A Qualitative Study of caregiver’s Perceptions and Needs Around Adolescent Substance Use and Other Risk Behaviours

Substance use among adolescents is prevalent in the Western Cape, South Africa. Caregivers may be concerned about adolescent substance use, which may have a negative impact on both parties. We conducted a qualitative study consisting of three focus groups with caregivers (n = 21) in order to explore their perceptions of their child’s substance use, psychosocial support that they may require, as well as barriers to accessing services. Data were analysed using framework analysis, and three themes emerged: caregivers’ perceived capacity needed to assist adolescents with substance use and other problems, impact of adolescent substance use on caregiver well-being and the need for services for adolescent substance use problems. Findings indicated that study participants needed information and skills to deal with the physical and emotional consequences of adolescent substance use and to be empowered. This study suggests that future interventions for adolescent substance use may benefit from an accessible, family-based approach.