Reply:

 

1. There are currently 13 public rehabilitation/treatment centres across the country which are situated in all the nine provinces. The breakdown per province is as follows:

Province	Facilities
Eastern Cape	Ernest Malgas Treatment Centre
Free State	Charlotte Maxeke Treatment centre
Gauteng	Dr Fabian and Florence Treatment Centre
KwaZulu-Natal	Madadeni Rehabilitation Centre Newlands Park Rehabilitation Centre Khanyani Treatment Centre
Limpopo	Seshego Treatment Centre
Mpumalanga	Swartfontein Treatment Centre Nkangala Treatment Centre
Northern Cape	Northern Cape Substance Abuse Treatment Centre
North West	JB Marks Treatment Centre Taung Treatment Centre
Western Cape	Kensington Treatment Centre

1. Public rehabilitation centres are established in terms of the Prevention of and Treatment for Substance Abuse Act (Act No. 70 of 2008) to render counselling and treatment services for substance use disorders. The treatment services are aimed at reducing the negative health, social and economic consequences associated with alcohol and other drugs. The programmes implemented at the public rehabilitation centres include amongst others the following:
   1. Universal Treatment Curriculum (UTC) - the aim of the training series is to reduce the significant health, social and economic problems associated with substance use disorders. It focuses on screening, brief intervention, referral, assessment, treatment, continuum of care and continued care. The intention of the Universal Treatment Curriculum programme is to ensure that addiction practitioners working in the field develop a balanced perspective of the principles relating to both the science and art of treatment. The programme improves the knowledge, skills and competencies of treatment professionals, as well as promote evidence-based practice for the enhancement of service delivery and treatment outcomes. Through the implementation of the UTC programme, services users’/ recovery addicts receive comprehensive treatment and care for addiction management.

The implementation of the UTC programme has reshaped the delivery of Substance Use Disorders services in the country; through ensuring that treatment centres conduct a comprehensive screening and assessment of service users. The intended outcome is to ensure that people in recovery are assessed for co- occurring disorders such as: mental disorders, medical disorders and substance use disorder related treatment issues in order to provide an individualised treatment and recovery plan. The overall outcome of the programme is the provision of effective, efficient and comprehensive treatment programme.

• 1. Family Therapy is a set of therapeutic approaches that attempt to use the family’s strengths and resources to help them live without drugs or alcohol. It also seeks to reduce the harm of addiction on both the substance abuser and his or her family. Through education, the family can play a significant role in the service user’s recognition of the problem and acceptance of treatment. The aim of Family therapy is to educate family about relapse warning signs for alcohol and other drugs; and in turn help prevent a relapse.

• 1. Cognitive Behavioural therapy a tool that teaches service users to change the ways they think. It is a type of psychotherapeutic treatment that helps people to learn how to identify and change destructive thoughts that have a negative influence on behaviour and emotions.

• 1. Motivational Interviewing is a counselling approach designed to help people find the motivation to make a positive behaviour change. This is a client-oriented counselling style’ that seeks to help clients ‘explore and resolve ambivalence to change.

12 Step Model - the basic premise of the 12-Step model is that people can help one another achieve and maintain abstinence from the substances or to which they are addicted. They can do this through meetings in which they share their experiences with one another and support each other in the ongoing effort of maintaining abstinence.

Pharmacotherapy - medications can help alleviate the withdrawal manifestations among service users with severe physical dependence to help patients feel more comfortable during the early stages of treatment after stopping alcohol or drug use.

Time programme is a community based multi system approach to treatment family centred services. It provides a basket of services to address the needs of service users in a systemic way and contributes to harm reduction.

Vocational and skills development -It’s a programme that promote economic viability and provide job opportunities.

Relapse Prevention - focuses on the identification and prevention of high-risk situations in which a service user may be more likely to engage in substance use. Relapse prevention include challenging the service user’s expectation of perceived positive effects of use and providing psychoeducation to help the service user’s make a more informed choice. Relapse to drug use does not mean treatment has failed, but it is part of treatment.