A perspectiva dos profissionais sobre o processo de alta de pacientes do Caps-AD: critérios e dificuldades

Silva, Lennon Leonardo Pereira da; Almeida, Anderson Batista de; Amato, Tatiana de Castro

doi:10.1590/0103-1104201912213

Cited by 4 publications

(5 citation statements)

References 15 publications

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“…Essas limitações, portanto, muitas vezes impossibilitam uma transformação prática da vida dos usuários, fazendo-os dependentes dos CAPS e unidades de saúde, reoxigenando o processo conhecido como revolving-door ou carreira de internamento 21 . Isto é, a falta de uma rede de serviços e profissionais preparada para continuar processos terapêuticos, bem como a não transformação das condições de reprodução da vida diária dos usuários, que faz que estes muitas vezes retornem ao mesmo local de tratamento, com as mesmas demandas 58,59,60,61 .…”

Section: Resultsunclassified

Uma revisão bibliográfica sobre as estratégias de construção da autonomia nos serviços públicos brasileiros de atenção em saúde a usuários de drogas

2021

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Os arcabouços teórico-práticos que compõem o paradigma psicossocial no campo das drogas, tais como a redução de danos e a promoção da saúde, trouxeram foco ao sujeito em sofrimento na relação com a realidade social. Eles valorizam a singularidade de usuários e profissionais para compreensão do processo saúde-doença e a construção das políticas de saúde. Conceito que embasa e agrega essas características é o de construção de autonomia. Entretanto existem acepções e ações distintas relativas à autonomia, pluralidade intrínseca ao desenvolvimento da política de saúde mental e drogas no país. O objetivo deste artigo é descrever as estratégias para construção de autonomia para pessoas que fazem uso abusivo de drogas. O método utilizado foi a revisão integrativa, buscando-se, nas bases PsycInfo, PubMed, Biblioteca Virtual de Saúde (BVS) e Web of Science, estudos que analisaram o processo de cuidado a usuários de drogas. Foram sistematizadas ações que constroem autonomia e as barreiras para o cuidado. Foram selecionados 22 estudos, sendo 18 pesquisas em Centros de Atenção Psicossocial Álcool e Drogas (CAPS AD) e quatro em serviços de atenção primária. Sobressaíram ações realizadas na dimensão do resgate de valor social, como planos terapêuticos singulares e oficinas de redução de danos. Representam barreiras a exigência da abstinência, a falta de ações intersetoriais, falta de reinserção social por vínculos de trabalho e não participação em instâncias comunitárias e políticas. Evidencia-se um conjunto de práticas contraditórias e difusas, havendo as que constroem autonomia e as que impõem o controle sobre o usuário. Ainda assim, as ações dos CAPS AD e atenção primária demonstram ser fundamentais para o resgate de autonomia frente à estigmatização e marginalização.

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Section: Resultsunclassified

Uma revisão bibliográfica sobre as estratégias de construção da autonomia nos serviços públicos brasileiros de atenção em saúde a usuários de drogas

2021

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“…It is important to mention the difficulties reported by healthcare service professionals, such as the difficulty of establishing clear criteria for discharge processes for individuals with substance abuse issues. 22 These difficulties relate to the following: divergences in professional teams; omnipotence of professionals; difficulties relating to rupture of bonds; institutional dependency; patient instability; and difficulties in making connections within the healthcare network. Previous research has indicated that the treatment and discharge process is complex and is characterized by combinations of social, economic, political, subjective and institutional dimensions.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Previous research has indicated that the treatment and discharge process is complex and is characterized by combinations of social, economic, political, subjective and institutional dimensions. 22 The National Household Sampling Survey (Pesquisa Nacional por Amostra de Domicílios, PNAD) investigates the general characteristics of the Brazilian population and its living conditions every year. It includes health-related questions every three years, and accesses individual information on demographic and socioeconomic characteristics and selected health indicators, including risk factors and self-reported chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

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Hospitalization due to mental and behavioral disorders caused by use of alcohol and psychoactive substances among older adults and elderly people in Brazil: a cross-sectional study

Afonso

Barbosa

et al. 2022

Sao Paulo Med. J.

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BACKGROUND: It has been estimated that 17% of individuals aged 50 years or older suffer from addiction to legal or illegal drugs. Use of alcohol and psychoactive substances has been correlated with several diseases, e.g. psychiatric conditions and cardiovascular and sexual dysfunctions. Objective: To discuss the Brazilian profile of mental and behavioral disorders caused by use of alcohol and psychoactive substances among older adults and elderly people, over the period from 2008 to 2019. DESIGN AND SETTING: Cross-sectional study conducted among Brazilians aged 50 years or older. METHODS: Hospitalization due to mental and behavioral disorders caused by use of alcohol and psychoactive substances was assessed through data obtained from the National Health System Department of Informatics (Departamento de Informática do Sistema Único de Saúde, DATASUS). RESULTS: Decreasing and steady trends of hospitalization due to mental and behavioral disorders caused by use of alcohol among both men and women at all ages were observed. Similar trends were reported for all age ranges among men and women aged 60 years and older. In contrast, a slight increase was seen among women aged 50 to 59 years. CONCLUSION: These data are crucial for qualifying mental healthcare for older adults and elderly people and for planning mental health services.

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Group Interventions in Psychosocial Care Centers for Alcohol and Drugs: Challenges of Care Practice

Sousa

Lucchese²,

Farinha

et al. 2023

Texto contexto - enferm.

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Objective: to understand the challenges of care practice with group interventions Psychosocial Care Centers for Alcohol and Drugs. Method: qualitative intervention research developed with 30 professionals from four Alcohol and Psychosocial Drug Care Centers in a municipality in central Brazil from March to April 2019. We used a professional characterization instrument and conversation wheels to collect data that were submitted to the thematic modality of content analysis. Results: some challenges that permeate the practice with group interventions in CAPSad were evidenced, from the professionals' perspective, such as inadequate physical structure and scarcity of material resources; issues related to aspects of users such as difficulty in adhesion and commitment to groups, incompatible work schedules and lack of financial resources for travel to the centers; factors related to the competence of professionals as not having affinity to work with groups, absence of specific training, prioritization of other practices, demotivation, absence of care records and difficulty in performing the patient discharge and; aspects of work processes such as outpatient organizational culture, very high demand, insufficient human resources, lack of external supervision, few offers of therapeutic groups and lack of criteria for the definition of group coordinators. Conclusion: the challenges experienced include issues of inadequate physical structure and deficient material resources, difficulties related to the life contexts of users, competence of professionals and factors of the work processes of the services.

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A perspectiva dos profissionais sobre o processo de alta de pacientes do Caps-AD: critérios e dificuldades

Cited by 4 publications

References 15 publications

Uma revisão bibliográfica sobre as estratégias de construção da autonomia nos serviços públicos brasileiros de atenção em saúde a usuários de drogas

Uma revisão bibliográfica sobre as estratégias de construção da autonomia nos serviços públicos brasileiros de atenção em saúde a usuários de drogas

Hospitalization due to mental and behavioral disorders caused by use of alcohol and psychoactive substances among older adults and elderly people in Brazil: a cross-sectional study

Group Interventions in Psychosocial Care Centers for Alcohol and Drugs: Challenges of Care Practice

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