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

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TABLE OF CONTENTSEXECUTIVE SUMMARY..…………………………………………………………...7PART 1: BACKGROUND……………………………………………………..…101.1 The need for substance abuse treatment.…….…………………...101.2 The value of substance abuse treatment....………………………..101.3 Substance abuse treatment services in South Africa.…..………...111.3.1 Limited availability of services in relation to need…………121.3.2 Racial inequities in access to health and social services……131.3.3 Factors associated with disparities in access to substanceabuse treatment……………………………………………….141.4 Substance abuse treatment in South Africa: Prior research andthe way forward…………………………………………………….161.5 Terminology…………………………………………………………18PART 2:METHOD………………………………………………………..……...202.1 Aims…………………………………………………………………202.2 Objectives…………………………………………………………...202.3 Design………………………………………………………………..212.4 Sample……………………………………………………………….212.5 Treatment Services Audit (TSA) Questionnaire………………….222.6 Data collection………………………………………………………232.7 Data analysis………………………………………………………..242.8 Data considerations………………………………………………...242.8.1 Response rates………………………………………………..242.8.2 Quality assurance and item non-response………………….242.8.3 Further data considerations and limitations……………….25PART 3:KEY RESULTS.…………….………………..………………………..263.1 Characteristics of substance abuse treatment facilities inFree State, Limpopo, Mpumalanga, North West and NorthernCape……………………………………...........................................263.1.1 Treatment facility profile by intensity of care……………...262
3.1.2 Treatment facility profile by facility ownership…...……….273.1.3 Treatment facility profile by state affiliation...……………..283.1.4 Treatment facility profile by intensity of care and facilityownership……………………………………………………...283.2 Profile of clients served by substance abuse treatment facilitiesin Free State, Limpopo, Mpumalanga, North West and NorthernCape …………………………………...............................................303.2.1 Demographic profile of clients at treatment facilities inFree State, Limpopo, Mpumalanga, North West andNorthern Cape ………………………………........................303.3 Treatment capacity and service utilisation……………………….343.3.1 Average number of clients treated per month in Free State,Limpopo, Mpumalanga, North West and Northern Cape...343.3.2 Treatment capacity at substance abuse treatmentfacilities……………………………………………………….353.3.3 Substance abuse treatment occupancy rates………………353.3.4 Waiting period for treatment services at substance abusefacilities in Free State, Limpopo, Mpumalanga, NorthWest and Northern Cape.…………………..........................353.3.5 Rates of client retention in treatment………………………363.4 Staff and staff-related issues………………………………………363.4.1 Characteristics of staff at substance abuse treatmentfacilities……………………………………………………….373.4.2 Staff participation in professional developmentactivities…..…………………….…………………………….383.4.3 Resources to support staff development at treatmentfacilities………………………………………………………393.5 Organisational environment and management practices………403.5.1 Management practices at treatment facilities……………..403.6 Profile of services provided by substance abuse treatmentfacilities……………………………………………………………..423.6.1 Profile of treatment services offered…………………….....433
Page 1: Alcohol & Drug Abuse Research UnitM
Page 5 and 6: 4.3 Targeting barriers to treatment
Page 7 and 8: EXECUTIVE SUMMARYA cross-sectional
Page 9 and 10: services to historically underserve
Page 11 and 12: use, reductions in criminal activit
Page 13 and 14: Despite high levels of substance ab
Page 15 and 16: Despite the apparent availability o
Page 17 and 18: treatment services provided. At pre
Page 19 and 20: use disorders whose physical and em
Page 21 and 22: delivery, treatment retention, and
Page 23 and 24: audit substance abuse treatment fac
Page 25 and 26: 2.8.3. Further data considerations
Page 27 and 28: Figure 1. Inpatient intensity of ca
Page 29 and 30: Since there is a large overlap betw
Page 31 and 32: the total client population (χ = 4
Page 33 and 34: Figure 7.Comparison of race profile
Page 35 and 36: services per month ranges from 13 t
Page 37 and 38: 3.4.1. Characteristics of staff at
Page 39 and 40: supervision. In contrast, a much sm
Page 41 and 42: In terms of client record-keeping,
Page 43 and 44: Core findings:• Compared to the p
Page 45 and 46: using 12-step approaches, 75.0% rep
Page 47 and 48: Figure 16. Proportion of treatment
Page 49 and 50: 3.7. ADDRESSING BARRIERS TO TREATME
Page 51 and 52: Table 11. Proportion of facilities
Page 53 and 54:
Table 12. Proportion of facilities
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Figure 20.Proportion of substance a
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
3.9.2. Monitoring of clients’ pro
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PART 4: DISCUSSION OF KEY FINDINGSW
Page 67 and 68:
previous audits of specialist subst
Page 69 and 70:
small proportion of South African d
Page 71 and 72:
high levels of substance use among
Page 73 and 74:
these barriers appears to significa
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appropriate services for Black/Afri
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clients progress post-treatment, an
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• The number of state facilities
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• Another way of ensuring (indire
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• The age appropriateness of serv
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REFERENCESAllard, S.W., Tolman, R.M
Page 87 and 88:
Myers, B., & Fakier, N. (2007). Rep
Page 89:
Zule, W.A., Lam, W.K., & Wechsberg,
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