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Prevention of and Treatment for Substance Abuse Act, 2008 (Act No. 70 of 2008)

Regulations

Regulations for Prevention of and Treatment for Substance Abuse, 2013

Annexures

Annexure B : Requirements to comply with Norms and Standards for Early Intervention Programmes

 

 

[Regulations 9 and 13]

 

1. Prevention of harm from substance abuse

 

An early intervention programme must provide for—

(a) immediate counselling; or
(b) referral for professional intervention.

 

2. Screening for substance abuse

 

An early intervention programme must include—

(a) interviewing; and
(b) preliminary assessment,

as part of the screening of a person and the family of a person who uses substances.

 

3. Screening process

 

The screening process referred to in item 1(b) must involve—

(a) identification of the type or types of substances that have been used and length of period during which the substance have been used;
(b) a provisional psychiatric diagnosis that determines if the person concerned has a substance dependency and the likelihood of other co-morbid conditions;
(c) the determination of the severity of substance abuse;
(d) a brief social history and needs assessment of the person including—
(i) family needs;
(ii) socio-economic challenges;
(iii) strengths;
(iv) priorities; and
(v) vulnerability;
(e) taking the age of a child who is subject to screening into consideration and informing parents or caregivers about the results of assessment; and
(f) providing feedback on the results of screening process.

 

4. Motivation of persons using substances

 

An early intervention programme must motivate a person using substances and his or her family to participate in the programme by imparting—

(a) information on treatment gains; and
(b) knowledge on the consequences of substance use.

 

5. Maintaining family and community ties

 

An early intervention programme must encourage the maintenance of family and community ties by—

(a) out-patient treatment services or community-based services; and
(b) support services and linking persons and their families with available resources.

 

6. Keeping families intact

 

An early intervention programme must be aimed at keeping the family of a person using substances intact by—

(a) identifying and assessing—
(i) family values;
(ii) perceptions;
(iii) beliefs; and
(iv) attitudes,

towards persons abusing substances and service users;

(b) assessing the family's level of knowledge and understanding about issues related to—
(i) substance abuse;
(ii) economic self reliance; and
(iii) support systems;
(c) developing a family preservation plan with the involvement of service users and family;
(d) addressing the—
(i) family's perceptions;
(ii) beliefs; and
(iii) attitudes,

by providing them with information and facts about substance abuse and its effects;

(e) encouraging forgiveness and co-operation amongst family members through individual and family counselling;
(f) empowering families with parenting and family management knowledge and skills by referring them to relevant agencies;
(g) equipping parents and families with knowledge and skills to identify and deal with early warning signs of experimentation and use of substances;
(h) creating social and economic opportunities aimed at improving service user's and family's self-reliance by linking them with social and economic development agencies;
(i) encouraging service users and families to participate in—
(i) sports;
(ii) arts; and
(iii) cultural activities,

and promote healthy eating habits and safe sex practices;

(j) improving the well-being and resilience of families;
(k) exploiting the strengths of families; and
(l) addressing the particular needs of families in their diverse forms.

 

7. Accessibility of early intervention programmes

 

Early intervention programmes must be—

(a) developmental in approach;
(b) affordable in relation to the community and the service user to whom the programme is being administered;
(c) accessible to everyone in the community who needs the programme, including people with disabilities;
(d) appropriate in terms of methodology that is being used;
(e) in line with different age groups of the community and be age specific with special focus on children;
(f) provided in the language the community or each service user clearly understands;
(g) culturally sensitive taking into account the diversity of the population of the community concerned and the socio-cultural attitudes and stereotypes around drinking and substance use;
(h) gender sensitive and appropriate in understanding stereotypes around substance abuse and gender issue;
(i) religiously conscious by recognising various types of religious denominations and their attitudes towards substance use;
(j) sensitive of the service user's level of knowledge and understanding of substances;
(k) provided by a multi-disciplinary team which must consist of—
(i) a nurse;
(ii) a medical practitioner;
(iii) a social worker; and
(iv) a psychiatrist,

and may include—

(aa) a psychologist; and
(ab) an educator;
(l) directed at service users misusing or consuming substances at risky levels;
(m) aimed at service users displaying early signs of some dependency on substances;
(n) focused on service users who present with substance related injuries; and
(o) aimed at children at risk of substance abuse in any environment.