A descriptive study of treatment provision for problem alcohol drinking in adult males in Khayelitsha, Cape Town, South Africa


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dc.contributor.author Saban, Amina
dc.contributor.author Morojele, Neo
dc.contributor.author London, Leslie
dc.date.accessioned 2017-12-15T07:16:15Z
dc.date.available 2017-12-15T07:16:15Z
dc.date.issued 2017-12-04
dc.identifier.citation Saban, A., Morojele, N., & London, L. (2017). A descriptive study of treatment provision for problem alcohol drinking in adult males in Khayelitsha, Cape Town, South Africa. BMC Health Services Research, 17(2), 740.
dc.identifier.uri http://dx.doi.org/10.1186/s12913-017-2643-z
dc.identifier.uri http://hdl.handle.net/11427/26708
dc.description.abstract Background: Poor, Black African males are underrepresented as patients in facilities that treat problem drinking in Cape Town, South Africa. Reasons for this remain unclear, but factors such as the kinds of treatment provided, perceptions of treatment efficacy, social stigma and traditional treatment beliefs have been suggested as possible barriers to treatment seeking. This descriptive study examined the availability and nature of problem drinking treatment facilities in Khayelitsha, a largely poor township of Black, Xhosa-speaking Africans, on the outskirts of Cape Town. Methods: Seven treatment facilities for problem drinking in adult males were identified using data from the Department of Social Development in the City of Cape Town. Staff members were identified as key informants at each of the treatment facilities, and were interviewed using a structured questionnaire. Twelve interviews were conducted. Results: Findings indicated that the available alcohol treatment facilities were relatively new, that treatment modalities varied both across and within treatment facilities, and that treatment was provided largely by social workers. Treatment facilities did not accommodate overnight stay for patients, operated during weekday office hours, and commonly referred patients to the same psychiatric hospital. Discussion: The study provides a baseline for assessing barriers to treatment for problem drinking in Khayelitsha by highlighting the nature of available facilities as playing a predominantly screening role with associated social work services, and a point of referral for admission to a psychiatric institution for treatment. The social and financial implications of such referral are pertinent to the discussion of treatment barriers. Conclusions: Recommendations are made to inform policy towards locally-provided integrated care to improve treatment provision and access.
dc.language.iso en
dc.publisher BioMed Central
dc.rights.uri https://creativecommons.org/licenses/by/4.0/
dc.source BMC Health Services Research
dc.source.uri https://bmchealthservres.biomedcentral.com/
dc.subject.other Treatment provision
dc.subject.other Alcohol
dc.subject.other Problem drinking
dc.subject.other Khayelitsha
dc.subject.other Cape Town
dc.title A descriptive study of treatment provision for problem alcohol drinking in adult males in Khayelitsha, Cape Town, South Africa
dc.type Journal Article
dc.date.updated 2017-12-10T04:58:12Z
dc.rights.holder The Author(s).
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Public Health and Family Medicine en_ZA
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