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

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Monitoring and evaluation• Substance abuse treatment facilities should, as a condition of registration and funding,conduct comprehensive evaluations of their treatment programmes once every fiveyears.• To cover the costs of these evaluations, 10% of all grant monies and public fundingallocated to substance abuse treatment facilities should be ring-fenced for programmeevaluation purposes. This should be a condition of public funding.• Capacity to conduct client monitoring and programme evaluations within substanceabuse treatment facilities needs to be developed. The state should consider providingpublicly funded treatment facilities with introductory courses to client monitoring andprogramme evaluation that include the provision of basic tools to facilitate theseactivities. The World Health Organisation has developed a framework forprogramme evaluation within substance abuse treatment services that may serve as auseful starting point.• Research which evaluates the relative efficacy of treatment programmes that providecomprehensive services (that is, core addiction treatment services and ancillarymental health and medical treatment services) and programmes that provide coreaddiction services only is required. Findings from this research may providejustification for the provision of a more comprehensive range of services at substanceabuse treatment facilities.84
REFERENCESAllard, S.W., Tolman, R.M., & Rosen, D. (2003). The geography of need: Spatial distribution ofbarriers to employment in Metropolitan Detroit. The Policy Studies Journal, 31: 293-306.Appel, P.W., Ellison, A.A., Jansky, H.K., & Oldak, R. (2004). Barriers to enrollment in drugabuse treatment and suggestions for reducing them: Opinions of drug injecting street outreachclients and other system stakeholders. American Journal of Drug & Alcohol Abuse, 30: 129–153.Arif, A., & Westermeyer, A. (1998). A manual for drug and alcohol abuse: Guidelines forteaching. Plenum Press: New York.Beardsley, K., Wish, E.D., Fitzelle, D.B., O’Grady, K., & Arria, A.M. (2003). Distance travelledto outpatient drug treatment and client retention. Journal of Substance Abuse Treatment, 25: 279-285.Booth, B.M., & McLaughlin, Y.S. (2000). Barriers to and need for alcohol services for womenin rural populations. Alcoholism: Clinical & Experimental Research, 24: 1267-1275.Carise, D., McLellan, A.T., & Gifford, LS. (2002). Developing a national addiction treatmentinformation system. Unpublished manuscript.Central Drug Authority (CDA) (2003). Annual report: 2003. National Department of SocialDevelopment: Pretoria.Coetzee, P. (2001). Evaluation of Cape Town Drug Counselling Centre. Unpublished master’sthesis, University of Cape Town, Cape Town.Coetzee, P. (2004). Stepping Stones evaluation. In A. Plüddemann, S. Hon, A. Bhana, N.Harker., & H. Potgieter (Eds.), South African Community Epidemiology Network on Drug Use(SACENDU). Monitoring alcohol and drug abuse trends in South Africa, 2004 (pp. 124-128).South African Medical Research Council: Cape Town.Cole, G.E. (1999). Advancing the development and application of theory-based evaluation in thepractice of public health. American Journal of Evaluation, 20: 453-471.De Silva, H.J., Peris, M., Samarasinghe, D.S., & Ellawala, N.S. (1992). A 2-year follow upstudy of alcohol dependent men rehabilitated at a special unit in a developing country. BritishJournal of Addiction, 87: 1409-1414.Dewing, S., Plüddemann, A., Myers, B.J., & Parry, C.D.H. (2006). Review of injection drug usein six African countries: Egypt, Kenya, Mauritius, Nigeria, South Africa and Tanzania. Drugs:Education, Prevention & Policy, 13: 121-137.Durkin, E.M. (2002). An organisational analysis of psychosocial and medical services inoutpatient drug abuse treatment programs. Social Service Review, 406-429.Flisher, A.J., & Chalton, D.O. (2001). Adolescent contraceptive non-use and covariation amongrisk behaviors. Journal of Adolescent Health, 28: 235-241.Freeman, M. (2000). Using all opportunities for improving mental health. Examples from SouthAfrica. Bulletin of the World Health Organization, 78: 508-10.85
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Alcohol & Drug Abuse Research UnitM
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3.1.2 Treatment facility profile by
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4.3 Targeting barriers to treatment
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EXECUTIVE SUMMARYA cross-sectional
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services to historically underserve
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use, reductions in criminal activit
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Despite high levels of substance ab
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Despite the apparent availability o
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treatment services provided. At pre
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use disorders whose physical and em
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delivery, treatment retention, and
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audit substance abuse treatment fac
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2.8.3. Further data considerations
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Figure 1. Inpatient intensity of ca
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Since there is a large overlap betw
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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 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: • The age appropriateness of serv
Page 87 and 88: Myers, B., & Fakier, N. (2007). Rep
Page 89: Zule, W.A., Lam, W.K., & Wechsberg,
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