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

3.9.2. Monitoring of clients’ progress post-treatmentWe also examined the extent to which facilities monitored client progress post-treatment.When facilities were asked about post-discharge monitoring and regular post-dischargefollow-up of all clients, only 62.5% of facilities reported tracking client progress oncethey had completed treatment (Figure 24).However, when asked about specific post-treatment monitoring activities, a relativelylarge proportion of facilities report monitoring clients’ progress telephonically (93.8%)and monitoring clients’ progress during follow-up counselling sessions (93.8%) (Figure24). In addition, 43.8% of facilities report the use of blood tests and/or urinalysis tomonitor clients’ substance use and only 18.8% of facilities use structured follow-upquestionnaires to track clients’ progress post-treatment.Figure 24.Proportion of substance abuse treatment facilities reporting monitoring ofclients post-treatment (%).100908070605040302010063Post-dischargemonitoring andfollow-up9444Telephone follow-up Blood/urine test Follow-up counselling Follow-upquestionnaireOverall9419By province, 4 facilities in Free State (57.1%), 1 in Limpopo (50.0%), 2 in Mpumalanga(66.7%), 2 in North West (100.0%) and 1 in Northern Cape (50.0%) conduct postdischargemonitoring and regular post-discharge follow-up of all clients. All facilitiesreport monitoring clients’ progress telephonically, with the exception of 1 facility inNorthern Cape (50.0%). Similarly, all facilities report monitoring clients’ progress duringfollow-up counselling sessions, with the exception of 1 facility in Limpopo (50.0%). Theonly provinces reporting using blood tests and/or urinalysis to monitor clients’ substanceuse are Free State (42.9%), Limpopo (100.0%) and North West (100.0%). In addition,61