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Help for Substance Abusers

If you find that your use of mood-altering substances, whether legal or illegal, is having a negative impact on your happiness, your ability to work and your relationships with friends and family, you may have a substance-abuse problem.

  1. What is substance abuse?
  2. Where can I find help for substance abuse?
  3. What treatment options are available for substance abuse?
  4. What is a support group?
  5. What is outpatient treatment?
  6. What is inpatient treatment?

WHAT IS SUBSTANCE ABUSE?
Substance abuse is the constant and excessive use of any mood-altering substance that can be harmful to a person's social, emotional, spiritual or physical wellbeing. Alcohol, nicotine, illegal party drugs and prescription tranquillisers are all examples of substances that can become addictive and cause behavioural problems.
                        INSTRUCTIONS:

 

WHERE CAN I FIND HELP FOR SUBSTANCE ABUSE?

If you do not have the financial resources for private treatment, go to your nearest Social Development District Office. The social worker there will do a screening with you to gauge the severity of the substance-abuse problem, and an assessment with you and your family to decide on an appropriate intervention. Depending on the outcome of the screening and assessment, you may be referred to a support group, outpatient treatment or inpatient treatment.

It is generally a good idea to take your family with to your screening and assessment as the social worker will probably want to speak to them and may want to refer them to support groups as well.

If you have a medical aid and the financial resources for private treatment, you can access a range of private psychiatrists and psychologists through any of the private treatment centres in the province. Make sure that the treatment centre you approach is registered with the provincial Department of Social Development to ensure that certain minimum standards in terms of treatment and centre management are met.

WHAT TREATMENT OPTIONS ARE AVAILABLE FOR SUBSTANCE ABUSE?
There are three broad treatment options for substance abuse, depending on the seriousness of the problem. They are support groups, outpatient treatment and inpatient treatment.

WHAT IS A SUPPORT GROUP?
Support groups are when clusters of people get together on a regular basis to share the problems they face in trying to break free of a drug or alcohol habit and to encourage each other to stay free of dependence-causing substances. It is a voluntary treatment.

Support groups are suitable for people who fall into the "risky use" category of substance abuse, in other words, they use substances more than is normal, but their usage is not yet a serious problem in their lives.

Support groups
Alcoholics Anonymous
Al-Anon
Alcoholics Victorious
Christelike Afhanklikheidsbediening (CAB)
Christelike Afhanklikheidsdiens (CAD)
Toughlove
Narcotics Anonymous

WHAT IS OUTPATIENT TREATMENT?
With outpatient treatment, you don't have to stay overnight at the facility in order to receive treatment. It usually takes the form of individual, group and/or family counselling, and can be short-term or long-term.

Outpatient treatment is suitable for people whose substance use is affecting them emotionally, physically, socially or spiritually.

NGO-run outpatient centres
Cape Town Drug Counselling Centre (CTDCC), Observatory and Mitchell's Plain
SANCA (WC), all areas

WHAT IS INPATIENT TREATMENT?
This is when the person being treated is admitted to the treatment facility. An admission can last anywhere from two to five weeks (short-term) to more than nine weeks (long-term).

Inpatient treatment usually takes the form of individual, group and/or family counselling, together with supportive medical help if needed. The length of inpatient treatment at private facilities varies, ranging anywhere from two to 20 weeks. The length of inpatient treatment at public and subsidised treatment centres are between five and seven weeks.

Inpatient treatment is suitable for people who are dependent on a substance, or nearing a state of dependency.

State-owned or subsidised inpatient treatment centres
Kensington Treatment Centre, Maitland

De Novo, Kraaifontein
Hesketh King, Stellenbosch
Ramot, Parow
Stikland Hospital, Bellville
Toevlug, Worcester

PROVIDED BY:
GOVERNMENT BODY:
Department of Social Development (Provincial Government of the Western Cape)

4

Text Box: Grandson of Wilbur Smith doing tik in Cape 

I sold all my clothes to buy the drug, says 19-year-old 
August 28, 2010

By Helen Bamford

The grandson of best-selling novelist Wilbur Smith is living at Cape Town's notorious city drug-den Senator Park, where he has been introduced to tik, the Western Cape's drug of choice.

Sinclair Smith, 19 - who recently arrived in Cape Town from Paris, where he had been living with his mother - has been injecting the drug into his veins. He says he enjoys the dingy city block, describing it as filled with "rich, intelligent and interesting people".

NGOs dealing with young people say Sinclair is but one of many young Capetonians from extremely affluent families who are addicted.

The 21-year-old daughter of a Camps Bay businessman recently landed up in Pollsmoor Prison due to drugs. Meanwhile, two university graduates are living in their car because they have used all their money to buy tik.

Sinclair is very open about his drug habit, saying he has used heroin since the age of 14, paying for it by stealing iPods, cellphones and laptops. He says he hasn't resorted to theft in the Mother City.

"But tik is the worst. I've sold all my clothes to buy tik in Cape Town," he says.

Sinclair is the son of Plettenberg Bay businessman Shaun Smith, whose mother was Wilbur Smith's second wife, Anne.

Sinclair also wants to be a writer, and says he would like to tell his story in a book like Shantaram, written by Gregory David Roberts, a convicted Australian bank robber and drug addict who fled to India after escaping from prison.

He has spent more than five weeks in Senator Park, in Keerom Street, near the Cape High Court.

Last year, a University of Cape Town student was kidnapped and held in the block, and three years ago, a man was pushed out of a sixth-floor window and died. 



Two weeks ago, in a police raid, a 19-year-old jumped out of a window and was taken to hospitalis.

Sinclair says he enjoys Cape Town, where the drugs are cheaper, easier to access and far more potent than in France.

He spoke to the Saturday Star from the MyLife offices in the city centre, where founder Linzi Thomas is trying to help him.

Thomas says: "People think it's just kids on the street and from poorer communities who are doing drugs, but more and more children from affluent families are addicted to tik."

Gang members are getting the rich kids hooked, she says.

Many young people appeared to have a philosophy of "live fast, die young".

"Parents feel shame, but they don't realise that so many others are in the same situation, and unless there is more honesty about what is going on, the situation won't improve."

Sinclair's father Shaun says his son's drug use is very upsetting. His son comes from a loving family, and he has done the best he can for him.

"But it's his choice. He's not a child. When I was 19 I was in the army."

Smith says his son first started smoking hashish at school and then progressed to harder drugs. "Sinclair had a great future ahead of him. He was going to film school in France. Now I don't know." 

Chris Missing, director of the United Christians Against Narcotics (U-can), who has assisted hundreds of addicts over a period of 10 years, says the drug scene is getting worse.

He says he plans to get Sinclair into rehab, but the problem of addiction is out of control. "Something is failing dismally, and the government is not listening to NGOs."
To download the FULL ARTICLE (click)

 

 
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Help for Substance Abusers