Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa

Background: Completion of substance abuse treatment is a proximal indicator of positive treatment outcomes. To design interventions to improve outcomes, it is therefore important to unpack the factors contributing to treatment completion. To date, substance abuse research has not examined the factor...

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Main Authors: Myers-Franchi, Bronwyn, Pasche, S., Adam, M.
Format: Journal Article
Language:English
Published: BIOMED CENTRAL LTD 2010
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/85721
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author Myers-Franchi, Bronwyn
Pasche, S.
Adam, M.
author_facet Myers-Franchi, Bronwyn
Pasche, S.
Adam, M.
author_sort Myers-Franchi, Bronwyn
building Curtin Institutional Repository
collection Online Access
description Background: Completion of substance abuse treatment is a proximal indicator of positive treatment outcomes. To design interventions to improve outcomes, it is therefore important to unpack the factors contributing to treatment completion. To date, substance abuse research has not examined the factors associated with treatment completion among poor, disadvantaged communities in developing countries. This study aimed to address this gap by exploring client-level factors associated with treatment completion among poor communities in South Africa. Methods: Secondary data analysis was conducted on cross-sectional survey data collected from 434 persons residing in poor communities in Cape Town, South Africa who had accessed substance abuse treatment in 2006.Results: Multiple regression analyses revealed that therapeutic alliance, treatment perceptions, abstinence-specific social support, and depression were significant partial predictors of treatment completion. Conclusions: Findings suggest that treatment completion rates of individuals from poor South African communities can be enhanced by i) improving perceptions of substance abuse treatment through introducing quality improvement initiatives into substance abuse services, ii) strengthening clients' abstinence-oriented social networks and, iii) strengthening the counselor-client therapeutic alliance. © 2010 Myers et al; licensee BioMed Central Ltd.
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spelling curtin-20.500.11937-857212021-10-13T06:11:11Z Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa Myers-Franchi, Bronwyn Pasche, S. Adam, M. Science & Technology Life Sciences & Biomedicine Substance Abuse DRUG-TREATMENT THERAPEUTIC ALLIANCE FOLLOW-UP OUTCOMES ENGAGEMENT RETENTION MISUSE Background: Completion of substance abuse treatment is a proximal indicator of positive treatment outcomes. To design interventions to improve outcomes, it is therefore important to unpack the factors contributing to treatment completion. To date, substance abuse research has not examined the factors associated with treatment completion among poor, disadvantaged communities in developing countries. This study aimed to address this gap by exploring client-level factors associated with treatment completion among poor communities in South Africa. Methods: Secondary data analysis was conducted on cross-sectional survey data collected from 434 persons residing in poor communities in Cape Town, South Africa who had accessed substance abuse treatment in 2006.Results: Multiple regression analyses revealed that therapeutic alliance, treatment perceptions, abstinence-specific social support, and depression were significant partial predictors of treatment completion. Conclusions: Findings suggest that treatment completion rates of individuals from poor South African communities can be enhanced by i) improving perceptions of substance abuse treatment through introducing quality improvement initiatives into substance abuse services, ii) strengthening clients' abstinence-oriented social networks and, iii) strengthening the counselor-client therapeutic alliance. © 2010 Myers et al; licensee BioMed Central Ltd. 2010 Journal Article http://hdl.handle.net/20.500.11937/85721 10.1186/1747-597X-5-3 English http://creativecommons.org/licenses/by/4.0/ BIOMED CENTRAL LTD fulltext
spellingShingle Science & Technology
Life Sciences & Biomedicine
Substance Abuse
DRUG-TREATMENT
THERAPEUTIC ALLIANCE
FOLLOW-UP
OUTCOMES
ENGAGEMENT
RETENTION
MISUSE
Myers-Franchi, Bronwyn
Pasche, S.
Adam, M.
Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa
title Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa
title_full Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa
title_fullStr Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa
title_full_unstemmed Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa
title_short Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa
title_sort correlates of substance abuse treatment completion among disadvantaged communities in cape town, south africa
topic Science & Technology
Life Sciences & Biomedicine
Substance Abuse
DRUG-TREATMENT
THERAPEUTIC ALLIANCE
FOLLOW-UP
OUTCOMES
ENGAGEMENT
RETENTION
MISUSE
url http://hdl.handle.net/20.500.11937/85721