10.1080/10503307.2019.1656352
City of Tshwane Municipality. 2021. “Case study of the Community Substance Use Programme (COSUP) in the City of Tshwane.” https://www.sacities.net/wp-content/uploads/2022/01/City-of-Tshwane_case-study-report_final-June-2021.pdf.
Creswell, John W., and David J. Cresswell. 2018. Research Design: Qualitative & Quantitative Mixed Methods Approach. 5th ed. Sage.
DeLucia, Monica, and Kethura Solano. 2023. “Support for Social Workers Treating Adolescent Substance Abusers.” MSW thesis, California State University. https://scholarworks.lib.csusb.edu/etd/1568.
Department of Social Development, Republic of South Africa. 2013. “Framework for Social Welfare Services 2013.” https://www.childprotectioninaction.co.za/framework-for-social-welfare-services-dsd-2013/.
Dhludhlu, Sandile Lucas. 2015. “Challenges of Statutory Social Workers in Linking Foster Care Services with Socioeconomic Development Programmes.” MSW thesis, University of Pretoria.
Dhludhlu, Sandile Lucas, and Antoinette Lombard. 2017. “Challenges of Statutory Social Workers in Linking Foster Care Services with Socio-Economic Development Programmes.” Social Work/Maatskaplike Werk 53 (2): 165–185. https://doi.org/10.15270/53-2-564. DOI: https://doi.org/10.15270/53-2-564
Ditlhake, Kefilwe J. 2024. “Complexities and Barriers of Multidisciplinary Community Development in South Africa.” In Social Work in the 21st Century: Scholarship and Praxis Reimagined Towards Vulnerability, Knowledge Pathing: Multi-, Inter- and Trans-Disciplining in Social Sciences Series. Vol. 3, edited by Allucia Lulu Shokane, Annaline Keet, and Varoshini Nadesan. AOSIS. DOI: https://doi.org/10.4102/aosis.2024.BK473.01
Habiyaremye, Alexis, Thomas Habanabakize, and Chijioke Nwosu. 2022. “Bridging the Labour Market Skills Gap to Tackle Youth Unemployment in South Africa.” The Economic and Labour Relations Review: 1–20. https://doi.org/10.1177/10353046221138400. DOI: https://doi.org/10.1177/10353046221138400
Heywood, Mark. 2021. “Economic Policy and the Socio-Economic Rights in the South African Constitution, 1996–2021: Why Don’t They Talk to Each Other?” Constitutional Court Review 11: 1–37. https://doi.org/10.2989/CCR.2021.0013. DOI: https://doi.org/10.2989/CCR.2021.0013
Jaguga, Florence, Sarah Kanana Kiburi, Eunice Temet, Matthew C. Aalsma, Mary A. Ott, Rachel W. Maina, Juddy Wachira, Cyprian Mostert, Gilliane Kosgei, Angelio Tenge, and Lukoye Atwoli. 2024. “A Scoping Review of Substance Use Brief Interventions in Africa.” PLOS Global Public Health 4 (10): e0003340. https://doi.org/10.1371/journal.pgph.0003340. DOI: https://doi.org/10.1371/journal.pgph.0003340
Jones, James K. 2018. “A Phenomenological Study of the Office Environments of Clinical Social Workers.” HERD: Health Environments Research & Design Journal 11 (3): 38–48. https://doi.org/10.1177/1937586718755477. DOI: https://doi.org/10.1177/1937586718755477
Kabir, Syed Muhammad Sajjad. 2016. Basic Guidelines for Research: An Introductory Approach for All Disciplines. Book Zone Publication.
Khanyi, Vusi, and Kgashane Johannes Malesa. 2022. “Challenges Faced by Social Workers in Rendering Services to Nyaope Substance Users.” Social Work/Maatskaplike Werk 58 (1): 30–45. https://doi.org/10.15270/58-1-995. DOI: https://doi.org/10.15270/58-1-995
Kim, Hyejin, J. S. Sefcik, and Christine Bradway. 2017. “Characteristics of Qualitative Descriptive Studies: A Systematic Review.” Research in Nursing & Health 40 (1): 23–42. https://doi.org/10.1002/nur.21768. DOI: https://doi.org/10.1002/nur.21768
Langer, Carol L., and Cynthia Lietz. 2015. Applying Theory to Generalist Social Work Practice: A Case Study Approach. John Wiley & Sons. DOI: https://doi.org/10.1002/9781394258888
Lincoln, Yvonna S., and Egon G. Guba. 1985. Naturalistic Inquiry. Sage Publications. DOI: https://doi.org/10.1016/0147-1767(85)90062-8
Madisha, Matjie Rahab. 2019. “Social Workers’ Preparedness, Experience and Challenges When Rendering Social Welfare Services to Adolescents Abusing Chemical Substances.” MSW diss., University of South Africa. https://core.ac.uk/download/pdf/228208848.pdf.
Madisha, Matjie Rahab, and Rebecca Mmamoagi Skhosana. 2022. “Are We Ready Yet? Social Workers’ Preparedness to Render Social Support to Persons with Substance Abuse Challenges.” Social Work/Maatskaplike Werk 58 (4): 442–58. https://doi.org/10.15270/58-4-1075. DOI: https://doi.org/10.15270/58-4-1075
Mahlangu, Sonto, and Stephan Geyer. 2018. “The Aftercare Needs of Nyaope Users: Implications for Aftercare and Reintegration Services.” Social Work/Maatskaplike Werk 54 (3): 327–45. https://doi.org/10.15270/54-3-652. DOI: https://doi.org/10.15270/54-3-652
Mamukeyani, Eric. 2021. “The Lived Experiences of Youth Residing in Elias Motsoaledi Municipality at Sekhukhune About Nyaope.” MPH thesis, University of Limpopo. https://agris.fao.org/search/en/providers/124729/records/67053e93b1dfe472e1467e15.
Manganyi, Masenyani Reckson. 2015. “Home-Brewed Alcohol as a Public Health Problem in Greater Tzaneen Municipality, Mopani District of Limpopo Province: A Social Work Perspective.” PhD thesis, University of Limpopo. https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=424f4b37a84e15fe2b6def602a3fcfcc15fdd536.
Masombuka, Jan. 2021. “Parents as an Under-Utilised Resource for the Substance Dependency Service to Their Youth: Developing a Model for Social Work Practitioners.” DPhil diss., North-West University.
Masiko, Nomathamsanqa, and Selby Xinwa. 2017. “Substance Abuse in South Africa, Its Linkages with Gender Based Violence and Urban Violence.” Centre for the Study of Violence and Reconciliation. https://policycommons.net/artifacts/1446561/substance-abuse-in-south-africa-its-linkages-with-gender-based-violence-and-urban-violence/2078328/.
Mathibela, Faith. 2024. “A Social Work Support Intervention for Parents of Adolescents Recovering from a Substance Use Disorder (SUD).” PhD (SW) thesis, University of South Africa. https://ir.unisa.ac.za/handle/10500/31735?show=full.
McLellan, Thomas A. 2017. “Substance Misuse and Substance Use Disorders: Why Do They Matter in Healthcare?” Transactions of the American Clinical and Climatological Association 128: 112–30. https://pmc.ncbi.nlm.nih.gov/articles/PMC5525418/.
Mkhize, Nkanyiso Nkazimulo, and Priscilla Gutura. 2021. “Substance Dependency and Treatment Issues in South Africa: Voices of Relapsed Involuntary Service Users.” Journal of Social Science and Humanities 18 (9): 228–42. https://repository.up.ac.za/handle/2263/86532.
Mpanza, December Mandlenkosi, Pragashnie Govender, and Anna Voce. 2020. “Aftercare Services to People with Substance Use Disorders: Analysis of South African Policy.” Drugs: Education, Prevention and Policy 28 (2): 138–55. https://doi.org/10.1080/09687637.2020.1742661. DOI: https://doi.org/10.1080/09687637.2020.1742661
Nene, Dorcas, Florah Mkhonto, and Kelebogile E. Mokwena. 2024. “Experiences of Families Living with Nyaope Users in Tshwane, Gauteng Province.” Health SA Gesondheid 29 (0): a2338. https://doi.org/10.4102/hsag.v29i0.2338. DOI: https://doi.org/10.4102/hsag.v29i0.2338
Nhedzi, Felistas, and Mankwane Makofane. 2015. “The Experiences of Social Workers in the Provision of Family Preservation Services.” Social Work/Maatskaplike Werk 51(3). https://doi.org/10.15270/51-3-453. DOI: https://doi.org/10.15270/51-3-453
Nxumalo, Vuyani W., and Yvette M. Nel. 2024. “Substance Use Patterns in an Adolescent Psychiatric Unit in Johannesburg, South Africa.” South African Journal of Psychiatry 30 (0): a2198. DOI: https://doi.org/10.4102/sajpsychiatry.v30i0.2198
Olawole-Isaac, Adebanke, Oluwatomisin Ogundipe, Emmanuel O. Amoo, and Davies Adeloye. 2018. “Substance Use Among Adolescents in Sub-Saharan Africa: A Systematic Review and Meta-Analysis.” South African Journal of Child Health 12 (2 Suppl 1): S79–S84. https://doi.org/10.7196/SAJCH.2018.v12i2.1524. DOI: https://doi.org/10.7196/SAJCH.2018.v12i2b.1524
Sekgobela, Tumelo. 2021. “The Resilience of Social Workers Rendering Services to Nyaope Substance Dependent Youth Within Waterberg District, Limpopo Province.” MSW diss., University of South Africa.
Shadung, Moshala Meriam. 2024. “Social Work Services for Parents of Adolescents with Substance Use Disorder in Limpopo Province: Capricorn and Waterberg District.” MSW diss., University of South Africa. https://journals.uct.ac.za/new_dut/index.php/ajims/article/download/1597/1033.
United Nations Office on Drugs and Crime. 2018. World Drug Report 2018 Booklet 1: Executive Summary, Conclusions and Policy Implications. United Nations Publication. https://www.unodc.org/wdr2018/prelaunch/WDR18_Booklet_1_EXSUM.pdf. DOI: https://doi.org/10.18356/a1062695-en