South Africa’s leading independent centre of expertise on alcohol and drugs.
contact usSMART aspires to provide professional and quality information about Substance Use Disorders, by promoting effective responses, undertaking research and encouraging informed debate.
SMART advises on policy making and best practice, and disseminates this information across treatment, the criminal justice system and prevention and education services. While aiming to improve the quality and effectiveness of its own services through continual evaluation and innovation.
Addiction is a complex, chronic, lapsing brain disease. Characterised by craving, seeking and use that
can persist even in the face of devastating life consequences. It results predominately from brain
changes that occur through long term use of the substance, and challenges an individual’s self- control behaviours. Addiction can be managed successfully, however, due to the nature of this disease treatment must be holistic, individualised and long term in order to be successful.
Detoxification is a process the body goes through to get rid of the drug or alcohol, while simultaneously managing symptoms of withdrawal. This is the first step in a drug treatment programme and should be followed by either an out-patient or inpatient treatment episode to be effective. Detox alone is not enough.
The Matrix Model of treatment is not a 12-step programme. Through this model we provide our clients with the tools and skills to stay sober and encourage them to seek outside support at various 12-step meetings.
There is no cure for addiction, and therefore no 100% effective treatment. However, like other chronic diseases, addiction can be managed successfully. The goal is to return clients to productive functioning in the family, workplace and community. The outcome of treatment depends on the extent and nature of a client’s problem.