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International Journal of Mental Health and Addiction

Published in:

01-06-2011

Perceptions of Organizational Functioning in Substance Abuse Treatment Facilities in South Africa

Authors: Steven Bowles, Johann Louw, Bronwyn Myers

Published in: International Journal of Mental Health and Addiction | Issue 3/2011

Abstract

Directors’ and treatment staff’s perceptions of organizational functioning within substance abuse treatment facilities in four provinces in South Africa were examined via the Texas Christian University’s Organizational Readiness for Change instrument. Forty-four treatment facilities (out of 89) participated in the study. Results indicated that directors and staff displayed favorable perceptions with regard to organizational climate and staff attributes, and were indecisive about the motivation for change domain. Certain demographic factors were associated with both directors’ and staff perceptions towards the organizational functioning of treatment facilities.

The terms White, Black (for people of African descent—sometimes used as “Black African”), and Coloured (generally used for people of mixed descent) are still used widely in South Africa, amongst others by the government to track employment equity policies.

Although the data were collected 5 years ago, nothing substantially happened to change the environment in which these facilities operate. Indeed we would argue that the data produced in this study, and the translation of results into action, are particularly relevant only now. At both national and provincial levels, new policy drives that focus on a) introducing minimum norms and standards into treatment and b) improving the performance of substance abuse treatment services by implementing service quality measures are in the process of being designed. These initiatives would benefit from the considerations we raise.

Courtney, K. O., Joe, G. W., Rowan-Szal, G. A., & Simpson, D. D. (2007). Using organizational assessment as a tool for change. Journal of Substance Abuse Treatment, 33, 131–137.PubMedCrossRef

Fuller, B. E., Rieckman, T., Nunes, E. V., Miller, M., Arfken, C., Edmundson, E., et al. (2007). Organizational readiness for change and opinions toward treatment innovations. Journal of Substance Abuse Treatment, 33, 183–192.PubMedCrossRef

Greener, J. M., Joe, G. W., Simpson, D. D., Rowan-Szal, G. A., & Lehman, W. E. K. (2007). Influence of organizational functioning on client engagement in treatment. Journal of Substance Abuse Treatment, 33, 139–147.PubMedCrossRef

Joe, G. W., Simpson, D. D., Dansereau, D. F., & Rowan-Szal, G. A. (2001). Relationships between counseling rapport and drug abuse treatment outcomes. Psychiatric Services, 52, 1223–1229.PubMedCrossRef

Lehman, W. E. K., Greener, J. M., & Simpson, D. D. (2002). Assessing organizational readiness for change. Journal of Substance Abuse Treatment, 22, 197–209.PubMedCrossRef

Myers, B. (2004). Technical report on audit of substance abuse treatment facilities in Gauteng (2003–2004). Parow: Medical Research Council.

Myers, B., & Parry, C. D. H. (2005). Access to substance abuse treatment services for black South Africans: findings from audits of specialist treatment facilities in Cape Town and Gauteng. South African Psychiatry Review, 8, 15–19.

Myers, B., Parry, C. D. H., & Plüddemann, A. (2004). Indicators of substance abuse treatment demand in Cape Town, South Africa (1997–2001). Curationis, 27–31.

Myers, B., Louw, J., & Fakier, N. (2008). Alcohol and drug abuse: removing structural barriers to treatment for historically disadvantaged communities in Cape Town. International Journal of Social Welfare, 17, 156–165.CrossRef

Myers, B., Burnhams, N. H., & Fakier, N. (2009a). Monitoring and evaluation of substance abuse services in South Africa: implications for policy and practice. International Journal of Mental Health and Addiction. doi:10.1007/s11469-009-9232-2.

Myers, B., Fakier, N., & Louw, J. (2009b). Stigma, treatment beliefs, and substance abuse treatment use in historically disadvantaged communities. The African Journal of Psychiatry, 12, 218–222.

Parry, C. D. H. (2005). South Africa: alcohol today. Addiction, 100, 426–429.PubMedCrossRef

Plüddemann, A., Dada, S., Parry, C. D. H., Bhana, A., Perreira, T., & Carelsen, A. (2010). Monitoring alcohol and drug trends in South Africa (July1996–December 2009). Phase 27. South African Community Epidemiology Network on Drug Use: Brief report. Cape Town: Medical Research Council.

Saldana, L., Chapman, J. E., Henggeler, S. W., & Rowland, M. D. (2007). The organizational readiness for change scale in adolescent programs: criterion validity. Journal of Substance Abuse Treatment, 33, 159–169.PubMedCrossRef

Simpson, D. D. (2004). A conceptual framework for drug treatment process and outcomes. Journal of Substance Abuse Treatment, 27, 99–121.PubMedCrossRef

Simpson, D. D., & Dansereau, D. F. (2007). Assessing organizational functioning as a step toward innovation. NIDA Science & Practice Perspectives, 3, 20–28.CrossRef

Simpson, D. D., Joe, G. W., & Rowan-Szal, G. A. (2007). Linking elements of change: program and client response to innovation. Journal of Substance Abuse Treatment, 33, 201–209.PubMedCrossRef

Statistics South Africa. (2007). Retrieved March 20, 2007, from http://www.statssa.gov.za/publications/statsdownload.asp?PPN=P0302&SCH=4203.

Torres, M. I., Mattick, R. P., Chen, R., & Baillie, A. (1995). Clients of treatment service agencies: March 1995 census findings. Canberra: Australian Government Publishing Service.

Title: Perceptions of Organizational Functioning in Substance Abuse Treatment Facilities in South Africa
Authors: Steven Bowles
Johann Louw
Bronwyn Myers
Publication date: 01-06-2011
Publisher: Springer-Verlag
Published in: International Journal of Mental Health and Addiction / Issue 3/2011
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-010-9285-2

At a glance: The STEP trials

Springer Medicine

Perceptions of Organizational Functioning in Substance Abuse Treatment Facilities in South Africa

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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