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

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Figure 16. Proportion <strong>of</strong> treatment facilities provid<strong>in</strong>g family services (%).9594 9490888580817570Marital therapy Family therapy Family education Family assessmentOverall3.6.5. Provision <strong>of</strong> health and medical servicesWith regard to ancillary medical services, a large proportion <strong>of</strong> facilities conduct a fullmedical history <strong>of</strong> clients (81.3%) (Figure 17). A smaller proportion conduct physicalexam<strong>in</strong>ations <strong>of</strong> clients (62.5%); provide clients with psychiatric medication (50.0%);provide clients with substitution medications such as methadone, subutex and antabuse(37.5%); or <strong>of</strong>fer detoxification services (56.3%).Regard<strong>in</strong>g medical harm-reduction <strong>in</strong>terventions, a quarter <strong>of</strong> facilities rout<strong>in</strong>ely testclients for hepatitis and other <strong>in</strong>fectious diseases or conduct harm-reduction <strong>in</strong>terventionsamong <strong>in</strong>jection drug users (IDU) (Figure 17). Only 37.5% <strong>of</strong> facilities provide HIV riskreduction <strong>in</strong>terventions (such as test<strong>in</strong>g and counsell<strong>in</strong>g) onsite.47

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