{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:13:49Z","timestamp":1791936829566,"version":"4.3.4"},"reference-count":26,"publisher":"AOSIS","issue":"0","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0South African drug usage demographics are rare. Substance abuse disorder patients and their families have complex interactions. This study examines family members living with drug addict.\n\nAim:\u00a0The study seeks to investigate the experiences of family members living with a substance use disorder (SUD) individual.\n\nSetting:\u00a0The research took place in a Gqeberha psychiatric facility. Low-income households were interviewed.\n\nMethods:\u00a0This research is qualitative, exploratory, and descriptive study. Recorded and transcribed in-depth patient family interviews were collected. Qualitative thematic analysis was used to analyse data. The data themes were interpreted using family systems theory.\n\nResults:\u00a0Each of the three main themes has subthemes. The first theme concerns family members\u2019 inadequate comprehension of addiction. The subtheme explores family members\u2019 denial and failure to recognize substance use disease symptoms. The second theme concerns variations in behaviour that challenge cultural norms. This subtheme addresses hallucinations, delusions, and fury in SUD patients. The third theme addresses the negative effects of drug use on families, potentially leading to divorce. This subtheme focuses on the family\u2019s lack of awareness of resources that may have supported them and the SUD individual.\n\nConclusion:\u00a0Immediate family members are crucial to patient recovery. The family seemed to be struggling living with an SUD relative. Experts should help the family to manage the addict\u2019s treatment. Healthcare education can help families cope with substance abusers.\n\nContribution:\u00a0This study will assist the nursing administration in discovering ways to help families manage a loved one with an SUD.<\/jats:p>","DOI":"10.4102\/hsag.v29i0.2520","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T03:26:23Z","timestamp":1728357983000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["The family and substance abuser in the mental health institution environment"],"prefix":"10.4102","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9377-1020","authenticated-orcid":false,"given":"Ruwayda","family":"Jacobs","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03r1jm528","id-type":"ROR","asserted-by":"publisher"}],"name":"Nelson Mandela University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9445-6273","authenticated-orcid":false,"given":"Johanita","family":"Strumpher","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03r1jm528","id-type":"ROR","asserted-by":"publisher"}],"name":"Nelson Mandela University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Allan, J., Collings, S. & Munro, A., 2019, \u2018The process of change for people with cognitive impairment in a residential rehabilitation program for substance problems: A phenomenographical analysis\u2019, Substance Abuse Treat Prevention Policy 14(1), 13. https:\/\/doi.org\/10.1186\/s13011-019-0200-y","DOI":"10.1186\/s13011-019-0200-y"},{"key":"ref1","unstructured":"Boyd, M.A. & Luebbert, R., 2020, Essentials of psychiatric nursing, 2nd edn., Wolters Kluwer, Philadelphia, PA."},{"key":"ref2","unstructured":"Bowen, M., 1978, The use of family systems theory in clinical practice. 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