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

dc.contributor.authorSaban, Amina
dc.contributor.authorMorojele, Neo
dc.contributor.authorLondon, Leslie
dc.date.accessioned2017-12-15T07:16:15Z
dc.date.available2017-12-15T07:16:15Z
dc.date.issued2017-12-04
dc.date.updated2017-12-10T04:58:12Z
dc.description.abstractBackground: 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.identifier.apacitationSaban, 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. <i>BMC Health Services Research</i>, http://hdl.handle.net/11427/26708en_ZA
dc.identifier.chicagocitationSaban, Amina, Neo Morojele, and Leslie London "A descriptive study of treatment provision for problem alcohol drinking in adult males in Khayelitsha, Cape Town, South Africa." <i>BMC Health Services Research</i> (2017) http://hdl.handle.net/11427/26708en_ZA
dc.identifier.citationSaban, 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.ris TY - Journal Article AU - Saban, Amina AU - Morojele, Neo AU - London, Leslie AB - 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. DA - 2017-12-04 DB - OpenUCT DO - 10.1186/s12913-017-2643-z DP - University of Cape Town J1 - BMC Health Services Research LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - A descriptive study of treatment provision for problem alcohol drinking in adult males in Khayelitsha, Cape Town, South Africa TI - A descriptive study of treatment provision for problem alcohol drinking in adult males in Khayelitsha, Cape Town, South Africa UR - http://hdl.handle.net/11427/26708 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s12913-017-2643-z
dc.identifier.urihttp://hdl.handle.net/11427/26708
dc.identifier.vancouvercitationSaban A, Morojele N, London L. A descriptive study of treatment provision for problem alcohol drinking in adult males in Khayelitsha, Cape Town, South Africa. BMC Health Services Research. 2017; http://hdl.handle.net/11427/26708.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rights.holderThe Author(s).
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceBMC Health Services Research
dc.source.urihttps://bmchealthservres.biomedcentral.com/
dc.subject.otherTreatment provision
dc.subject.otherAlcohol
dc.subject.otherProblem drinking
dc.subject.otherKhayelitsha
dc.subject.otherCape Town
dc.titleA descriptive study of treatment provision for problem alcohol drinking in adult males in Khayelitsha, Cape Town, South Africa
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
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