Audit of Substance Abuse Treatment Facilities in ... - SA HealthInfo

use disorders whose physical and emotional status does not allow them to function intheir usual environments.♦ Outpatient Treatment refers to non-residential programmes that provide diagnosis,treatment and rehabilitation for clients with substance use disorders whose physicaland emotional status allows them to function with support in their usualenvironments. Compared to inpatient programmes, services are provided at a lowerlevel of intensity.♦ Secondary inpatient treatment refers to a residential treatment facility for alcohol anddrug abuse clients who have received prior treatment in a primary care programme. Atreatment regimen of individual and group therapy as well as other activities aimed atthe physical, psychological and social recovery of the addicted individual iscontinued. The programme offered at these facilities is of a lower intensity than thatprovided at the initial (primary) inpatient facility. Often these are referred to ashalfway houses.♦ Combined inpatient and outpatient services: Also referred to as stepped-down care.All clients initially receive inpatient services. Having completed the residentialprogramme, clients move to a lower level of care - outpatient services - to ensure thatthe client is smoothly reintegrated back into society and to provide aftercare supportand follow-up.• Facility affiliation refers to the type of state registration that a facility has obtained.In South Africa, substance abuse treatment facilities can be registered with either theDepartment of Health or the Department of Social Development; with some facilitieshaving dual registration. Each department has different requirements for registration,a discussion of which is beyond the scope of this report.• Retention refers to the extent to which clients remain in treatment and complete thetreatment programme.• Attrition refers to the extent to which clients leave or drop out of treatment before theagreed upon date for treatment completion.19