Breaking the Habit: Assessing the Need for a Family Drug Treatment Court in South Africa to Reunify Families, with Reference to the Experience in the USA, UK and Australia
DOI:
https://doi.org/10.17159/1727-3781/2026/v29i0a21219Keywords:
Substance abuse, Family Drug Treatment Court, family preservation, Children’s CourtsAbstract
This article examines the viability of establishing Family Drug Treatment Courts (FDTCs) in South Africa as a targeted intervention to address the intersection of parental substance use disorder (SUD) and child neglect within the foster care system. Drawing on comparative practices from the United States of America, United Kingdom and Australia, the article discusses the therapeutic jurisprudence which underpins FDTCs and their potential to promote family reunification and permanency planning in a resource-constrained welfare system. It highlights systemic challenges in South Africa, including under-resourced Children's Courts, limited access to SUD treatment, and the inconsistent implementation of reunification services. The analysis highlights the compatibility of FDTCs with South Africa's constitutional and legislative commitment to the best interests of the child, while acknowledging the need for a context-sensitive adaptation of the model. The authors argue for the repurposing of existing Children's Courts to incorporate FDTCs, offering a multidisciplinary, non-adversarial approach that prioritises rehabilitation and family preservation over punitive measures.
Downloads
References
Bibliography
Literature
Arstein-Kerslake A and Black J "Right to Legal Capacity in Therapeutic Jurisprudence: Insights from Critical Disability Theory and the Convention on the Rights of Persons with Disabilities" 2020 Int'l J L & Psychiatry 1-10 DOI: https://doi.org/10.1016/j.ijlp.2019.101535
Babatunde GB et al "Identifying Multilevel and Multisectoral Strategies to Develop a Theory of Change for Improving Child and Adolescent Mental Health Services in a Case-study District in South Africa" 2022 Child and Adolescent Psychiatry and Mental Health 1-19 DOI: https://doi.org/10.1186/s13034-022-00484-9
Boning A and Ferreira S "An Analysis of, and Different Approach to, Challenges in Foster Care Practice in South Africa" 2013 Journal of Social Work 519-543
Burnhams N, Myers B and Parry C "To What Extent Do Youth-Focused Prevention Programmes Reflect Evidence-based Practices? Findings from an Audit of Alcohol and Other Drug Prevention Programmes in Cape Town, South Africa" 2009 African Journal of Drug and Alcohol Studies 1-8 DOI: https://doi.org/10.4314/ajdas.v8i1.47407
Commission on Official Legal Publications "Definitions Applicable to Proceedings on Juvenile Matters" in The Connecticut Practice Book 2024 (Commission on Official Legal Publications Enfield 2024)
Couzens M "The Best Interest of the Child and the Constitutional Court" 2019 CCR 363-386 DOI: https://doi.org/10.2989/CCR.2019.0014
Davel CJ and Skelton AM (eds) Commentary on the Children's Act (Juta Pretoria 2019)
De Villiers A The Role of the Social Worker in the Reunification of Foster Children with Their Biological Parents (MSA-thesis University of Stellenbosch 2008)
Department of Social Development National Drug Master Plan 2019-2024 4th ed (Department of Social Development Pretoria 2019)
Department of Social Development Service Delivery Model for Developmental Social Services (Department of Social Development Pretoria 2005)
Edwards L and Ray JA "Judicial Perspectives on Family Drug Treatment Courts" 2005 Juv & Fam Court J 1-27 DOI: https://doi.org/10.1111/j.1755-6988.2005.tb00106.x
Fay S and Eggins E "PROTOCOL: Family Treatment Drug Courts for Improving Parental Legal and Psychosocial Outcomes" 2019 Campbell Systematic Reviews https://doi.org/10.1002/cl2.1024 DOI: https://doi.org/10.1002/cl2.1024
Fessinger M et al "Mandatory, Fast, and Fair: Case Outcomes and Procedural Justice in a Family Drug Court" 2020 Journal of Experimental Criminology 49-77 DOI: https://doi.org/10.1007/s11292-019-09361-6
Folkman CJ "Family Drug Courts: A New Approach to Help Solve the Crisis in Child Welfare" 2005 Child Leg Rts J 15-24
Fourie E and Coetzee E "The Use of a Therapeutic Jurisprudence Approach to the Teaching and Learning of Law to a New Generation of Law Students" 2012 PELJ 367-390 DOI: https://doi.org/10.17159/1727-3781/2012/v15i1a2468
Gainey RP et al "Teaching Parenting Skills in a Methadone Treatment Setting" 2007 Social Work Research 185-190 DOI: https://doi.org/10.1093/swr/31.3.185
Gifford EJ et al "How Does Family Drug Treatment Court Participation Affect Child Welfare Outcomes?" 2014 Child Abuse and Neglect, the International Journal 1659-1670 DOI: https://doi.org/10.1016/j.chiabu.2014.03.010
Green BL et al "How Effective are Family Treatment Drug Courts? Outcomes From a Four-site National Study" 2007 Child Maltreatment 43-59 DOI: https://doi.org/10.1177/1077559506296317
Gxubane T Prospects of Family Group Conferencing with Youth Sex Offenders and Their Victims in South Africa. Offenders No More: An Interdisciplinary Restorative Justice Dialogue (Nova New York 2015)
Harwin J et al "Tensions and Contradictions in Family Court Innovation with High-risk Parents: The Place of Family Drug Treatment Courts in Contemporary Family Justice" 2019 International Journal of Drug Policy 101-108 DOI: https://doi.org/10.1016/j.drugpo.2018.04.019
Holness D "Improving Access to Justice Through Law Graduate Post-study Community Service in South Africa" 2020 PELJ 1-24 DOI: https://doi.org/10.17159/1727-3781/2020/v23i0a5968
Holness W "Adapting Prevention and Early Intervention Measures and Parenting Capacity Assessments in Neglect Cases Involving Parents with Intellectual Disabilities in South African Children's Court" 2023 African Disability Rights Yearbook 32-53
Holness W Access to Justice for Mothers with Intellectual Disabilities in Case of Child Neglect at Two KwaZulu-Natal Children's Courts (LLD-dissertation University of Pretoria 2021)
Kierstead S "Therapeutic Jurisprudence and Child Protection" 2011 Barry Law Review 31-44
King MS "Restorative Justice, Therapeutic Jurisprudence and the Rise of Emotionally Intelligent Justice" 2008 MULR 1096-1126
Kohm LM "Tracing the Foundations of the Best Interests of the Child Standard in American Jurisprudence" 2008 Journal of Law & Family Studies 1-40 DOI: https://doi.org/10.2139/ssrn.1957143
Lebuso BA Family Reunification Support to Inpatient Parents in Western Cape Substance Abuse Treatment Centres: An Explorative Study (MSW-thesis North-West University 2019)
Magura S and Laudet AB "Parental Substance Abuse and Child Maltreatment: Review and Implications for Intervention" 1996 Child and Youth Services Review 193-220 DOI: https://doi.org/10.1016/0190-7409(96)00001-1
Mahlangu S and Geyer S "The Aftercare Needs of Nyaope Users: Implications for Aftercare and Reintegration Services" 2018 Social Work 327-345 DOI: https://doi.org/10.15270/54-3-652
Makoae M et al Children's Court Inquiries in the Western Cape: Final Report to the Research Directorate, Department of Social Development, Provincial Government of the Western Cape (Human Sciences Research Council Cape Town 2008)
Maluccio AN, Abramczyk LW and Thomlison B "Family Reunification of Children in Out-of-home Care: Research Perspectives" 1996 Children and Youth Services Review 287-305 DOI: https://doi.org/10.1016/0190-7409(96)00007-2
Matthias CR "Can We Legislate for Prevention and Intervention Services for Children? An Analysis of Aspects of the 2002 Draft Children's Bill" 2014 Social Work/Maatskaplike Werk 172-178 DOI: https://doi.org/10.15270/40-2-341
Matthias C and Zaal N "Can We Build a Better Children's Court? Some Recommendations for Improving the Processing of Child-removal Cases" 1996 Acta Juridica 51-68
Mawoyo T An Assessment of the Sustainability of Substance Abuse Organisations in South Africa (MSocSc-thesis University of Cape Town 2011)
Mohasoa I and Mokoena S "Challenges Facing Rural Communities in Accessing Substance Abuse Treatment" 2019 International Journal of Social Sciences and Humanity Studies 35-50
Moon C "Healing Past Violence: Traumatic Assumptions and Therapeutic Interventions in War and Reconciliation" 2009 Journal of Human Rights 71-91 DOI: https://doi.org/10.1080/14754830902717726
Moreno CM and Curti G "Recovery Spaces and Therapeutic Jurisprudence: A Case Study of the Family Treatment Drug Courts" 2012 Social & Cultural Geography 161-183 DOI: https://doi.org/10.1080/14649365.2012.655768
Myers BJ, Louw J and Pasche SC "Inequitable Access to Substance Abuse Treatment Services in Cape Town, South Africa" 2010 Substance Abuse Treatment, Prevention, and Policy 1-11 DOI: https://doi.org/10.1186/1747-597X-5-28
Ndlovu N and Khangala TK "Anatomization of the Best Interest of a Minor Child in the South African Constitution: A Critique" in Delener N and Schweikert C (eds) GBATA Readings Book (Global Business and Technology Association New York 2022) 158-166
Nolan JR and James L "Problem Solving Courts: An International Comparison" in Petersilia J and Reitz K (eds) The Oxford Handbook of Sentencing and Corrections (Oxford University Press Oxford 2012) 150-173
Panchanadeswaran S and Jayasundara D "Experiences of Drug Use and Parenting Among Women in Substance Abuse Treatment: An Exploratory Study" 2012 Journal of Human Behavior in the Social Environment 971-987 DOI: https://doi.org/10.1080/10911359.2012.707943
Puleng R Substitute Care: An Explanation of African Children's Experiences (MSW-thesis University of Johannesburg 2004)
Richardson E, Spencer P and Wexler D "The International Framework for Court Excellence and Therapeutic Jurisprudence: Creating Excellent Courts and Enhancing Wellbeing" 2016 JJA 148-166
Rosenthal MS "Therapeutic Communities: A Treatment Alternative for Many but Not All" 1984 Journal of Substance Abuse Treatment 55-58 DOI: https://doi.org/10.1016/0740-5472(84)90053-9
Skelton A "Restorative Justice as a Framework for Juvenile Justice Reform: A South African Perspective" 2002 Brit J Criminol 496-513 DOI: https://doi.org/10.1093/bjc/42.3.496
Skivenes M and Thoburn J "Pathways to Permanence in England and Norway: A Critical Analysis of Documents and Data" 2016 Children and Youth Services Review 152-160 DOI: https://doi.org/10.1016/j.childyouth.2016.05.020
Stein TJ "The Adoption and Safe Families Act: Creating a False Dichotomy Between Parents and Children's Rights" 2000 Families in Society: The Journal of Contemporary Human Services 586-590 DOI: https://doi.org/10.1606/1044-3894.1070
Swann CA and Sylvester MS "The Foster Care Crisis: What Caused Caseloads to Grow" 2006 Demography 309-335 DOI: https://doi.org/10.1353/dem.2006.0019
Talbot E "Successful Family Reunification: The Contribution of Clinical Social Work" 2006 Illinois Child Welfare 103-117
Thoburn J "Achieving Successful Returns from Care: What Makes Reunification Work?" 2012 British Journal of Social Work 995-997 DOI: https://doi.org/10.1093/bjsw/bcs103
Van Westrhenen N et al "Reflections of Social Workers on Working with Abused Children in South Africa" 2017 Child Abuse Research in South Africa 1-10
Waldfogel J "Protecting Children in the 21st Century" 2000 Fam LQ 311-328
Whitt-Woosley A and Sprang G "When Rights Collide: A Critique of the Adoption and Safe Families Act from a Justice Perspective" 2014 Child Welfare 111-134
Winick BJ "Therapeutic Jurisprudence and Problem-solving Courts" 2003 Fordham Urb LJ 1055-1104
Worcel SD et al "Effects of Family Treatment Drug Courts on Substance Abuse and Child Welfare Outcomes" 2008 Child Abuse Review 427-443 DOI: https://doi.org/10.1002/car.1045
Zaal FN Court Services for the Child in Need of Alternative Care: A Critical Evaluation of Selected Aspects of the South African System (PhD-thesis University of the Witwatersrand 2008)
Case law
Centre for Child Law v Director of Public Prosecutions, Johannesburg 2022 12 BCLR 1440 (CC)
Minister of Justice and Constitutional Development v Prince 2018 6 SA 393 (CC)
S v L M 2020 4 All SA 249 (GJ)
Legislation
Adoption Assistance and Child Welfare Act 1980 (USA)
Adoption and Safe Families Act 1997 (USA)
Child Justice Act 75 of 2008
Children Act 1989 (UK)
Children and Families Act 2014 (UK) DOI: https://doi.org/10.12968/cypn.2014.7.9
Children, Youth and Families Act 96 of 2005 (Australia)
Children's Act 38 of 2005
Constitution of the Republic of South Africa, 1996
Legal Practice Act 28 of 2014
Mental Health Care Act 17 of 2002
Prevention and Treatment of Substance Abuse Act 70 of 2008
Social Security Act of 1935
Government publications
GN 4058 in GG 49658 of 10 November 2023
Internet sources
Administration for Children and Families, US Department of Health and Human Services date unknown AFCARS Report https://www.acf.hhs.gov/programs/cb/publications/afcars/report8.htm accessed date unknown
Australian Government 2020 Families and Children https://www.dss.gov.au/our-responsibilities/families-and-children/publications-articles/protecting-children-is-everyones-business?HTML accessed 10 October 2024
Center for Children and Family Futures and National Association of Drug Court Professionals 2019 Family Treatment Court Best Practice Standards https://www.cffutures.org/files/OJJDP/FDCTTA/FTC_Standards.pdf accessed 14 October 2024
Centre for Child Law, University of Pretoria 2016 Guidelines for Legal Representatives of Children in Civil Matters https://centreforchildlaw.co.za/
wordpress21/wpcontent/uploads/2019/03/2016_Guidelines_for_Legal_Reps_of_Children_web.pdf accessed 14 October 2024
Children and Family Futures 2015 Guidance to States: Recommendations for Developing Family Drug Court Guidelines http://www.cffutures.org/files/
publications/FDC-Guidelines.pdf accessed 14 October 2024
Children's Court of Victoria date unknown Family Drug Treatment Court https://www.childrenscourt.vic.gov.au/family-division/family-drug-treatment-court accessed 14 October 2024
Child Welfare Information Gateway 2023 https://www.childwelfare.gov/
pubPDFs/best_interest.pdf
Child Welfare Information Gateway date unknown Determining the Best Interests of the Child https://www.childwelfare.gov/pubPDFs/best_
interest.pdf date accessed 10 October 2024
De Bortoli L et al 2018 The Family Drug Treatment Court. An Evaluation Report https://www.childrenscourt.vic.gov.au/sites/default/files/2020-09/The-Family-Drug-Treatment-Court-An-Evaluation-Report_1.pdf accessed 10 September 2024
Department of Education, UK Government 2021 Statutory Guidance Children Act 1989: Care Planning, Placement and Case Review https://www.gov.uk/government/publications/children-act-1989-care-planning-placement-and-case-review date accessed 7 September 2024
Department of Social Development, Republic of South Africa date unknown National Department Budget for 2019-2022 https://vulekamali.gov.za/2019-20/national/departments/social-development accessed 14 October 2024
Fakier N and Myers B 2007 Audit of Substance Abuse Treatment Facilities in Gauteng and KwaZulu-Natal (2006-2007): Technical Report http://www.mrc.ac.za/adarg/audit.pdf accessed 12 October 2024
Fakier and Myers 2008 Audit of Substance Abuse Treatment Facilities in Free State, Limpopo, Mpumalanga, North West and Northern Cape (2007-2008): Technical Report https://www.yumpu.com/en/document/view/
40685555/audit-of-substance-abuse-treatment-facilities-in-sa-healthinfo accessed 12 October 2024
Family Drug Treatment Court date unknown Family Drug Treatment Court – Advice https://www.cpmanual.vic.gov.au/advice-and-protocols/advice/
court/family-drug-treatment-court-advice accessed 13 October 2024
Harwin J et al 2011 The Family Drug and Alcohol Court (FDAC) Evaluation Project: Final Report https://wp.lancs.ac.uk/cfj-fdac/files/2016/11/f
dac_2011_evaluation.pdf accessed 10 October 2024
Harwin J et al 2014 Changing Lifestyles, Keeping Children Safe: An Evaluation of the First Family Drug and Alcohol Court (FDAC) in Care Proceedings https://fdac.org.uk/wp-content/uploads/2020/03/Changing-Lifestyles-Keeping-Children-Safe-an-evaluation-of-the-first-Family-Drug-and-Alcohol-Court-FDAC-in-care-proceedings-May-2014.pdf accessed 10 October 2024
McKellar G 2018 Restorative Practices to Further Therapeutic Jurisprudence in Family Courts (An Amicus Justitia Brief) https://mainstreamtj.com/2018/06/11/restorative-practices-to-further-therapeutic-jurisprudence-in-family-courts-an-amicus-justitia-brief/ accessed 11 December 2024
National Center on Substance Abuse and Child Welfare, Department of Health and Human Services, United States of America 2006 Screening and Assessment for Family Engagement, Retention and Recovery https://attcppwtools.org/ResourceMaterials/SAFERR.pdf accessed14 April 2022
National Institute on Drug Abuse 2018 Principles of Drug Addiction Treatment: A Research-based Guide 3rd ed https://nida.nih.gov/
sites/default/files/podat-3rdEd-508.pdf accessed 11 December 2024
National Welfare, Social Service and Development Forum date unknown Use of the Statutory Foster Care System to Support Long-term Kinship Care: Impact on the Social Welfare System and the Social Work Profession. Discussion Paper https://ci.uct.ac.za/sites/default/files/content_migration/
health_uct_ac_za/533/files/nwssdf%2520discuss%2520doc%2520fc4.pdf accessed 13 October 2024
Oxford Living Dictionary 2016 Drug https://en.oxforddictionaries.com/
definition/drug accessed 6 June 2024
Parliamentary Monitoring Group date unknown List of Substance Abuse Treatment Facilities https://view.officeapps.live.com/op/view.aspx?
src=https%3A%2F%2Fstatic.pmg.org.za%2FRNW1576A-150506.doc&wdOrigin=BROWSELINK accessed on 22 April 2024
Paul S date unknown Shadow Report: An Important Tool for Advocacy https://www.civilsocietyacademy.org/post/shadow-report-an-important-tool-for-advocacy accessed 28 November 2022
Saferspaces date unknown SANCA https://www.saferspaces.org.za/
organisation/entry/sanca-national accessed 14 October 2024
Sauls H 2015 An Evaluation of Family Reunification Services in the Western Cape: Exploring Children, Families and Social Workers' Experiences of Family Reunification Services within the First Twelve Months of Being Reunified https://www.westerncape.gov.za/assets/departments/socialdevelopment/an_evaluation_of_family_reunification_services_in_the_western_cape_final_report_26_1 1_2015.pdf accessed 9 October 2021
Worcel S et al 2007 Family Treatment Drug Court Evaluation: Final Report https://npcresearch.com/wp-content/uploads/FTDC_Evaluation_Final_Report.pdf accessed 9 September 2024
Published
Issue
Section
License
Copyright (c) 2026 Ms Megan Gedye, Willene Holness, Ms Judy Parker

This work is licensed under a Creative Commons Attribution 4.0 International License.















.png)