n South African Medical Journal - The effectiveness of a hospital-based intervention for patients with substance-use problems in the Western Cape : research
|Article Title||The effectiveness of a hospital-based intervention for patients with substance-use problems in the Western Cape : research|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Medical Journal|
|Affiliations||1 University of Cape Town, 2 University of Cape Town, 3 University of Cape Town, 4 University of Stellenbosch, 5 South African National Council on Alcoholism and Drug Dependence (SANCA) and 6 Medical Research Council of South Africa|
|Publication Date||Jul 2012|
|Pages||634 - 635|
District hospitals regularly experience a high incidence of substance-use disorders, but rarely provide interventions. We describe the effectiveness of an intervention developed and implemented by a Western Cape hospital. Patients with probable substance use were referred to an on-site social worker for an alcohol, smoking and substance involvement screening test (ASSIST), a brief motivational intervention and referral to specialist care. At the 3-month follow-up, the ASSIST was re-administered telephonically. An intervention was received by 127 patients. A significant reduction in substance use was reported in 92 patients who completed a 3-month follow-up evaluation (p<0.001). Of the 60 patients referred to further care, half entered treatment. We conclude that, with minimal resourcing, it is feasible to administer a brief substance-use intervention for patients attending district hospitals.
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