Rehab Staff Are the Key to the Success of a Patient’s Addiction Treatment

Research shows that rehab staff at a treatment centre are pivotal to the successful treatment of the client. Staff members need to be both appropriately qualified and experienced. There should also be enough staff members: A high staff to patient ratio improves positive outcomes.

This is the post number 19 in our blog series ‘20 things you should know about rehabilitative treatment: What works’. This list was compiled by the European Association for the Treatment of Addiction, according to the latest evidence.

According to the United States’ National Institute on Drug Abuse, the therapeutic alliance – the relationship between the client and the professional staff member/s – influence the likelihood of treatment success.

The therapeutic alliance can be described as a positive bond between the counsellor and client “who work collaboratively, and agree on the tasks and goals of treatment”. It has been shown to be one of the most significant factors impacting treatment completion and success.

rehab staff

Defining quality staff

What does it mean, how can you tell whether staff at a treatment facility is quality or of a high standard? Addiction is a very complicated issue and a client at a rehab requires input from a host of different professionals in order to ensure the best chances of treatment success.

These professionals include social workers, psychologists, occupational therapists, psychiatrists, well-trained nurses etc. The staff component of a rehab needs to cover a wide array of disciplines to deliver maximum benefit to the client and to address the variety of clients’ unique and individual needs.

The importance of addiction counsellors as they often provide the bulk of a client’s therapy and guidance in treatment. Firstly, addiction counsellors need to possess and accredited and recognised qualification. To work as an addictions counsellor a person may choose to study towards a degree in psychology or do a specialised addictions counselling course. These qualifications can be attained through an international organisation or a local one. Secondly, an addictions counsellor needs to have the relevant experience to deliver quality care to clients. A qualification alone is not enough to start providing therapy to addicts. Graduates are usually required to complete a certain number of clinical hours to gain the needed level of experience. The more experienced the counsellor, the better and more comprehensive care they are able to provide.

A good addictions counsellor will create an environment where the client is able to become vulnerable and talk honestly about their thoughts, feelings and history. They should also be compassionate, have a high level of empathy and understanding, have good interpersonal skills, have the ability to listen and communicate effectively and have a positive attitude “accompanied by patience and tenacity”.

They should also deliver therapy in a non-confrontational style. We’ve explained why the evidence supports this approach to therapy in this blog.

Support for Families and Partners

Family involvement is associated with better engagement and steadier outcomes.

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High staff to patient ratio

A good addiction treatment facility will have a high staff to patient ratio. This is because professional staff members need to have the time, in addition to the skills, to deliver quality and personalised care.

According to the American organisation, the Substance Abuse and Mental Health Services Administration, an organisation is considered to have a high staff to client ratio when there are four or fewer clients per staff member.

Addiction, and its treatment, is very complex and, for successful treatment outcomes, clients need to be given the time and attention they deserve. Having enough staff has many benefits including the fact that emergencies will be attended to more quickly, that there tends to be a better ability to deliver individualised care, that there will be shorter waiting times for therapy and that the environment tends to be less crowded and more nurturing.

Staff members: Recovering addicts versus non-addicts

Many treatment centres employ recovering addicts – people who have been clean and sober for a significant amount of time and who have attained a relevant counselling qualification. These individuals are in a unique position: They have the academic or clinical training that qualifies them to provide care as an addiction treatment professional while also being able to intimately understand where the client is coming from. They are able to get the client to relate to them – thereby building a strong therapeutic alliance.

Whether or not individuals without a personal history are appropriate to work as addiction counsellors is a controversial topic. However, the evidence suggests that counsellors who are not recovering addicts themselves can also successfully counsel addicts or alcoholics in treatment.

It is thought that employing both recovering addicts and non-addicts is the best practice as both have their place in addiction treatment.

Are you looking for a treatment centre that employs highly qualified and experienced professional staff? Contact us today.

Rehab Staff Qualifications And Ratios Boost Recovery

Rehab staff qualifications and staff to patient ratios directly influence addiction recovery success and can change your loved one's chance of sobriety.. Changes team counsellors are here to help you.

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Clients Questions

Why does staff-to-patient ratio matter more than the décor?

Too few nurses and clinicians for the number of patients means slower response to withdrawal, missed warning signs and no time for proper observation, and in detox that gap is where seizures, self harm and medical mistakes slip through.

Which staff qualifications should I care about first in a South African rehab?

Look for registered nurses, doctors, addiction professionals and therapists with recognised local registrations, not generic wellness coaches, because when things go wrong you need people who are clinically accountable, not just good with motivational quotes.

How can I tell if night shifts are properly staffed or dangerously thin?

Ask who is physically on site overnight, how many patients they cover and how quickly a doctor can attend in an emergency, because withdrawal and psychiatric crises do not politely wait for office hours.

What does good multidisciplinary teamwork look like on the unit?

Doctors, nurses, counsellors, psychiatrists and social workers should be sharing information, challenging each other and updating one plan, not running in parallel silos where nobody really owns the full picture of your loved one.

When is staffing so poor that I should consider pulling my loved one out?

If you see chronic chaos, slow responses to obvious distress, no clear medical oversight, exhausted staff and repeated incidents brushed off as bad luck, you are not being dramatic to ask hard questions or move them to safer care.

Support for Families and Partners

Family involvement is associated with better engagement and steadier outcomes.

Read more

Changes Addiction Rehab professional memberships and accreditations

Content on this website is for general information only and is not a substitute for professional medical advice, diagnosis, or treatment. Always speak to a qualified health professional about any medical concerns.
Changes Addiction Rehab PTY LTD (‎2013/152102/07) is licensed by the South African Department of Social Development (Practice No. 0470000537861) and the Department of Health, and is a registered detox facility and practice with the Board of Healthcare Funders. Our treatment programme is led by counsellors registered with the HPCSA, working alongside a multidisciplinary team of medical professionals under a unified practice. We are proud, standing members of the International Certification & Reciprocity Consortium (IC&RC), the Occupational Therapy Association of South Africa, the South African Council for Social Service Professions, the South African Medical Association, the South African Nursing Council and the South African Society of Psychiatrists. Changes Addiction Rehab has been in continuous professional operation since 2007, when it was founded by Sheryl Rahme, who has worked in the addiction treatment field since 1984. Our core clinical team brings over 100 years of combined professional addiction recovery experience.