Acesso Ao Tratamento Para Dependentes De Crack Em Situação De Rua

Abstract

Resumo A população em situação de rua, usuária de crack, é negligenciada no Brasil. O objetivo deste estudo foi aproximar-se dessa para compreender o acesso/uso dos serviços de saúde para tratamento da dependência de drogas. Trata-se de uma pesquisa qualitativa com a realização de 26 entrevistas individuais e um grupo focal com cinco usuários de crack em situação de rua no município da Baixada Santista/SP. A análise dos dados revelou que o tratamento oferecido pelas comunidades terapêuticas é o mais conhecido, porém é pouco efetivo para essa população. Com relação aos tratamentos praticados na rede pública de saúde, houve críticas, pouca informação e acesso limitado, além da ausência de conhecimento sobre estratégias de redução de danos. Os usuários referiram sentimentos de estigma, discriminação e preconceitos, vivenciados inclusive na relação com os profissionais de saúde, sendo esses importantes fatores que dificultam o acesso desta população à rede de cuidados.

Homelessness, crack use, and length of stay as predictors of planned discharge from night care in a Psychosocial Care Center

“…This concept does not consider the involvement and participation of users in their treatment and reinforcing the biomedical model; therefore, in the mental health context, this issue should be discussed in a comprehensive and differentiated way 15 . As for the predictor homelessness, it is known that its relationship with more severe problems resulting from the use of alcohol and other drugs and health network's difficulties in meeting the specificity of this population and adapting the functioning of services to meet their needs [17][18] . A study investigating the priorities of this population group found that the immediate demands were to have the basic needs met (food, sleep, hygiene), permanent housing, followed by work fixed, and, finally, dedicate to treatment15.…”

“…There are frequent reports about the noneffective connection of users crack in treatments in mental health services, in its various models, due to stigma, the difficulty of access, lack of harm reduction approaches, and the fact that the user evaluates the treatment as inefficient 6,8,18 , which denotes the still prescriptive, biomedical and prohibitionist characteristic of care.…”

Therapeutic itinerary and health care for drug users in the psychosocial care network / Itinerário terapêutico e assistência à saúde de usuários de drogas na rede de atenção psicossocial

“…Strategies such as training, expansion of access to scientific information, and continuing education become primordial. [15][16] Still, with regard to assistance, the established care model is centered on disease and medicalization, which demonstrates a performance based on the asylum model, which is aimed to overcome. However, this historical practice that causes damage to people in mental distress still persists even through the years.…”

Assessment of stigma and prejudice in the organization of care networks for drug users

“…This social imaginary contributes to the social marginalization of users, obscuring the analysis of these people's lives and the social dimension of their determinants (10) . In the logic of social relationships, stigma and prejudice have been analyzed as part of the organizational dynamics that reflect the experiences of drug users in poor access to health services, as, because they feel ashamed and ignored, they find it difficult to seek help and/or complete care plans (11)(12) .…”