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

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Figure 9.Comparison of race profile of clients at treatment facilities with censusdata (1997 6 ) for Northern Cape (%).90808170605450403020100301611.56.51 0Black/African White Coloured Asian/IndianIn treatmentCensus7 Statistics South Africa (1998c)3.3. TREATMENT CAPACITY AND SERVICE UTILISATIONThis section describes the number of clients treated in a typical month, treatmentcapacity, and the extent to which capacity is utilised.Core findings:• Facilities in Mpumalanga treat a greater number of clients and have more treatment capacity thanfacilities in other provinces• North West and Limpopo have the highest treatment occupancy rates• North West has the highest proportion of clients that complete treatment – 78.0%3.3.1. Average number of clients treated per month in Free State, Limpopo,Mpumalanga, North West and Northern CapeOverall, the typical number of clients receiving substance abuse treatment per month overthe past year ranges from 6 to 721 (χ = 105.4, SD = 172.9). Of these facilities, 18.8%treat less than 20 clients per month, with the majority of facilities (38.0%) treating morethan 50 clients per month.When provincial data are considered separately, the typical number of clients receivingsubstance abuse services per month in Free State ranges from 6 to 165 (χ = 69.0, SD =64.2). In Limpopo, the typical number of clients receiving substance abuse treatment34
services per month ranges from 13 to 50 (χ = 32.0, SD = 26.2). In Mpumalanga, thetypical number of clients receiving substance abuse treatment services per month rangesfrom 33 to 721 (χ = 268.0, SD = 392.4). In North West, the typical number of clientsreceiving substance abuse treatment services per month is 33 (χ = 33.0, SD = 0.0). Finallyin Northern Cape, the typical number of clients receiving substance abuse treatmentservices per month ranges from 96 to 175 (χ = 136.0, SD = 55.9).3.3.2. Treatment capacity at substance abuse treatment facilitiesIn this study, treatment capacity refers to the number of treatment slots available to treatclients. For the overall sample, annual treatment capacity ranges from 10 to 862 slots (χ= 225.2, SD = 243.5). When provincial data are considered separately, annual treatmentcapacity ranges from 10 to 120 slots in Free State (χ = 62.6, SD = 43.2); from 48 to 105slots in Limpopo (χ = 76.5, SD = 40.3); from 180 to 862 slots in Mpumalanga (χ = 479.0,SD = 348.7); and 450 slots in both North West and Northern Cape (χ = 450.0, SD = 0.0).3.3.3. Substance abuse treatment occupancy ratesFor the overall sample, the average proportion of occupied treatment slots ranges from12.0% to 100.0% (χ = 69.4, SD = 27.8). North West has the highest average proportion ofoccupied treatment slots, 97.0% (χ = 97.0, SD = 0.0) (Table 4).Table 4. Proportion of treatment slots occupied by province (%).Province Min. Max. χ SDFree State 12 100 67.4 28.0Limpopo 90 90 90.0 0.0Mpumalanga 25 60 38.3 18.9North West 97 97 97.0 0.0Northern Cape 80 80 80.0 0.03.3.4. Waiting period for treatment services at substance abuse facilities in FreeState, Limpopo, Mpumalanga, North West and Northern CapeFor the overall sample, 46.7% (7) facilities use a waiting list when full to capacity (1facility did not provide a response). When waiting lists were examined by province, inFree State, 42.9% (3) of facilities use a waiting list; 50.0% (1) in Limpopo; 33.3% (1) in35
Page 1 and 2: Alcohol & Drug Abuse Research UnitM
Page 3 and 4: 3.1.2 Treatment facility profile by
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: Figure 7.Comparison of race profile
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 55 and 56: Figure 20.Proportion of substance a
Page 61 and 62: 3.9.2. Monitoring of clients’ pro
Page 65 and 66: 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
Page 75 and 76: appropriate services for Black/Afri
Page 77 and 78: clients progress post-treatment, an
Page 79 and 80: • The number of state facilities
Page 81 and 82: • Another way of ensuring (indire
Page 83 and 84: • The age appropriateness of serv
Page 85 and 86:
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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