Objetivo: realizar revisão integrativa da literatura nacional sobre os tratamentos de usuários de álcool e outras drogas a partir da perspectiva de seus familiares. Método: trata-se de um estudo de revisão integrativa da literatura nacional, nos portais Biblioteca Virtual em Saúde e Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior e nas bases de dados Web of Science, The Cumulative Index to Nursing and Allied Health Literature e PsycINFO. Após o processo de análise dos estudos recuperados, foram selecionados 21 estudos. Resultados: na literatura demonstrou-se que os familiares reconheceram os serviços extrahospitalares como importantes para melhorar as relações familiares e as condições de saúde do usuário, sendo importante a inclusão dos familiares nos espaços de tratamento para ajudar os usuários de drogas. Contudo, foram apontados, em estudos, fatores como a insuficiência desses serviços em atender a demanda apresentada, as barreiras no acesso ao tratamento e o desconhecimento desses serviços, contribuindo para a busca de internações – algumas, inclusive, forçadas. Conclusão: é necessária a ampliação dos serviços extrahospitalares, com o oferecimento de apoio aos familiares de usuários de drogas.
Purpose The purpose of this paper is to describe six recovery-oriented peer support experiences and strategies implemented in different regions of Brazil in the past 12 years, and explore challenges to their development and potential for empowerment and citizenship. Design/methodology/approach In this paper, a group of stakeholders in mental health services involving people with lived experience of severe mental illness describe their experiences with services of peer support. These were all conducted in Brazil and in partnership with the International Recovery and Citizenship Collective (IRCC) and The Yale Program for Recovery and Community Health. The authors met monthly to exchange experiences, studies and practices, and six experiences were selected, described, analyzed and compared. A discussion of these experiences, their challenges, impact and potential followed. Findings The explored experiences emphasize that peer support, lived experience leadership and advocacy are feasible in the Brazilian mental health system and can help advance the Brazilian Psychiatric Reform. Research limitations/implications This paper is limited to the experience of researchers already engaged in peer support work in six cities in Brazil. Although they represent several different regions in Brazil, there are areas it has not reached. Further research should address and provide a broader view of peer support and recovery strategies spreading in the country. Social implications These experiences demonstrate the feasibility and acceptability of the recovering citizenship approach to reduce stigma, promote empowerment, autonomy, activism and advocacy, and increase a sense of belonging for those in recovery and marginalized by society. The Brazilian psychiatric reform can benefit from including peer supporters as mental health treatment providers. Originality/value This paper provides a novel view of the state of the art of peer support initiatives in Brazil and can inspire individuals, government and communities as they see and understand the breadth, depth and meanings of these peer support experiences.
RESUMO: Terapia Assistida por Animais é uma modalidade de terapia que utiliza animais para promoção do bem-estar humano e animal. Vários animais podem ser utilizados e existem relatos do estudo terapêutico desta modalidade de atividade desde 1962. O período de vida humana está se prolongando e aspectos relacionados com a gerontologia devem ser investigados. Nosso trabalho estudou a relação de cães com idosos por meio de sessões terapêuticas em duas Instituições de Longa Permanência para Idosos (ILPI) na cidade de Uberlândia-MG, nas quais participaram dois cães e realizadas atividades com 23 idosos, totalizando nove sessões de 1 hora cada, uma vez por semana. Foram observados níveis de atividade e interatividade. Ao longo das sessões, tivemos como resultados um aumento das atividades físicas, interação e autoestima, não apenas dos idosos, mas também dos terapeutas, acompanhantes, visitantes e funcionários das ILPIs. PALAVRAS-CHAVE: Cães. Zooterapia. ILPI. Gerontologia. Terapia. Importance of the dog-elderly relationship for improvement of quality of life in Institutions for Long Term Elderly Care in the city of Uberlândia-MG ABSTRACT: Animal-assisted therapy is a form of therapy that uses animals to promote the human welfare and animal. Several animals can be used and there are reports of therapeutic studies of this type of activity since 1962. The period of human life is prolonged and issues related to gerontology should be investigated. Our work investigates the relationship of dogs with the elderly through therapy sessions in two Institutions for Long Term Elderly Care in Uberlandia-MG, which involved two dogs and activities conducted with 23 elderly, a total of nine sessions of 1 hour each once a week. We observed levels of activity and interactivity. Throughout the sessions, we had results as an Increase of physical activities, interaction and self-esteem, not just the elderly but also of therapists, caregivers, visitors and employees of the ILPIs.
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