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The treatment components of both Inpatient and Outpatient Treatment services are similar as described in the table below.
Screening, Assessment and Admissions
An initial screening session is conducted with the person using SBIRT (screening, brief intervention, and referral to treatment). Universal screening and assessment instruments are used to determine this like AUDIT, DUDIT, and ASSIST. An intensive psycho-social assessment will follow to determine the severity of the person’s use of the substance. This will determine the level of care needed by the person and what treatment setting will work for formal referral and support will be provided to clients needing inpatient treatment.
The person is matched with the appropriate level of care for either outpatient if they are experimenting or have a mild to moderate substance use disorder for 4 sessions on early intervention and for community-based outpatient treatment for 6 weeks. Severe substance use disorders with complicated withdrawals are referred for hospitalization and accessible inpatient treatment between 6 to 24 weeks depending on the severity.
Formal agreements with the local hospital, clinic, and/or treatment centers will be made for the seamless referral of service users. s. This will form part of the stakeholder engagements.
The treatment process is provided by multi-disciplinary teams to manage the withdrawals and provide intensive medical and therapeutic services to the person. The impact of treatment services is measured using SQM (Service Quality Measurement).
The client is admitted, and all admission forms are completed. The client and preferably a family member is orientated to the programmes and what is expected of them. A treatment contract is then signed with the rules of the Centre. Admission criteria includes:
People with Substance Use Disorders within the JTG district and Tsantsabane LM are eligible.
Schools within the beneficiary’s communities.
All under 18-year-olds must be escorted by a caregiver during the initial screening and assessment sessions.
Families, significant others and caregivers must attend the family support sessions.
The person must be willing to partake in the programme and adhere to the rules of the Centre and sign a treatment contract to that effect.
A person with a psychotic episode or toxic psychosis must first be stabilized before treatment and will be referred to Careline for 72-hour observation.
Aftercare is compulsory to attend weekly for up to 12 months to track progress.
If a client is involuntary, they will be referred to the local Department of Social Development to admit the client to a State Facility in Kimberley.
Medical aid clients will be referred to SANCA Treatment centres for in-patient treatment.
A financial assessment is mandatory for all admissions and will be conducted by the administrator at the centre.