Factors associated with successful completion of a substance rehabilitation programme at a psychiatric training hospital
Introduction: Comorbid psychiatric and substance use disorders are common globally. Management of either condition is influenced by comprehensive management of the other. Aim: The aim of this study was to determine which patient and substance factors are associated with completion of a substance re...
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| Format: | Article |
| Language: | English |
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AOSIS
2018-10-01
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| Series: | South African Journal of Psychiatry |
| Online Access: | https://sajp.org.za/index.php/sajp/article/view/1280 |
| _version_ | 1818246526861836288 |
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| author | Justine Dreyer Jacobeth M. Pooe Loveness Dzikiti Christa Kruger |
| author_facet | Justine Dreyer Jacobeth M. Pooe Loveness Dzikiti Christa Kruger |
| author_sort | Justine Dreyer |
| collection | DOAJ |
| description | Introduction: Comorbid psychiatric and substance use disorders are common globally. Management of either condition is influenced by comprehensive management of the other.
Aim: The aim of this study was to determine which patient and substance factors are associated with completion of a substance rehabilitation programme in psychiatric inpatients.
Methods: The study was conducted at the Substance Rehabilitation Unit (SRU) of Weskoppies Hospital, a psychiatric training hospital in South Africa. It was a hospital-based two-group cross-sectional study comparing clinical files of completers and non-completers of the SRU programme with respect to patient and substance factors.
Results: Most of the patients referred to the SRU were involuntarily admitted, between the ages of 30 and 49 years, male, black or African origin, South African, single, unemployed, never having received a disability grant and with a highest level of education between Grades 8 and 11. Substance-induced disorders, psychotic disorders and Cluster B personality traits were common. Cannabis, alcohol and tobacco were the most frequently used substances. Patients with a lower level of education, who receive a disability grant or who use Nyaope or tobacco, were statistically significantly less likely to complete the SRU programme than those without these factors. Psychiatric diagnosis and general medical comorbidity were not associated with completion.
Conclusion: Completion rates were comparable to those in general substance rehabilitation centres. The association of tobacco smoking and non-completion was in keeping with other research. Low educational level may be a predictive factor of non-completion in this population. This study has yielded several recommendations for substance rehabilitation services in this population and filled a number of research gaps. Further research is still needed, especially with regard to substance rehabilitation in Nyaope-users and the role of disability grants. Creative approaches will be necessary in order to support patients at risk of dropout, in light of resource limitations and the drive towards individualised care. |
| first_indexed | 2024-12-12T14:50:13Z |
| format | Article |
| id | doaj.art-e442473700784952924aea6a187c461a |
| institution | Directory Open Access Journal |
| issn | 1608-9685 2078-6786 |
| language | English |
| last_indexed | 2024-12-12T14:50:13Z |
| publishDate | 2018-10-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Psychiatry |
| spelling | doaj.art-e442473700784952924aea6a187c461a2022-12-22T00:21:01ZengAOSISSouth African Journal of Psychiatry1608-96852078-67862018-10-0124010.4102/sajpsychiatry.v24i0.1280434Factors associated with successful completion of a substance rehabilitation programme at a psychiatric training hospitalJustine Dreyer0Jacobeth M. Pooe1Loveness Dzikiti2Christa Kruger3Department of Psychiatry, School of Medicine, University of PretoriaDepartment of Psychiatry, School of Medicine, University of PretoriaSchool of Health Systems and Public Health, University of PretoriaDepartment of Psychiatry, School of Medicine, University of PretoriaIntroduction: Comorbid psychiatric and substance use disorders are common globally. Management of either condition is influenced by comprehensive management of the other. Aim: The aim of this study was to determine which patient and substance factors are associated with completion of a substance rehabilitation programme in psychiatric inpatients. Methods: The study was conducted at the Substance Rehabilitation Unit (SRU) of Weskoppies Hospital, a psychiatric training hospital in South Africa. It was a hospital-based two-group cross-sectional study comparing clinical files of completers and non-completers of the SRU programme with respect to patient and substance factors. Results: Most of the patients referred to the SRU were involuntarily admitted, between the ages of 30 and 49 years, male, black or African origin, South African, single, unemployed, never having received a disability grant and with a highest level of education between Grades 8 and 11. Substance-induced disorders, psychotic disorders and Cluster B personality traits were common. Cannabis, alcohol and tobacco were the most frequently used substances. Patients with a lower level of education, who receive a disability grant or who use Nyaope or tobacco, were statistically significantly less likely to complete the SRU programme than those without these factors. Psychiatric diagnosis and general medical comorbidity were not associated with completion. Conclusion: Completion rates were comparable to those in general substance rehabilitation centres. The association of tobacco smoking and non-completion was in keeping with other research. Low educational level may be a predictive factor of non-completion in this population. This study has yielded several recommendations for substance rehabilitation services in this population and filled a number of research gaps. Further research is still needed, especially with regard to substance rehabilitation in Nyaope-users and the role of disability grants. Creative approaches will be necessary in order to support patients at risk of dropout, in light of resource limitations and the drive towards individualised care.https://sajp.org.za/index.php/sajp/article/view/1280 |
| spellingShingle | Justine Dreyer Jacobeth M. Pooe Loveness Dzikiti Christa Kruger Factors associated with successful completion of a substance rehabilitation programme at a psychiatric training hospital South African Journal of Psychiatry |
| title | Factors associated with successful completion of a substance rehabilitation programme at a psychiatric training hospital |
| title_full | Factors associated with successful completion of a substance rehabilitation programme at a psychiatric training hospital |
| title_fullStr | Factors associated with successful completion of a substance rehabilitation programme at a psychiatric training hospital |
| title_full_unstemmed | Factors associated with successful completion of a substance rehabilitation programme at a psychiatric training hospital |
| title_short | Factors associated with successful completion of a substance rehabilitation programme at a psychiatric training hospital |
| title_sort | factors associated with successful completion of a substance rehabilitation programme at a psychiatric training hospital |
| url | https://sajp.org.za/index.php/sajp/article/view/1280 |
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