Experiences of multiple substance use, treatment and relapse amongst patients admitted to the alcohol and drug unit in Butabika National Referral Hospital

Abstract

Approximately 250 million people worldwide use addictive substances annually, with nearly 30 million suffering from substance use disorders (SUDs). Only one in six individuals with SUDs enter psychosocial treatment, and relapse rates range from 40 to 86%. Sub-Saharan Africa is one of the most affected regions but with few studies. The purpose of the study was to explore the experiences of Multiple substance use, treatment and relapse amongst in-patients admitted at the Alcohol and Drug Unit in Butabika hospital. The study utilized purposive sampling to identify 12 participants, two females. The participants were 18 years of age or older and had used multiple substances. Audio recorded, individual face to face in-depth semi structured interviews were conducted, transcribed verbatim, and thematic analysis done. The findings revealed four main themes, each with related sub-themes. These themes were: 1) Onset of Substance Use, 2) Maintenance and Problematic Use, 3) Functional Issues, and 4) Attitudes, Perceptions of Treatment, and Treatment Outcomes. In conclusion the research highlights the significance of continuous support following treatment and a comprehensive therapeutic strategy in preventing relapse and maintaining sustainable recovery. Efforts to enhance treatment outcomes and reduce relapse among individuals with multiple substance use disorders through implementing educational programs and establish comprehensive support systems are recommended