Table 2: The codes and themes extracted in this study.

Codes Axial codes Sub-themes Themes
Pain relief, restlessness relief Physical relief Destructive but narcotic The meaning of addiction
Soothes the nerves, gives a sense of mental relaxation and relief of feeling inferior Mental-psychological relief
Non-normality of the physical system, gradual dependency of the body to the drug, dependence on recurrent drug use, increase in the amount of drug use compared to the past, the phenomenon of tolerance to the drug, impairment in physical performance, severe pain in case of not taking, severe seizures, continuous use, a gradual trend to routine drug use, lack of control over time and amount of taking, gradual increase in amount of drug use, dependency to drug abuse Physical dependence Dependence
Psychological dependence, mental symptoms of withdrawal, experience of mental symptoms in the case of not using, depression, anxiety, fear, low self esteem Mental dependence
Influenced by people, influenced by the environment, (school, street, park), having no power to say no to people outside home Environment outside home Social gaps Causal Conditions
Addicted family, addicted classmates, addicted friends Individuals related to the child
Delinquency, theft, begging on the streets, working children Social pitfalls
Low control on access to drugs, increasing concerns about drug use in the community, existence of drugs in the family Easy access to drugs in the community
Economic difficulty in families, parents not having good jobs, child not having pocket money Financial poverty Economic gaps
Not having good toys, a good house, good clothes, good food Lack of facilities at home
Not having a good relationship with parents, low knowledge of the family, lack of understanding of the child from the family, illiteracy of parents Low educational of parents Cultural gaps
Not having awareness of the dangers of society, being under the influence of bad friends, contact with addicted people, born in a family with cultural poverty Lack of understanding of community issues
Reduction of spiritual health, not internalizing the beliefs and religious values, family not being religious, the faded role of religion in the family Low adherence to religious beliefs Religious gaps
Forcing the children to beg, unemployed parents, imprisoned parents, addicted parents, neglect of parents Irresponsible parents Family gaps
Child without a parent, loss of parents, wishing the parents were alive Absence of parents
Lack of understanding the child by the family, not providing mental and emotional relief for the child by family, bad behavior of parents Lack of attention to the children from the family
Lack of checking the behaviors, lack of checking the child's peers Lack of supervision on the child's behaviors and communications
Hangover, body aches, severe nausea, back pain, restlessness, bone pain, convulsions, self-harm, no desire for food Physical Symptoms Physical consequences Consequences of addiction
Not having peace, crying, being shy, being sensitive, being confused, being disorganized Hopelessness Psychological consequences
Mood changes, depression, sleep disorders, low self esteem Depression
School dropout, low literacy of the family, lack of interest in education, interest in working and earning money Illiteracy Cultural Consequences
Poor social relations, poor communications, not finding a good job Social life
Having no sense of responsibility to family and community, undermining social position, lack of sociability towards others, dropping out of school, reduced quality of life, isolation and depression Individual Social consequences
Weak human relations, increasing crimes and imprisonment, rising inequality and poverty, spread of divorce and family disintegration Social
Keep track of the child's family, creating inner peace in children, strengthen the sense of responsibility in children, empathizing with the child, keeping the child’s secrets, filling the leisure time of the child, creating a sense of hope for the future in children, making effective verbal communication Social Aid worker Defensive barriers Preventive strategies
Fill the emotional gap in children, fill the leisure time of children, living a sense of hope for the future in children, making effective verbal communication Psychologist
Having good peers in the center, not having addicted friends, imitating peers Peer
Sympathy with children, holding literacy classes for children, creating a sense of hope for the future in children, filling the leisure time of children Benefactor
Attention to children, providing mental and emotional comfort for the child, keeping track of children and their peers, lack of drug addiction in the family and parents, teaching the child about addictive drugs and their dangers Family
Life skills training, raising awareness about the types of drugs and the effects of taking them, school meetings with parents, creating a sense for studying and healthy living School
Role modeling of teacher for children, communicating with children, child's awareness about the types of drugs and its consumption consequences, the impact of teacher behavior on children, giving a sense of hope to the children Teacher
For family: providing training opportunities for parents, raising awareness of parents
For Children: filling the leisure time of the child, keeping track of the child's family, providing welfare services for the children, providing employment opportunities for children, life skills training, providing health care to children, strengthen the sense of responsibility, literacy classes for children, facilitating the return of children to their family, providing the child with identity by getting a the birth certificate
Welfare Center