Against the tide: current perspectives in Brazilian drug policy

Bastos, Francisco Inácio

doi:10.1590/s0102-311x2013000200002

Cited by 10 publications

(9 citation statements)

References 4 publications

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“…These efforts, however, appear to be insufficient to date. In addition, fundamental discussions are ongoing regarding the nature and range of treatment options needed for crack use [25]. While several of the differences (e.g., social marginalization, health risks/status) we found between the samples are not easily amenable to correction by interventions, these imply that efforts to connect crack users with treatment in particular should focus on the most marginalized users and those characterized by key health risks or problems; these efforts may best occur by community- and/or peer-based based outreach or other targeted efforts.…”

Section: Discussionmentioning

confidence: 99%

Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil

Cruz

Bertoni

Bastos

et al. 2014

Subst Abuse Treat Prev Policy

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BackgroundCrack use is prevalent among street drug users in Brazilian cities, yet despite recent help system reforms and investments, treatment utilization is low. Other studies have identified a variety of – often inconsistent – factors associated with treatment status among crack or other drug users. This study compared socio-economic, drug use, health and service use characteristics between samples of young adult crack users in- and out-of-treatment in Rio de Janeiro, Brazil.FindingsStreet-involved crack users (n = 81) were recruited by community-based methods, and privately assessed by way of an anonymous interviewer-administered questionnaire as well as biological methods, following informed consent. In-treatment users (n = 30) were recruited from a public service in-patient treatment facility and assessed based on the same protocol. Key indicators of interest were statistically cross-compared. Not-in-treatment users were less likely to: be white, educated, stably housed, to be involved in drug dealing, to report lifetime marijuana and current alcohol use, to report low mental health status and general health or addiction/mental health care; they were more likely to: be involved in begging and utilize social services, compared to the in-treatment sample (statistical significance for differences set at p < .05).ConclusionsIn-treatment and not-in-treatment crack users differed on several key characteristics. Overall, in-treatment users appeared to be more socio-economically integrated and connected to the health system, yet not acutely needier in terms of health or drug problems. Given overall low treatment utilization but high need, efforts are required to facilitate improved treatment access and use for marginalized crack users in Brazil.

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Section: Discussionmentioning

confidence: 99%

Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil

Cruz

Bertoni

Bastos

et al. 2014

Subst Abuse Treat Prev Policy

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“…Despite numerous costly studies, pharmacotherapeutic interventions for crack dependence have not demonstrated levels of efficacy supporting regular clinical applications (Amato et al, 2011;Karila et al, 2011;Nuijten, Blanken, van den Brink, & Hendriks, 2011). In Brazil, both therapeutic community-based and compulsory treatment models have been vocally promoted, yet largely without a substantive evidence-base and concerns about ethical principles (Bastos, 2013;BBC News, 2013;Stevens et al, 2005; United Nations Office on Drugs and Crime (UNODC), 2010).…”

mentioning

confidence: 99%

Crack across the Americas – A massive problem in continued search of viable answers: Exemplary views from the North (Canada) and the South (Brazil)

Fischer

Cruz

Bastos

et al. 2013

International Journal of Drug Policy

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“…Como mencionado acima, o uso do crack em espaços públicos adquiriu uma perceptibilidade até então inédita, enquanto substância consumida em cenas abertas de uso e tráfico da droga, muitas delas localizadas em regiões centrais de metrópoles como São Paulo e Rio de Janeiro 21 . Em anos recentes, o uso de crack no Brasil começou a ser considerado, por parte dos meios de comunicação e algumas autoridades governamentais, uma epidemia.…”

Section: Parafraseando Luís Vasconcelosunclassified

À margem: uso de crack, desvio, criminalização e exclusão social – uma revisão narrativa

Toledo

Góngora

Bastos

2017

Ciênc. saúde coletiva

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Resumo O artigo faz uma revisão narrativa da literatura científica visando identificar e discutir os contextos de vulnerabilidade e exclusão social que situam os usuários de crack e outras drogas à margem da norma social no contexto brasileiro e internacional. Lança-se mão de uma variedade de marcos teóricos de modo a integrar as áreas temática do uso de drogas, com ênfase no de crack e sua inter-relação com vulnerabilidade social, marginalidade, exclusão social e desvio. Inicialmente são discutidos aspectos gerais da pesquisa qualitativa em drogas. Em seguida são pontuadas questões acerca da exclusão e vulnerabilidade social dos usuários de crack, seguido das principais associações descritas na literatura sobre uso de drogas e envolvimento criminal. Por fim, o conceito de “margens do Estado” é discutido através do exemplo de situações vivenciadas pelos usuários de crack e outras drogas, como relatado pela literatura.

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Against the tide: current perspectives in Brazilian drug policy

Cited by 10 publications

References 4 publications

Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil

Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil

Crack across the Americas – A massive problem in continued search of viable answers: Exemplary views from the North (Canada) and the South (Brazil)

À margem: uso de crack, desvio, criminalização e exclusão social – uma revisão narrativa

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