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

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Mpumalanga; and 100.0% (2) in North West. None of the facilities in the Northern Cape(1 no response) use a waiting list.For the overall sample, the number of individuals currently on the waiting list rangesfrom 4 to 8 (χ = 5.7, SD = 2.0). For individuals on the waiting list, the wait for atreatment slot / bed ranges from 1 to 21 days (χ = 6.4, SD = 6.5).3.3.5. Rates of client retention in treatmentFor the overall sample, the estimated client retention rate ranges from 30.0% to 93.0% (χ= 70.2, SD = 17.9). When provincial data are considered separately, North West has thehighest proportion of clients that complete the treatment programme, namely 78.0% (χ =78.0, SD = 0.0) (Table 5).Table 5. Client retention rates by province (%).Province Min. Max. χ SDFree State 60 93 74.6 15.0Limpopo 60 75 67.5 10.6Mpumalanga 30 90 60.0 42.4North West 78 78 78.0 0.0Northern Cape 50 50 50.0 0.03.4. STAFF AND STAFF-RELATED ISSUESThis section describes the characteristics of staff employed by substance abuse treatmentfacilities in Free State, Limpopo, Mpumalanga, North West and Northern Cape. Thisincludes a description of staff qualifications, professional development activities, andstaff-related resources.Core findings:• Facilities in North West and Mpumalanga had the highest mean number of clinical staff (full-time)compared to facilities in other provinces• Facilities in Free State and North West did not have non-professional full-time staff• Facilities in Free State and North West were more likely to have access to and employ doctors andnurses than facilities in other provinces36
3.4.1. Characteristics of staff at substance abuse treatment facilitiesVariations in the mean number of staff by staffing category for the overall sample and byprovince are presented in Table 6. For the overall sample, the number of full-timeprofessional staff (i.e. staff responsible for treatment services) ranges from 0 to 20 people(χ = 5.4, SD = 5.2) and the total number of non-professional full-time staff (such assupport staff, administrators and cleaning staff) ranges from 0 to 11 (χ = 2.5, SD = 3.8).In addition to full-time staff, many facilities employ sessional professionals on a parttimebasis. For the overall sample, the number of part-time staff per facility ranges from0 to 10 (χ = 2.9, SD = 3.4).Table 6. Mean number of staff per staffing category.Staff category Free State(N = 7)Limpopo(N = 2)Mpumalanga(N = 3)North West(N = 2)Northern Cape(N = 2)Overall(N = 16)χ SD χ SD χ SD χ SD χ SD χ SDProfessional (full-time) 3.7 3.1 1.5 0.7 10.0 8.7 11.0 0.0 3.0 1.4 5.4 5.2Non-professional 0.0 0.0 0.5 0.7 3.5 0.7 0.0 0.0 0.5 0.7 2.5 3.8(full-time)Part-time staff 5.3 4.0 0.0 0.0 1.3 0.6 2.0 0.0 0.5 0.7 2.9 3.4The total number of full-time professional staff ranges from 0 to 8 (χ = 3.7, SD = 3.1) inFree State; from 1 to 2 (χ = 1.5, SD = 0.7) in Limpopo; from 4 to 20 (χ = 10.0, SD = 8.7)in Mpumalanga; 11 (χ = 11.0, SD = 0.0) in North West; and from 2 to 4 (χ = 3.0, SD =1.4) in Northern Cape. The number of non-professional full-time staff per facility rangesfrom 0 to 1 (χ = 0.5, SD = 0.7) in Limpopo; from 3 to 4 (χ = 3.5, SD = 0.7) inMpumalanga; and from 0 to 1 (χ = 0.5, SD = 0.7) in Northern Cape. Facilities in FreeState and North West do not employ non-professional staff on a full-time basis. Thenumber of part-time staff per facility ranges from 0 to 10 (χ = 5.3, SD = 4.0) in FreeState; from 1 to 2 (χ = 1.3, SD = 0.6) in Mpumalanga; 2 (χ = 2.0, SD = 0.0) in NorthWest; and from 0 to 1 (χ = 0.5, SD = 0.7) in Northern Cape. Facilities in Limpopo do notemploy part-time staff.Table 7 presents the mean number of staff per staffing category for the overall sampleand by province. Few facilities employ professional staff, such as psychologists andpsychiatrists. Facilities in Free State and North West are more likely to have access to37
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 and 34: Figure 7.Comparison of race profile
Page 35: services per month ranges from 13 t
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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