Reflections on the experiences and needs of grandparents caring for their grandchildren with a substance use disorder

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Abstract

In South Africa grandparents play a significant role in family life. A qualitative study was undertaken to explore and describe the perspectives of grandparents caring for their grandchildren with substance use disorder (SUD). Data were collected by means of semi-structured interviews with grandmothers and analysed following Tesch's eight steps. Guba's classic model was employed for data verification. The findings revealed that grandparents experience heightened levels of stress, fear, intimidation, disappointment, shame and financial constraints, which may subsequently compromise their social wellbeing. Based on these findings, recommendations are made in an attempt to provide solutions to the challenges faced by grandparents.

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The impact of substance use disorders on families and children: from theory to practice.

Laura Lander, Janie Howsare, Marilyn Byrne (2013)

The effects of a substance use disorder (SUD) are felt by the whole family. The family context holds information about how SUDs develop, are maintained, and what can positively or negatively influence the treatment of the disorder. Family systems theory and attachment theory are theoretical models that provide a framework for understanding how SUDs affect the family. In addition, understanding the current developmental stage a family is in helps inform assessment of impairment and determination of appropriate interventions. SUDs negatively affect emotional and behavioral patterns from the inception of the family, resulting in poor outcomes for the children and adults with SUDs. Social workers can help address SUDs in multiple ways, which are summarized in this article.

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Ensuring the quality of the findings of qualitative research: Looking at trustworthiness criteria

VN Anney, V.N. Anney, V. N. Anney … (2014)

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Drug use among youth and adults in a population-based survey in South Africa

Karl Peltzer, Nancy Phaswana-Mafuya (2018)

Objective Illicit drug use is a growing public health problem. The aim of the study was to assess the prevalence of drug use and the sociodemographic and health characteristics that influence it among young and adult South Africans. Methods Data based on the South African national population-based survey in 2012 for 26 453 individuals (52.0% women and 48.0% men) aged 15 years and older were analysed. Past 3-month drug use was assessed with the ‘Alcohol, Smoking and Substance use Involvement Screening Test (ASSIST)’. Bivariate and multivariable logistic regression was conducted to assess the association between sociodemographic factors, health variables and any past 3-month drug use. Results Overall, any past 3-month drug use was 4.4%, 7.9% among men and 1.3% among women. The proportion of past 3-month cannabis use was 4.0%, followed by sedatives or sleeping pills 0.4%, amphetamine-type stimulants 0.3%, cocaine 0.3%, opiates 0.3%, inhalants 0.2% and hallucinogens 0.1%. Among the nine South African provinces, any past 3-month drug use was the highest in the Western Cape (7.1%), followed by the Free State (6.3%) and Northern Cape (5.2%). In adjusted, multivariable, logistic regression analysis among both men and women, younger age, being mixed race and hazardous or harmful alcohol use were associated with any past 3-month drug use. In addition, having been a victim of violent crime and sexual risk behaviour among men and having psychological distress among women were associated with any past 3-month drug use. Conclusion An increase of any past 3-month drug use from 3.7% in 2008 to 4.4% in 2012 was observed in South Africa. Prevention and intervention activities targeting drug use, in particular in identified risk groups, need to be strengthened in South Africa.

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Contributors

Peter Schultz: Role: ND

Linda Shirindi: Role: ND

Journal

Journal ID (publisher-id): sw

Title: Social Work

Abbreviated Title: Social work (Stellenbosch. Online)

Publisher: Department of Social Work, Stellenbosch University/ Universiteit Stellenbosch (Stellenbosch, Western Cape Province, South Africa )

ISSN (Print): 0037-8054

ISSN (Electronic): 2312-7198

Publication date (Print and electronic): 2019

Volume: 55

Issue: 4

Pages: 359-378

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[02] Pretoria orgnameUniversity of South Africa orgdiv1Department of Social Work South Africa

[01] Pretoria orgnameUniversity of South Africa orgdiv1Department of Social Work South Africa

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Publisher ID: S0037-80542019000400002

DOI: 10.15270/52-2-757

SO-VID: 237cb5d4-ffd7-4228-9b47-b6f6e11d2eda

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Reflections on the experiences and needs of grandparents caring for their grandchildren with a substance use disorder

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Most cited references 59

The impact of substance use disorders on families and children: from theory to practice.

Ensuring the quality of the findings of qualitative research: Looking at trustworthiness criteria

Drug use among youth and adults in a population-based survey in South Africa

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