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Substance abuse remains a critical global issue with profound social and economic implications, including poverty, crime, unemployment, and chronic health conditions. In marginalised communities across Africa, substance use, and relapse pose persistent challenges, particularly among youth. Despite the availability of rehabilitation services, relapse rates remain high due to various psychosocial and structural factors. This study investigated the underlying causes of relapse among service users who have undergone substance abuse treatment in Kwaggafontein, Mpumalanga, South Africa. Employing a qualitative research method, data were collected through in-depth interviews with service users and social workers from rehabilitation centres (SANCA). The findings revealed that relapse is primarily driven by persistent drug cravings, emotional distress, peer influence, and limited developmental opportunities. These results underscore the urgent need for comprehensive relapse prevention strategies, including community-based education, aftercare programs, life skills development, and sustained emotional and psychological support for substance services users. The study further recommends incorporating stress management techniques such as mindfulness, assertiveness training, and the creation of strong support networks, facilitated by social workers, to enhance long-term recovery outcomes

Substance abuse and its associated disorders affect a whole spectrum of people. Substance users and individuals affected by substance abuse come from diverse backgrounds with varying beliefs and subscribe to various doctrines. This body of work explores the perspectives of a certain Black rural community in Limpopo Province, South Africa, about substance abuse and its treatment in their neighbourhood. Data was collected from purposively sampled community members aged between 18 and 35 years through a focus group discussion. The participation of the focus group members in the study was voluntary and consented to. The collected data was coded and thematically analysed. Community members ascribe the abuse of substances to different factors such as peer pressure, poverty, and idleness—the most prominent factor, as cited by participants, is witchcraft fueled by jealousy. The youth in the community feel like a failure to maintain sobriety by those admitted to treatment centers is not only due to structural challenges but can also be attributed to the spiritual realm. There is a need to consider service users’ backgrounds and beliefs in substance abuse treatment. The social work value of individualization should be duly applied when working with people who have substance abuse problems. There is also a need to obtain treatment workers’ perspectives about the integrated approach in treating substance use disorders.