Perceptions of Youth Substance Users on Substance Use Relapse Prevention: A Qualitative Study in Lobatse, Botswana

Background: Substance use relapse is a significant obstacle that hinders the success of addiction treatment and recovery for youths struggling with substance use challenges. The economic and social impacts of substance use and relapse in young people are a cause of concern worldwide; Botswana is not an exception. Objective: The study aimed to explore and describe the perceptions of youth substance users regarding the prevention of relapse in Lobatse, Botswana. Methods: A qualitative study was conducted, following an exploratory, descriptive, and contextual research design. In total, 15 participants were selected using a purposive sampling technique. Data were collected using semi-structured questions, and thematic analysis was used to analyse the data. Results: Data analysis yielded two themes and subthemes. The first theme was on the perceptions of youth substance users on the causes of substance use relapse. The second theme was on the perceptions of youth substance users on the prevention of substance use relapse. Conclusion: The study showed that substance use relapse can be caused by psychological challenges, social problems, societal issues, and healthcare barriers. Our study suggests that to abate relapses to substances, interventions should encompass individual, social, and community dimensions of a substance user's life. Furthermore, there should be healthcare interventions geared towards relapse prevention.