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

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3.7.2. Practices that address logistical and affordability barriers to treatment entryAll facilities indicate that they provide treatment to clients who have no medical aidcoverage or are unable to pay for treatment. In terms of costs barriers, 68.8% of facilitiesroutinely offer reduced fees to indigent clients while 75.0% of facilities routinely havefree treatment beds/slots available (Figure 19). For the overall sample, the averagenumber of free treatment slots/beds available per year ranges from 5 to 120 (χ = 60.8, SD= 47.0). By province, the average number of free treatment slots/beds available per yearranges from 8 to 100 (χ = 56.3, SD = 40.8) in Free State, 5 to 25 (χ = 15.0, SD = 14.1) inLimpopo and 120 (χ = 120.0, SD = 0.0) in North West. Facilities in Mpumalanga andNorthern Cape did not provide figures for the availability of treatment slots/beds.In terms of transport barriers, only 12.5% routinely provide clients with transport to thefacility and provide transport to the client’s family so that they can participate in thetreatment programme (Figure 19).Figure 19.Proportion of substance abuse treatment facilities that target logisticbarriers to treatment entry (%).807060504030201007569693825 252519 1913 13 130 0 0 0Transport for client Transport for family Reduced fees Free treatmentNever Rarely Sometimes RoutinelyBy province, only facilities in Free State routinely provide transport for clients whereastransport for the family to participate in the treatment programme is available in FreeState (14.3%) and Northern Cape (50.0%) (Table 12).52
Table 12. Proportion of facilities addressing logistical barriers to treatment entry byprovince.Activities that addresslogistical barriersFree State(N = 7)Limpopo(N = 2)Mpumalanga(N = 3)NorthWestNorthernCapeOverall(N = 16)(N = 2) (N = 2)N % N % N % N % N % N %Transport for client-- -- -- -- -- -- -- -- -- -- -- --Never 3 42.9 2 100.0 1 33.3 0 0 0 0 6 37.5Rarely 1 14.3 0 0 1 33.3 0 0 2 100.0 4 25.0Sometimes 1 14.3 0 0 1 33.3 2 100.0 0 0 4 25.0Routinely 2 28.6 0 0 0 0 0 0 0 0 2 12.5Transport for family-- -- -- -- -- -- -- -- -- -- -- --Never 6 85.7 2 100.0 2 66.7 0 0 1 50.0 11 68.8Rarely 0 0 0 0 0 0 0 0 0 0 0 0Sometimes 0 0 0 0 1 33.3 2 100.0 0 0 3 18.8Routinely 1 14.3 0 0 0 0 0 0 1 50.0 2 12.5Reduced fees-- -- -- -- -- -- -- -- -- -- -- --Never 0 0 0 0 1 33.3 0 0 1 50.0 2 12.5Rarely 0 0 0 0 0 0 0 0 0 0 0 0Sometimes 2 28.6 1 50.0 0 0 0 0 0 0 3 18.8Routinely 5 71.4 1 50.0 2 66.7 2 100.0 1 50.0 11 68.8Free treatment-- -- -- -- -- -- -- -- -- -- -- --Never 0 0 1 50.0 2 66.7 0 0 1 50.0 4 25.0Rarely 0 0 0 0 0 0 0 0 0 0 0 0Sometimes 0 0 0 0 0 0 0 0 0 0 0 0Routinely 7 100.0 1 50.0 1 33.3 2 100.0 1 50.0 12 75.03.7.3. Practices that address cultural and linguistic barriers to treatment entryIn terms of cultural and linguistic barriers, all facilities report employing multi-lingualstaff while 81.3% of facilities employ African language-speaking therapists. Byprovince, only a small proportion of facilities in Free State (57.1%) employ Africanlanguage-speaking counsellors while all facilities in the other 4 provinces employ Africanlanguage-speaking counsellors.53
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 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: Table 11. Proportion of facilities
Page 55 and 56: Figure 20.Proportion of substance a
Page 57 and 58: Table 14. Proportion of facilities
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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