3. Electronic Theses and Dissertations (ETDs) - All submissions
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Item A retrospective review of substance use disorders amongst psychiatric inpatients at Chris Hani Baragwanath academic Hospital.(2014-04-23) Motala, Zaahir Ahmad E.Objective: Anecdotal evidence suggests that substance use is a significant problem among psychiatric patients admitted to Chris Hani Baragwanath Academic Hospital. The purpose of this study was to investigate the prevalence of substance use, the type of substance used and the socio-demographic and clinical factors associated with substance use among a group of psychiatric inpatients. Method: This study was a retrospective record review of all patients admitted to the psychiatric wards at Chris Hani Baragwanath Academic Hospital between the periods of July and December 2008. Results: Substance use was 4.8 (95% CI:2.7-8.4) times more likely among male subjects (p<0.001), 4.1 times (95%CI: 1.8-9.3) more likely in subjects aged 18-30 years compared to older patients (p=0.001), 3 times (95% CI: 1.2-7.4) more likely in subjects who were single (p=0.001), 1.9 (95% CI:1.4-2.7) times more likely in subjects who did not have children (p<0.001), and 1.5 (95% CI:1.2-2.1) times more likely in subjects with a psychotic disorder (p=0.004) compared to those with a mood disorder. Mood and psychotic disorders were compared and only the past psychiatric history was found to be significantly associated with psychotic disorders. Conclusion: Male gender was found to be significantly associated with substance use. Alcohol and cannabis were the most common substances used and polysubstance use also was a common occurrence. These findings have implications for preventative measures, psychiatric practice and specialized care for dual diagnosis patients.Item The "war on drugs" has failed: is decriminalization of drug use a solution to the problem in South Africa?(2013-03-19) Fellingham, RobynThis research report will engage in the debate surrounding decriminalization of drug use and whether it is a possible solution to the problem of drug use in South Africa. This is a question becoming more prevalent in global discussions regarding drug policy and its efficacy. It is held in the report that when evaluating policy two aspects must be addressed; namely the philosophical justification for the policy and the efficacy of the policy. Regarding criminalization it is found that policy may be justified by the public harm principle but that it does not effectively achieve the purpose of preventing and decreasing drug use and associated burdens. Thus, it is argued that prohibition is a constitutional limitation, but does not necessarily achieve its purpose in the least repressive or most effective way. Finally it is suggested that the solution to the drug problem will be one which addresses the background, particularly socio-economic, to drug use. Decriminalization has the theoretical potential to address this context but further empirical research is required in order to establish evidential grounds for continued discussion.