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

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Figure 22.Proportion of substance abuse treatment facilities offering age appropriateservices (%).Family reunification for adolescents56Adapt facilities for the safety of young people56Employ staff trained to work with adolescents75Conduct family-focused interventions88Adolescent-focused treatment services38Age appropriate therapy88Age appropriate assessment tools750 10 20 30 40 50 60 70 80 90 100OverallBy province, facilities in Limpopo and North West do not provide adolescent-focusedtreatment services (Table 15). Similar proportions of facilities in all 5 provinces providefamily reunification services and adapt facilities for the safety of young people.58
Table 15. Proportion of facilities that address age appropriateness of services byprovince.Activities provided to improveage appropriateness of treatmentFree State(N = 7)Limpopo(N = 2)Mpumalanga(N = 3)NorthWestNorthernCapeOverall(N = 16)(N = 2) (N = 2)N % N % N % N % N % N %Age appropriate assessment 5 71.4 2 100.0 2 66.7 2 100.0 1 50.0 12 75.0Age appropriate therapy 6 85.7 2 100.0 3 100.0 2 100.0 1 50.0 14 87.5Adolescent-focused treatment 4 57.1 0 0 1 33.3 0 0 1 50.0 6 37.5servicesFamily-focused interventions 6 85.7 2 100.0 2 66.7 2 100.0 2 100.0 14 87.5Staff trained to work with 5 71.4 2 100.0 1 33.3 2 100.0 2 100.0 12 75.0adolescentsAdapt facilities for the safety of 4 57.1 1 50.0 1 33.3 2 100.0 1 50.0 9 56.3young peopleFamily reunification services 4 57.1 1 50.0 1 33.3 2 100.0 1 50.0 9 56.33.9. MONITORING AND EVALUATION ACTIVITIES FOR SUBSTANCEABUSE TREATMENT FACILITIESThis section describes the extent to which substance abuse treatment facilities in FreeState, Limpopo, Mpumalanga, North West and Northern Cape conduct monitoring andevaluation (M & E) activities.Core findings:• Most facilities have structures that allow for the within-treatment monitoring of clients• Over half of the facilities report post-discharge monitoring of clients• Overall, the average proportion of clients monitored once they complete treatment is45.8 (SD = 33.1)• Just over half of facilities monitor clients on an ad hoc basis or on request of familymembers• Less than half of the facilities had conducted an outcome evaluation of their treatmentprogramme• Equal proportions of facilities in all 5 provinces had conducted a process evaluation oftheir treatment programme/s as well as evaluated the quality of their treatmentprogrammes59
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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 and 52: Table 11. Proportion of facilities
Page 55 and 56: Figure 20.Proportion of substance a
Page 57: 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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