Abstract:

The overwhelming effects of substance abuse on individuals, families and societies demand effective mechanisms of deterrence. While there is consensus about the importance of prevention, however, there are some challenges in accessing treatment for substance abuse. The study explored barriers that rural communities in North West province, South Africa, encounter in accessing treatment for substance abuse. Social constructivism research paradigm and qualitative research approach were used. A sample consisted of male and female adolescents, educators, parents, mental health worker, clinical psychologist, social worker, traditional healer, as well as a traditional leader. Purposive and snowball sampling were employed to recruit participants. Interviews were used to collect data. Thematic analysis was employed to analyse data. The findings revealed that adolescents found it difficult to access substance abuse treatment facilities due to waiting period before approval was granted and distance they had to travel to reach the facilities. Those who received treatment, lacked after care support due to limited number of social workers allocated to their rural areas and lack of transport funds to attend follow up sessions at rehabilitation centres. The study recommended the establishment of substance abuse treatment centres, especially in rural communities to ensure easy access by adolescents.

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