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

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3.6.2 Provision of assessment services……………………………443.6.3 Substance abuse counselling services………………………443.6.4 Provision of family services…………………………………463.6.5 Provision of health and medical services…………………...473.7 Addressing barriers to treatment entry for vulnerable groups…493.7.1 Practices that improve awareness of substance abusetreatment options……………………………………………493.7.2 Practices that address logistical and affordability barriersto treatment entry……………………………………………523.7.3 Practices that address cultural and linguistic barriers totreatment entry………………………………………………533.8 Addressing barriers to engagement and retention in treatmentfor vulnerable groups………………………………………………543.8.1 Cultural and linguistic sensitivity and appropriatenessof treatment…………………………………………………..543.8.2 Gender sensitivity and appropriateness of treatment……..553.8.3 Age appropriateness of treatment services…………………573.9 Monitoring and evaluation activities for substance abusetreatment facilities………………………………………………….593.9.1 Monitoring of clients’ progress during the course oftreatment……………………………………………………..603.9.2 Monitoring of clients’ progress post-treatment…………….613.9.3 Formal treatment programme evaluation………………….63PART 4:DISCUSSION OF KEY FINDINGS ………………………………....654.1 Availability of substance abuse treatment services……………...654.1.1 Availability of treatment services…………………………...654.1.2 Utilisation of and demand for available treatment slots…..654.1.3 Effective use of available treatment slots…………………..664.2 Range and diversity of services provided………………………..664.2.1 Provision of ancillary mental health services……………...674.2.2 Provision of ancillary health services………………………684
4.3 Targeting barriers to treatment entry, engagement andretention for clients from underserved groups………………….694.3.1 The extent to which services are accessible tounderserved groups…………………………………………694.3.2 Access to treatment: Targeting barriers to treatmententry…………………………………………………………..71Awareness-related barriers to treatment entry………………..71Logistic and affordability barriers to treatment entry………...71Cultural and linguistic barriers to treatment entry……………734.3.3 Targeting barriers to treatment retention: Theappropriateness of services………………………………….74Cultural and linguistic appropriateness of services …………..74Gender appropriateness of services …………………………..75Age appropriate services ……………………………………...764.4 Monitoring and evaluation in substance abuse treatmentfacilities……………………………………………………………..764.5 Recommendations…………………………………………………78To improve the availability and utilisation of substance abusetreatment facilities ..………………………………………………78Availability of treatment services ………………………………….78Improving treatment capacity…………………………………….…79To improve the diversity of services and range of servicesprovided through increasing access to ancillary health andmental health services…………………………………………….79Unmet mental health needs…………………………………………79Unmet medical needs………………………………………………..80Case management ………………………………………………….80To address barriers to treatment entry for underservedgroups ……………………………………………………………..81Logistic and affordability barriers ………………………………...81Awareness barriers ………………………………………………..81Cultural and linguistic barriers …………………………………...815
Page 1 and 2: Alcohol & Drug Abuse Research UnitM
Page 3: 3.1.2 Treatment facility profile by
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
Page 55 and 56:
Figure 20.Proportion of substance a
Page 57 and 58:
Table 14. Proportion of facilities
Page 59 and 60:
Page 61 and 62:
3.9.2. Monitoring of clients’ pro
Page 63 and 64:
Page 65 and 66:
PART 4: DISCUSSION OF KEY FINDINGSW
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previous audits of specialist subst
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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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