Click here to load reader

Implementation Guidelines Substance Abuse Policy Substance ...pmg-assets.s3. · PDF file Substance Abuse Policy Implementation Guidelines Substance Abuse Policy Implementation Guidelines

  • View
    10

  • Download
    1

Embed Size (px)

Text of Implementation Guidelines Substance Abuse Policy Substance ...pmg-assets.s3. · PDF file...

  • Tel: 021 852 6065 Email: [email protected]

    Management Board Ms Cheryl Frank (Chair); Ms Katie Baring; Ms Sarah Fisher (Director); Dr Neo Morojele; Mr Lukas Muntingh (Treasurer)

    053-669 NPO

    Implementation Guidelines Implementation Guidelines Implementation Guidelines Implementation Guidelines

    Substance Abuse Policy Substance Abuse Policy Substance Abuse Policy Substance Abuse Policy

    Final DraftFinal DraftFinal DraftFinal Draft for for for for submissionsubmissionsubmissionsubmission

    Prepared Prepared Prepared Prepared for for for for

    Department ofDepartment ofDepartment ofDepartment of Social DevelopmentSocial DevelopmentSocial DevelopmentSocial Development Prevention and Rehabilitation of Substance Abuse Prevention and Rehabilitation of Substance Abuse Prevention and Rehabilitation of Substance Abuse Prevention and Rehabilitation of Substance Abuse

    DirectorateDirectorateDirectorateDirectorate bybybyby

    Drafting Team:Drafting Team:Drafting Team:Drafting Team:

    Ms Sarah FisherMs Sarah FisherMs Sarah FisherMs Sarah Fisher

    Ms Bronwyn MyersMs Bronwyn MyersMs Bronwyn MyersMs Bronwyn Myers

    Prof CharlProf CharlProf CharlProf Charles Parryes Parryes Parryes Parry

    Dr Lize WeichDr Lize WeichDr Lize WeichDr Lize Weich

    Dr Neo MorojeleDr Neo MorojeleDr Neo MorojeleDr Neo Morojele

    Prof Arvin BhanaProf Arvin BhanaProf Arvin BhanaProf Arvin Bhana

  • Substance Abuse Policy Implementation Guidelines Substance Abuse Policy Implementation Guidelines Substance Abuse Policy Implementation Guidelines Substance Abuse Policy Implementation Guidelines Final Final Final Final Draft Draft Draft Draft for submissionfor submissionfor submissionfor submission 1

    Contents:Contents:Contents:Contents: PagePagePagePage

    EEEExecutive Summaryxecutive Summaryxecutive Summaryxecutive Summary 2222

    1111 Goal of the policy implementation guidelinesGoal of the policy implementation guidelinesGoal of the policy implementation guidelinesGoal of the policy implementation guidelines 5555

    2222 Context of the policy implementation guidelinesContext of the policy implementation guidelinesContext of the policy implementation guidelinesContext of the policy implementation guidelines 5555

    3 3 3 3 What is the Policy on the What is the Policy on the What is the Policy on the What is the Policy on the

    Management of Substance AbuseManagement of Substance AbuseManagement of Substance AbuseManagement of Substance Abuse???? 7777

    4444 Institutional ArrangementsInstitutional ArrangementsInstitutional ArrangementsInstitutional Arrangements 9999

    5555 Implementation GuidelinesImplementation GuidelinesImplementation GuidelinesImplementation Guidelines 10101010

    5.15.15.15.1 Primary Prevention Primary Prevention Primary Prevention Primary Prevention 11111111

    5.25.25.25.2 Early Intervention (Secondary Prevention)Early Intervention (Secondary Prevention)Early Intervention (Secondary Prevention)Early Intervention (Secondary Prevention) 11116666

    5.35.35.35.3 Treatment (Secondary Treatment (Secondary Treatment (Secondary Treatment (Secondary &&&& Tertiary Prevention)Tertiary Prevention)Tertiary Prevention)Tertiary Prevention) 20202020

    � DetoxificationDetoxificationDetoxificationDetoxification 22222222

    � InInInIn----patient patient patient patient treatmenttreatmenttreatmenttreatment 22224444

    � OutOutOutOut----patient patient patient patient &&&& community basedcommunity basedcommunity basedcommunity based trtrtrtreatmenteatmenteatmenteatment 29292929

    � SSSStatutory tatutory tatutory tatutory treatmenttreatmenttreatmenttreatment 33333333

    5.45.45.45.4 Aftercare and ReintegratioAftercare and ReintegratioAftercare and ReintegratioAftercare and Reintegration Servicesn Servicesn Servicesn Services 33335555

    5.5. 5.5. 5.5. 5.5. Harm ReductionHarm ReductionHarm ReductionHarm Reduction 33339999

    5.65.65.65.6 Management ofManagement ofManagement ofManagement of Drug Treatment Practices Drug Treatment Practices Drug Treatment Practices Drug Treatment Practices 44441111

    5.75.75.75.7.... Research aResearch aResearch aResearch and Information Managementnd Information Managementnd Information Managementnd Information Management 44448888

    5.5.5.5.8888 InterInterInterInternational Liaisonnational Liaisonnational Liaisonnational Liaison 55553333

    5.95.95.95.9 Capacity Building Capacity Building Capacity Building Capacity Building 55554444

    5.105.105.105.10 MMMMonitoring and Evaluatioonitoring and Evaluatioonitoring and Evaluatioonitoring and Evaluationnnn 55558888

    ReferencesReferencesReferencesReferences 66662222

    Appendix A:Appendix A:Appendix A:Appendix A: Legislation Legislation Legislation Legislation 66663333

    Appendix B: Comments from symposiumAppendix B: Comments from symposiumAppendix B: Comments from symposiumAppendix B: Comments from symposium 66664444

    Appendix C:Appendix C:Appendix C:Appendix C: Written cWritten cWritten cWritten comments omments omments omments 69696969

    Appendix D: Definitions fromAppendix D: Definitions fromAppendix D: Definitions fromAppendix D: Definitions from treatmenttreatmenttreatmenttreatment centrescentrescentrescentres 77775555

  • Substance Abuse Policy Implementation Guidelines Substance Abuse Policy Implementation Guidelines Substance Abuse Policy Implementation Guidelines Substance Abuse Policy Implementation Guidelines Final Final Final Final Draft Draft Draft Draft for submissionfor submissionfor submissionfor submission 2

    Executive SummaryExecutive SummaryExecutive SummaryExecutive Summary

    This aim of the Policy Implementation Guidelines is to enhance service delivery for

    the treatment and prevention of substance use disorders, and to set out feasible

    guidelines for translating and integrating the National Policy for the Management of

    Substance Abuse into practice.

    The work was undertaken by Substance Misuse: Advocacy, Research and Training

    (SMART) who formed a consortium for the research and crafting of the report and co-

    managed the consultation process with the Department of Social Development.

    Alcohol and drug abuse in South Africa, as in the rest of the world, reaches across

    social, racial, cultural, language, religious and gender barriers, and places an

    immense health and socio-economic burden on South African society.

    Research has highlighted the link between alcohol and drug abuse and

    • intentional and non-intentional injuries and premature death;

    • dysfunctional family life;

    • risky sexual behaviour;

    • infectious diseases, such as tuberculosis and sexually transmitted infections including

    HIV/AIDS;

    • cancers and foetal alcohol syndrome;

    • crime (particularly crimes of violence, property crimes and crimes associated with the

    supply of or trafficking in substances);

    • absenteeism and school failure; and

    • loss of productivity, unemployment and other negative economic effects.

    The Department of Social Development has the mandate to administer the

    Prevention and Treatment of Drug Dependency Act, and has developed supporting

    documentation such as the Policy on the Management of Substance Abuse,

    Minimum Norms and Standards for In- and Out-patient Substance Abuse Treatment

    Centres as well as Norms and Standards for Community Based Programmes.

    The direction set out in these Policy Implementation Guidelines is based on a

    detailed analysis of all relevant documentation and gives service providers and other

    interested parties, step-by-step guidelines on how to translate policy into practice.

  • Substance Abuse Policy Implementation Guidelines Substance Abuse Policy Implementation Guidelines Substance Abuse Policy Implementation Guidelines Substance Abuse Policy Implementation Guidelines Final Final Final Final Draft Draft Draft Draft for submissionfor submissionfor submissionfor submission 3

    These Policy Implementation Guidelines are evidence-based where possible, and

    allow for the development of process, impact and outcome indicators, as well as for

    future monitoring and evaluation.

    Substance use disorders, much like HIV/AIDS or diabetes, require social approaches

    to prevention and treatment, as well as medication and clinical interventions, and the

    WHO (1993) conceptualizes alcohol and drug services along a continuum, ranging

    from primary preventionprimary preventionprimary preventionprimary prevention activities that ensure a disorder or problem will not occur,

    through secondary prevesecondary prevesecondary prevesecondary preventionntionntionn