Evaluating client functioning in a harm reduction program in South Africa: insights from a tool derived from the International Classification of Functioning, Disability and Health
South Africa faces the detrimental effects of problematic substance use. The Community Oriented Substance Use Program (COSUP) is a research-based, community-situated harm-reduction program. The International Classification of Functioning, Disability and Health (ICF) was used as the framework to deve...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Rehabilitation Sciences |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fresc.2024.1445176/full |
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| author | Michelle N. S. Janse van Rensburg Michelle N. S. Janse van Rensburg Daleen Casteleijn Andrew Scheibe |
| author_facet | Michelle N. S. Janse van Rensburg Michelle N. S. Janse van Rensburg Daleen Casteleijn Andrew Scheibe |
| author_sort | Michelle N. S. Janse van Rensburg |
| collection | DOAJ |
| description | South Africa faces the detrimental effects of problematic substance use. The Community Oriented Substance Use Program (COSUP) is a research-based, community-situated harm-reduction program. The International Classification of Functioning, Disability and Health (ICF) was used as the framework to develop a unique tool to determine the functioning of COSUP clients. The study was a quantitative descriptive, cross-sectional design, with data collected from COSUP sites during January 2023 using the COSUP Client Functioning Tool. Twenty-three Likert-scale structured closed questions about clients’ perceptions of their functioning and context were analyzed using descriptive statistics. Open-ended questions about COSUP services were thematically analyzed. Most COSUP clients are working-age African males, and many are unemployed. Clients seem to be coping well physically but need more mental health support. Pressing concerns for COSUP clients are feeling stressed and anxious, an inability to handle stress, poor use of free time, not getting support from others, and not having enough money to meet daily needs. Lack of energy and boredom are significant concerns, along with feelings of rejection and loneliness. Facilitating opportunities for sustaining livelihoods requires focus. Even so, there are those who have a sense of hope due to the positive impact of the program. Basing the COSUP Client Functioning Tool on the ICF framework provided a useful picture of the functioning of people who use/d drugs in their contexts. The COSUP Tool is helpful to guide interventions that are responsive to clients’ needs. |
| format | Article |
| id | doaj-art-5494e73a1eae40239a3687dbcd1af9f7 |
| institution | DOAJ |
| issn | 2673-6861 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Rehabilitation Sciences |
| spelling | doaj-art-5494e73a1eae40239a3687dbcd1af9f72025-08-20T02:52:20ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612024-12-01510.3389/fresc.2024.14451761445176Evaluating client functioning in a harm reduction program in South Africa: insights from a tool derived from the International Classification of Functioning, Disability and HealthMichelle N. S. Janse van Rensburg0Michelle N. S. Janse van Rensburg1Daleen Casteleijn2Andrew Scheibe3Community Oriented Primary Care (COPC) Research Unit, Faculty of Health Sciences, University of Pretoria, Tshwane, South AfricaDepartment of Occupational Therapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaDepartment of Occupational Therapy, Faculty of Health Sciences, University of Pretoria, Tshwane, South AfricaCommunity Oriented Primary Care (COPC) Research Unit, Faculty of Health Sciences, University of Pretoria, Tshwane, South AfricaSouth Africa faces the detrimental effects of problematic substance use. The Community Oriented Substance Use Program (COSUP) is a research-based, community-situated harm-reduction program. The International Classification of Functioning, Disability and Health (ICF) was used as the framework to develop a unique tool to determine the functioning of COSUP clients. The study was a quantitative descriptive, cross-sectional design, with data collected from COSUP sites during January 2023 using the COSUP Client Functioning Tool. Twenty-three Likert-scale structured closed questions about clients’ perceptions of their functioning and context were analyzed using descriptive statistics. Open-ended questions about COSUP services were thematically analyzed. Most COSUP clients are working-age African males, and many are unemployed. Clients seem to be coping well physically but need more mental health support. Pressing concerns for COSUP clients are feeling stressed and anxious, an inability to handle stress, poor use of free time, not getting support from others, and not having enough money to meet daily needs. Lack of energy and boredom are significant concerns, along with feelings of rejection and loneliness. Facilitating opportunities for sustaining livelihoods requires focus. Even so, there are those who have a sense of hope due to the positive impact of the program. Basing the COSUP Client Functioning Tool on the ICF framework provided a useful picture of the functioning of people who use/d drugs in their contexts. The COSUP Tool is helpful to guide interventions that are responsive to clients’ needs.https://www.frontiersin.org/articles/10.3389/fresc.2024.1445176/fullsubstance usefunctioningharm reductionICFpeople who use drugsCOSUP |
| spellingShingle | Michelle N. S. Janse van Rensburg Michelle N. S. Janse van Rensburg Daleen Casteleijn Andrew Scheibe Evaluating client functioning in a harm reduction program in South Africa: insights from a tool derived from the International Classification of Functioning, Disability and Health Frontiers in Rehabilitation Sciences substance use functioning harm reduction ICF people who use drugs COSUP |
| title | Evaluating client functioning in a harm reduction program in South Africa: insights from a tool derived from the International Classification of Functioning, Disability and Health |
| title_full | Evaluating client functioning in a harm reduction program in South Africa: insights from a tool derived from the International Classification of Functioning, Disability and Health |
| title_fullStr | Evaluating client functioning in a harm reduction program in South Africa: insights from a tool derived from the International Classification of Functioning, Disability and Health |
| title_full_unstemmed | Evaluating client functioning in a harm reduction program in South Africa: insights from a tool derived from the International Classification of Functioning, Disability and Health |
| title_short | Evaluating client functioning in a harm reduction program in South Africa: insights from a tool derived from the International Classification of Functioning, Disability and Health |
| title_sort | evaluating client functioning in a harm reduction program in south africa insights from a tool derived from the international classification of functioning disability and health |
| topic | substance use functioning harm reduction ICF people who use drugs COSUP |
| url | https://www.frontiersin.org/articles/10.3389/fresc.2024.1445176/full |
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