Experiences and Perceptions of Persons With Substance Use Disorders on Aftercare Services in KwaZulu-Natal.
Gugulethu Dladla, Neha Jivan, Mzwandile Mdletshe and 5 others
PMID 42417047WHAT IT FOUND
For these men in recovery, a weekly Monday aftercare group was the core of their sobriety: peer talk, random drug tests and social workers who kept showing up.
Transport, working hours and watching others relapse were what got in the way.
Key findings
01The aftercare on offer was a single weekly group on a Monday evening, run by social workers with other service users, available in person or online, where people talked through how their week had gone.
02Participants said unannounced urine drug tests at the end of sessions helped them stay in recovery, because they could not predict or dodge them.
03Family members were brought into aftercare sessions for counselling and group therapy, which participants linked to rebuilding trust at home, and social workers kept employers updated so participants could hold on to their jobs.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
All eight participants were men, so the study says nothing about how women experience aftercare. The authors name this as one of their two main limitations. The sample is small and comes from one facility in one metropolitan area, and everyone interviewed was still attending aftercare. The views of people who stopped coming are missing entirely. Recruitment was slow because participants' work commitments did not fit the researchers' availability, which the authors say raises the risk of non-response bias and limits how representative the findings are. The interviews were transcribed using AI, which the consent form had not mentioned. The authors flag this and recommend future consent forms name it. Public and private aftercare services differ substantially in South Africa, so these findings may not transfer beyond public sector community-based care. It is self-reported experience at a single time point, with no measurement before or after and no comparison group.
Declared interests
No funding was received for the work, and the authors declare no conflicts of interest. The study comes from the University of KwaZulu-Natal and is published in an occupational therapy journal.
The easy way to misread this
Do not read this as evidence that weekly aftercare groups keep people in recovery. The eight men interviewed were all still attending and all described it positively; no one who had dropped out or relapsed was asked, and no outcome was measured anywhere in the study.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →